How do you decide whether I need a filling, crown, bridge, or implant?

The right restoration depends on how much healthy tooth structure remains, whether the tooth is still present, and what will serve your long-term oral health best. Here's how Dr. Aaron Ochoco thinks through the decision:

A Tooth Filling Is Appropriate When:

  • Decay is limited, and enough healthy tooth structure remains
  • The tooth hasn't cracked or fractured beyond what a filling can reliably address
  • An existing filling can be replaced without compromising the tooth further

A Crown Is the Better Option When:

  • Sufficient tooth structure does not remain for a filling to hold
  • The tooth has cracked, leaving it vulnerable to further fracture
  • Replacing an existing large filling would weaken the tooth
  • The tooth needs protection and restoration

A Bridge Makes Sense When:

  • A tooth is missing, and the adjacent teeth are already crowned or need crowns
  • You want a fixed restoration that doesn't require surgery
  • Bone levels or overall health make implant placement more complicated

An Implant Is Worth Considering When:

  • Adjacent teeth are healthy, and you want to preserve their structure
  • You want a long-term, standalone solution
  • Your bone levels and overall health support the procedure

In some cases, the right answer isn't immediately obvious. Dr. Ochoco may want to monitor a tooth before recommending a more involved restoration. This conservative approach protects you from treatment you may not need.

Let's Talk About Your Options

To discuss your options, call (310) 453-5300. Schuster and Ochoco Dental serves patients from Brentwood, Bel Air, Beverly Hills, Santa Monica, and the surrounding Westside communities