1240 N University Dr, Coral Springs, FL 33071
Mon–Fri 9–5 · Sat 9–4 · English & SpanishENES 754-240-4820

Restorative Dentistry

A damaged tooth doesn’t always need a crown.

Fillings, conservative onlays, and same-day crowns — we rebuild teeth with the least dentistry that will actually last, and show you why.

Book an evaluation Call or text 754-240-4820

Complimentary consultation · Many repairs in one visit · English & Spanish

In-office milling unit for same-day crowns at MSD Dental Studio in Coral Springs

Why a damaged tooth is worth addressing

Teeth take a beating over a lifetime — cracks, worn edges, old fillings that finally give out. Left alone, small problems rarely stay small: a hairline crack deepens, a leaking filling lets decay in underneath, and what could have been a simple repair becomes a crown, a root canal, or a lost tooth. Addressing it early is almost always simpler, more comfortable, and less expensive.

The reassuring part is that modern restorative dentistry is comfortable, precise, and often faster than you’d expect — many repairs are finished in a single visit.

If you’ve been putting this off because you’re worried it’ll hurt or take forever, that’s exactly the conversation to have with us. We’ll talk through comfort options and timing before anything begins — and there’s no judgment about how long it’s been.

How we approach a repair

Dr. Dillon plans every restoration around your whole bite, not just the one tooth in front of him — because a repair that ignores how your teeth work together won’t hold up. We diagnose before we recommend, we preserve healthy tooth structure whenever we can, and we show you the crack, the decay, or the wear on a photo so the plan makes sense.

Our bias is always toward the most conservative option that will actually last. We’d rather protect your tooth than remove more of it than the problem requires.

Crown, onlay, or filling — how we decide

Most patients are never told there’s a choice here. There is, and it matters — because the more natural tooth we keep, the healthier that tooth usually stays. Here’s the honest framework:

  • A filling when the damage is small and the tooth still has plenty of strong structure.
  • A bonded inlay or onlay when a tooth is cracked or has lost a cusp but much of it is still healthy — we cover and protect the weak part without crowning the whole tooth.
  • A full crown when a tooth is extensively broken down, root-canal-treated, or otherwise needs full coverage to survive.
  • A root canal first (sometimes referred) when the nerve inside the tooth is infected or damaged — then we rebuild the outside.
  • Watchful waiting when a small crack or worn spot is stable — we photograph it, monitor it, and act only if it changes.

Whatever we recommend, we’ll show you exactly why — the same images and reasoning we used to get there.

When a full crown is too much: bonded inlays & onlays

A cracked or heavily filled tooth doesn’t always need a full crown. Often we can rebuild just the damaged part with a bonded inlay or onlay — a precise, tooth-colored restoration that covers only what’s necessary and preserves the healthy tooth structure a crown would otherwise grind away.

These partial-coverage restorations are more technique-sensitive and take more chair time, which is why relatively few general practices routinely offer them — we’re one that does. When it’s the right call, an onlay keeps more of your natural tooth, which usually means a stronger, longer-lasting result.

Filling vs. onlay vs. crown — a side-by-side

General comparison — your specific tooth is confirmed at your evaluation.
 FillingInlay / onlayCrown
CoversA small area within the toothPart of the tooth, incl. a cusp (onlay)The entire tooth
Natural tooth keptMostMore than a crownLeast
Best whenDamage is small, tooth is strongCracked or a lost cusp, but mostly healthyExtensively broken down or root-canaled
Same-day?YesOftenOften (most back teeth)
Typical longevityMany yearsMany yearsMany years
Relative costLowestMiddleHighest

What to expect, step by step

  1. Evaluation. We look at the tooth with digital photos and X-rays, check how it fits your bite, and pinpoint what’s actually going on.
  2. Diagnosis & options. We show you the images, explain filling vs. onlay vs. crown for your tooth, and give an itemized number before we begin.
  3. Gentle preparation. We remove only the damaged part, using air abrasion and electric handpieces to keep it comfortable and precise.
  4. Same-day design & fit. For crowns and many onlays, we scan, design, and mill the restoration in-office and bond it the same day — no temporary, no second trip.
  5. Bite check & finish. We adjust and polish so it feels like your own tooth when you bite and chew.
  6. Follow-up. We make sure it settled in comfortably and folds into your regular checkups.
Dr. Dillon performing restorative treatment chairside at MSD Dental Studio, Coral Springs
Careful, comfortable repairs — many completed in a single visit.

