Yelena Vaysman offers crowns made from different dental materials.
CROWNS can be GOLD, PORCELAIN, ZIRCONIA, EMAX or other tooth colored material, or PORCELAIN FUSED TO GOLD/METAL (PFM/PFG).
Teeth are crowned for a number of reasons... most often being because of INSUFFICIENT TOOTH STRUCTURE. IF there is not enough tooth structure to SUPPORT A FILLING, you may need a crown.
ESTHETICS. In the current day of everyone wanting whiter teeth and looking more natural, gold is esthetically less acceptable, unless it is in the back of your mouth.
Like gold, the metal hardness is closer to that of natural tooth structure, so part of the tooth can be PORCELAIN (for esthetics) and part of it can be metal/gold (part that hits the opposing tooth). The metal is normally an alloy of gold, with the amount of gold and other metals varying depending on the type of crown.
Because of the metal substructure, the esthetics of PFM crowns can be close to your natural tooth, but not normally as good as the following options.
Layered Zirconia crowns are like PFM crowns, except the metal substructure is primarily cubic zirconia, which has a white appearance rather than a silver or gold appearance. This allows for much better esthetics, but may still not be suitable for all posterior teeth under high stress.
Solid Zirconia crowns suitable for all posterior teeth under high stress.
ESTHETICS. Full porcelain crowns look very good and natural, but they do not tend to hold up too well in the posterior region. In the anterior region, if they are not subjected to too much force, they should be ok.
When porcelain crowns are done, the preparation phase of the dental crown procedure requires more tooth structure to be removed in order to make room for the porcelain on porcelain crowns.
There are several tooth colored crowns like ZIRCONIA or IPS e.max crowns that are stronger than porcelain but offer similar esthetics.
Yes, crowns are expensive, but if it is not done and the tooth fractures, it is possible that that tooth may be lost