Why Are Dental Crowns Recommended for Large Cavities?

By: Dr. Ernest De Paoli

8/7/2026

Have you been told your cavity is too big for a regular filling? If so, Dr. Ernest De Paoli may recommend a dental crown to restore the overall function and appearance of your smile. This is because a large cavity may leave too little healthy tooth structure for a filling to bond securely. 

 At Advanced Smiles, we specialize in restorative dentistry in Frisco that helps patients keep their natural teeth for as long as possible. If you have a damaged tooth that's been causing you concern, we're here to help. Call today to learn more and schedule a consultation. 

What causes a large cavity? 

Cavities start small, but they don't stay that way if decay is left untreated. Bacteria feed on starches left behind after eating, producing acid that slowly eats through the enamel. Once that acid reaches the inner layers, decay spreads, leading to a large cavity. 

Several factors contribute to cavities: irregular brushing and flossing, frequent snacking, dry mouth, and skipping regular dental checkups. By the time a damaged tooth shows visible symptoms, like pain or sensitivity, the decay has often already reached a significant portion of the tooth. This is when a dental restoration, like a dental crown, may be an option. 

Restoring strength with a dental crown in Frisco 

When a cavity has destroyed too much of a tooth, there isn't enough healthy structure left for a filling to bond to securely. In that case, a dental crown is a better option. Rather than filling a hole, a crown fits over the visible portion of the tooth like a cap, distributing bite force evenly and protecting the natural structure that remains underneath. 

Crowns are one of the most reliable forms of dental restoration available. A crown restores full chewing function, protects the covered surfaces from further decay, and can even save a tooth that may otherwise need to be extracted. Modern crowns are made from durable, tooth-colored materials, so the result blends naturally with the rest of your smile. 

Your dental crown procedure 

Treating a large cavity at our Frisco, TX office usually takes two visits. During your first appointment, Dr. De Paoli will numb the area and remove all the decay. If the cavity is close to the nerve, a root canal may be needed first to prevent infection. The tooth is then shaped, an impression is taken, and you'll wear a temporary crown while the new one is made. 

At your second visit, Dr. De Paoli will check the fit and color of your new crown before cementing it in place. This form of restorative dentistry is straightforward, effective, and completed with your comfort in mind every step of the way. 

How long does a dental crown last? 

So, how long does a dental crown last? With good care, most crowns hold up for 10 – 15 years, and many last even longer. Brushing twice daily, flossing around the crown, and keeping up with regular checkups all extend the lifetime of a tooth. Avoiding common habits like chewing ice or using your teeth to open packages protects the crown from unnecessary stress as well. 

Save your tooth before it's too late 

A large cavity doesn't have to mean losing a tooth. With a dental crown from Dr. Ernest De Paoli, DDS, a damaged tooth can be restored to full strength and appearance. If you have questions such as, "How long does a dental crown last?" our team at Advanced Smiles is happy to help. Schedule a consultation and find out if restorative dentistry in Frisco is the right next step for your smile.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.