The materials we use

Gold-standard materials, chosen on purpose

Because we’re independent, we choose materials based on how they perform — not on what’s cheapest. Some of these systems cost us more upfront, but they help us deliver results that look natural and last. That’s a trade we’ll make every time.

Restorations

We favor Ivoclar and Kuraray — gold-standard systems for crowns, fillings, and bonding, chosen for their strength, precise fit, and natural appearance.

Implants

We place BioHorizons implants — U.S.-manufactured from medical-grade titanium, with a long, well-documented track record.

Whitening

We use KÖR whitening — known for real, reliable results with careful attention to comfort and sensitivity.

Home care

To help you protect that work between visits, we recommend science-based CariFree (cavity risk) and PerioSciences (gum health) products.

What sets our work apart

How we prevent sensitivity — the step most offices skip

Sensitivity after a filling is largely preventable. But preventing it takes extra time and the right equipment, so many offices skip the steps that make the difference. We don’t — we built them into every restoration as our standard, not an add-on.

We prepare teeth gently with aluminum oxide air abrasion (PrepStart) and electric handpieces — which cut smoothly, with less heat and vibration than the air-driven drills most offices use — keep the tooth carefully isolated and dry, and follow a meticulous bonding protocol every time. The payoff is a stronger, cleaner seal, and far less of the post-treatment sensitivity people have come to expect.

We also treat patient safety as sacred, right down to the details you can’t see. We purify our water with a VistaPure system and routinely flush our waterlines, so what reaches your mouth is as clean as the care around it.

A note from Dr. Dillon

A lot of the sensitivity I see in new patients traces back to how a previous filling was placed — not the tooth itself. Doing it right the first time costs us a little more chair time, and it saves you the zingers. To me that’s an easy trade.

I’ll be honest, too: not all sensitivity can be prevented — some of it is simply part of how a tooth responds and heals. What I can promise is that we do everything in our control to keep it to a minimum.

— Dr. Matthew Dillon, DDS, MAGD

Common misconceptions

  • “A cracked tooth that doesn’t hurt is fine.” Cracks are usually painless until they aren’t. Caught early, many are protected with an onlay instead of a crown.
  • “Silver fillings should always be replaced.” Only when they’re failing. Swapping a sealed, intact filling for color alone removes healthy tooth for little gain.
  • “Same-day crowns are lower quality.” For most back teeth they’re milled from a solid ceramic block and fit beautifully. Front-tooth cosmetics can still favor a lab.
  • “Sensitivity after a filling is just normal.” Some is unavoidable, but most traces back to technique — and is preventable.
  • “It’s just one tooth.” How one tooth is rebuilt affects the whole bite. We plan the repair around how your teeth work together.

Why patients choose MSD for restorative care

  • A conservative philosophy. We recommend the least dentistry that will actually last — often an onlay where others reach for a crown.
  • Same-day crowns in-house. Design and mill in one visit, so you skip the temporary and the second trip.
  • Sensitivity prevention built in. Gentle preparation and a meticulous bonding protocol as our standard, not an upsell.
  • Whole-bite planning. Every repair is planned around how your teeth work together, so it holds up.
  • Materials chosen to perform, not to be cheapest — because we’re independent and doctor-owned.
  • Itemized pricing up front, and care in English & Spanish for patients across Coral Springs, Parkland, and Coconut Creek.

Explore each type of restorative care

Related care: emergency care for a broken tooth or toothache, preventive care to catch problems while they’re small, and smile design when a repair is also a cosmetic goal.

Watch

A bonded restoration, up close

Sources & further reading

Independent, authoritative references for the general topics on this page. See our editorial & clinical-review policy.

Patient guides — how the decision is made

Doctor-reviewed guides that walk through the choices on this page in plain language:

FAQ

Frequently asked questions

Medically reviewed for accuracy by Dr. Matthew Dillon, DDS, MAGD, FICOI · Updated July 2026 · Editorial policy.

