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Metal Dental Crowns: Cost, Treatment, and Procedures
Published on:
Feb 02, 2026

Metal Dental Crowns: Cost, Treatment, and Procedures

When a patient hears the word "crown," they immediately turn to the internet to find out more about the crown. However, they end up being confused with mixed information online. And on top of that, they get scary photos and different price tags that fail to explain what they actually want to understand. That confusion creates a real problem for dental practices, too. Patients delay treatment, question every step, and sometimes walk away even when the tooth can be saved. 

What Is a Metal Dental Crown?

A metal tooth crown is a protective cover or cap made of metal that is fitted over a tooth.  It protects the tooth, reinforces chewing function, and restores the tooth to normal operation. Imagine it is a strong protective shell that is placed on top of the tooth that has been custom-shaped by the dentist to fit your tooth. A metal dental crown is usually recommended for strength. It is not chosen because it blends in. It is chosen because it holds up extremely well, especially on back teeth that do most of the heavy chewing.

Why a Dentist May Recommend a Metal Dental Crown

A severely damaged tooth normally requires a crown because it does not possess enough structure to be able to support itself. A filling works when the tooth has sufficient healthy structure to support it. A crown is usually safer in case the tooth is weak, cracked, or overfilled.

A dentist can recommend a metal dental crown due to the following reasons:

  • To guard a broken or loosened tooth: It is possible to get small cracks that then extend with time, particularly in molars. A metal dental crown helps to hold the teeth together, which further helps you to speak and eat well without discomfort.
  • To fill a tooth with a large cavity: In the case of a large filling of a tooth, the rest of the enamel can be too weak. A metal crown is used to minimize the chances of tooth breakage.
  • After root canal treatment: After a root canal, the tooth can become more fragile. In many cases, a crown is used to protect it. A metal dental crown is one option when strength is the top priority.
  • For people who grind or clench: Grinding can crack or chip some crown materials. A metal dental crown is often chosen for heavy bite forces because it resists chipping very well.

Types of Metal Dental Crown Materials

When dental professionals discuss metal crowns, they refer in general to two major categories, which are noble alloys and base metal alloys. These will be determined by your dentist depending on your bite, the l and placement of the tooth, the history of your dental condition.

  • Gold-based alloys: Gold colored crowns are not pure gold. They are a mix of metals designed for strength and fit. A gold-based metal dental crown has a long history in dentistry and is known for durability and a smooth bite feel.
  • Noble alloys: These crowns may include metals like palladium in the alloy. A noble alloy metal dental crown is made to be stable and strong.
  • Base metal alloys: They usually contain metals like nickel and chromium. Base metal crowns are effective, yet allergies can also happen. In case you are allergic to jewelry (or metal buttons), inform your dentist.
  • Stainless steel crowns: Stainless steel is common in pediatric dentistry and is sometimes used as a temporary crown in adults. It is still a metal dental crown, but in many adult cases, it is not the final long-term option.

 

Also Read: Types of Dental Crowns: Choosing the Best Material for Your Smile

Pros of a Metal Dental Crown

A metal dental crown is commonly used for various reasons. It solves a very specific problem: keeping a tooth strong under pressure.

  • Very hard to chip: Porcelain can chip. Metal rarely does. A metal dental crown is one of the most chip-resistant crown choices.
  • Great for back teeth: Molars deal with the strongest bite forces. A metal dental crown is often ideal in that area because strength matters more than appearance.
  • Often needs less tooth removal: Metal can be made thin but strong. That means a metal dental crown may require less shaving of the tooth compared with some bulkier materials.
  • Long-term value: Even if a metal dental crown does not look cosmetic, it can be an excellent practical option because it tends to hold up well over time when properly cared for.

Cons of a Metal Dental Crown

A metal dental crown is not perfect for everyone. These are the main drawbacks.

  • The color is visible: This is the biggest reason people avoid a metal dental crown. If the tooth shows when you smile, many patients prefer tooth-colored materials.
  • People with metal sensitivity: The majority of patients are doing well; however, there is an allergy. When you have a rash after having earrings, rings, watch backs, and even belt buckles, inform your dentist prior to the selection of a metal dental crown.
  • It might not be aligned to cosmetic goals: In case of having a natural, bright smile as your primary objective, a metal crown is not the appearance that you would desire or look forward to.