Do I always need a crown, or could an inlay or onlay work?

Not always. When a tooth is cracked or has lost a cusp but much of it is still healthy, a bonded inlay or onlay can protect the weak part while preserving the healthy tooth a full crown would grind away. We use the most conservative option that will actually last — and show you why.

What's the difference between an inlay, an onlay, and a crown?

All three rebuild a damaged tooth. An inlay fits within the tooth's cusps; an onlay also covers one or more cusps; a crown covers the entire tooth. Inlays and onlays are partial-coverage — they keep more of your natural tooth than a crown.

How much does a crown cost in Coral Springs?

It varies with the case — the tooth, how much damage there is, your goals, and the lab and materials we use — so we don't quote a one-size figure. You get an itemized number before we begin, and we can review insurance and our in-house membership plan.

Can I really get a crown in one visit?

Often, yes — we design and mill many crowns in-office the same day, so you skip the temporary and the second appointment. Some cosmetic front-tooth cases are still better made in a lab, and we'll tell you which yours is.

Will the repair hurt?

We prepare teeth gently with air abrasion and electric handpieces and follow a meticulous bonding protocol, which prevents much of the post-treatment sensitivity people expect. We'll also talk through comfort options, including sedation, before anything begins.

How long do crowns and onlays last?

With good care, modern crowns and bonded onlays last many years. We plan each one around your whole bite so it holds up — and preserving more natural tooth (an onlay) often means a healthier tooth long-term.

What are tooth-colored fillings made of, and are they safe?

They're made of composite resin — a durable, tooth-colored material that bonds to the tooth. They contain no mercury, match your tooth, and let us remove less healthy structure than older silver fillings required.

Should I replace my old silver (amalgam) fillings?

Not just because they're silver. If an amalgam filling is intact and sealed, replacing it only to change the color removes healthy tooth for little benefit. We replace one when it's cracked, leaking, decayed underneath, or the tooth is at risk — and we'll tell you honestly which is the case.

My tooth is cracked but doesn't hurt — do I need to fix it?

Often yes, before it worsens. A crack that's caught early can sometimes be protected with an onlay; left alone, it can deepen until the tooth splits and needs a crown, a root canal, or removal. We'll show you the crack on a photo and explain the risk honestly.

What happens if I ignore a cavity or cracked tooth?

Decay and cracks don't heal on their own — they grow. A small filling can become a crown, a crown can become a root canal, and an untreated tooth can eventually be lost. Treating it early is almost always simpler, more comfortable, and less expensive.

Do you do root canals, and when is one needed instead of a crown?

A root canal treats infection or damage inside the tooth's nerve; a crown rebuilds the outside. Sometimes a tooth needs both. When a case is better served by an endodontist, we coordinate the referral and restore the tooth afterward.

Are same-day crowns as strong as lab-made crowns?

For most back teeth, yes — the ceramic is strong and the digital fit is excellent. For highly visible front teeth that need custom, layered shading, a lab crown can still look better, and we'll recommend that when it's the right call.

What causes sensitivity after a filling, and how do you prevent it?

Much of it traces back to how the filling was placed — heat, vibration, or a rushed bond. We prepare teeth gently, keep them isolated and dry, and follow a meticulous bonding protocol, which prevents most post-treatment sensitivity. Not all of it is preventable, but we minimize everything in our control.

Does insurance cover crowns and fillings?

Most PPO plans cover part of fillings and crowns, subject to your annual maximum. We check your benefits before treatment and give an itemized estimate, and we offer financing and an in-house membership plan if you're uninsured.

What is full-mouth reconstruction, and do I need it?

It's rebuilding a worn or broken-down bite across many teeth, planned as one coordinated whole. Most patients don't need it — but for heavy wear, old failing work, or a collapsed bite, it restores comfort and function. We plan these carefully and never rush the smile.

¿Hablan español?

Sí. La Dra. Shantall y nuestro equipo atienden en inglés y español, y le mostramos exactamente por qué recomendamos cada reparación.

Not sure if it needs a filling, an onlay, or a crown?

That’s exactly what an evaluation is for. We’ll show you what we see and give you a clear number — many repairs finished the same visit.

Book an evaluation Or call or text 754-240-4820