What Affects the Metal Dental Crown Cost?

Instead of focusing on random numbers you see online, it helps to understand what creates the total cost. The price of a metal dental crown is not only the crown itself. It also includes the planning, preparation, materials, lab work, and follow-up adjustments if needed.

Here are the biggest cost drivers.

The type of metal used

A metal dental crown made from a gold-based alloy usually costs more than some base metal options because of material cost and lab preferences.

The condition of the tooth

When the tooth is in a very poor condition, the dentist might be required to restore it initially, with a core buildup, so it would alter the overall treatment price prior to the placement of the crown.

The need to seek other treatment prior.

It may take a root canal, gum treatment or removal of decay in the tooth before it is safe to perform a metal crown.

Lab fees and technique

Some offices use traditional impressions, others use digital scanning. The lab process and craftsmanship affect the final fee.

Insurance rules

Many plans treat crowns as a major service. Coverage depends on deductibles, annual maximums, waiting periods, and whether the crown is considered medically necessary. A pre-treatment estimate usually helps patients know what to expect.

How the Metal Dental Crown Procedure Works

Most metal dental crown treatment happens in two visits. Some offices can do it faster with in-house technology, but the classic approach is two appointments.

Visit 1: Exam, preparation, and temporary crown

Step 1: Exam and planning: The dentist examines the tooth, the bite, and the gums. They seek cracks, structural damage, and indicators that the nerve will be swollen or infected.

Step 2: Numbing: Local anesthesia makes you comfortable during the process.

Step 3: Shaping the tooth: The dentist removes weak parts and forms the tooth in such a way that the crown will fit in. Accurate contouring prevents leakage and further tooth decay.

Step 4: Impression or digital scan: The office takes an impression or digital scan of your bite so the lab can create a properly fitting crown..

Step 5: Temporary crown: The final crown is made of metal and is produced by the lab, after which a temporary crown safeguards the tooth. You can be advised not to eat sticky foods on that side since temporary crowns may loosen.

Visit 2: Final placement and bite adjustment

Step 1: Remove the temporary: The dentist removes the temporary crown and cleans the tooth.

Step 2: Try in the crown: The dentist gets to test the fit of the metal crown and shapes the edges, the connection to the adjacent teeth, and its placement on the tooth.

Step 3: Check the bite: This step is crucial. When the crown is excessively high, it will result in soreness or pain. The dentist will be adjusting the crown until it becomes natural.

Step 4: Cement the crown: When it looks like all is well, the dentist cements the metal crown in position and removes all the extra cement from it.

Step 5: Final instructions: The dentist will prescribe to you what to eat, how to brush around the crown, as well as what indicators ought to make you make a call.

Does Getting a Metal Dental Crown Hurt?

During the appointment, you should not feel pain because the tooth is numb. After the numbness wears off, mild soreness is normal for a short period. Some people notice gum tenderness where the dentist worked near the gumline.

Call the office if you notice any of these:

  • The bite feels off, like the crown hits first
  • Pain that gets worse instead of better
  • Sharp pain when chewing
  • A loose feeling in the metal dental crown

How Long Can a Metal Dental Crown Last?

There is no exact expiration date. A metal dental crown can last many years when it fits well, and you keep the area clean. It may need replacement if:

  • Decay forms at the edge
  • The cement weakens, and the crown loosens
  • The tooth underneath cracks
  • Gum changes expose the margin
  • Your bite changes from grinding

Final Takeaway

Metal dental crowns are secure and quite convenient in such cases as teeth against back teeth, which are often the subject of heavy treatment. It becomes less stressful to know the steps, the levels of comfort it should expect, and the cost drivers that are predominant in the decision-making process.

Having difficulty in determining whether or not a metal dental crown is the best answer to your tooth problem? Reserve a test at Tadros Dental and receive a clear plan that suits your bite and fits your budget as well as your comfort.


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