Services
Fillings and crowns
Repairing a tooth that has a cavity or a crack, with a filling or a crown.
A filling replaces the part of a tooth that decayed. A crown covers a tooth that is cracked or too worn for a filling to hold. Dr. Casillas tells you which she recommends and why.

What happens
- 01
Step 1: Look and talk
Dr. Casillas shows you the tooth, explains what she found and lists your options, including waiting.
- 02
Step 2: Numbing
We numb the area and wait until it has taken effect. Tell us anytime if you feel anything, and we stop.
- 03
Step 3: The repair
Dr. Casillas removes the damaged part of the tooth and places the filling, or shapes the tooth for a crown and fits a temporary one.
- 04
Step 4: The finish
A filling usually takes one visit. A crown takes two: one to shape the tooth and one, a few weeks later, to fit the finished crown.
Good to know
Comfort
The area is numbed before we begin, and you can raise a hand at any time to stop. Most people feel pressure and some vibration, and the numbness fades in a few hours.
If you wait
A small cavity can grow, and a cracked tooth can break. Waiting may mean a larger repair later. Dr. Casillas tells you what she expects and what your other options are.
Risks and after-care
A repaired tooth can feel sensitive for a few days. A filling or a crown can wear down or come loose and need repair. Dr. Casillas explains the risks for your tooth before you decide, and tells you what to do if something feels wrong.
How it's billed
Many dental plans cover part of a filling or a crown. We give you a written estimate before treatment and check your plan's benefits first.
How fees work
Questions about fillings and crowns
How long does a filling last?
It depends on the tooth, the size of the repair and your habits. Dr. Casillas tells you what to expect for yours; no filling or crown lasts forever.
Will I need a crown?
Only if a filling can't do the job. Dr. Casillas shows you the tooth and explains why.
What is the temporary crown?
A temporary crown protects the tooth for the few weeks until the finished one is ready. Avoid very sticky food in the meantime.
Can I eat right after?
Wait until the numbness is gone so you don't bite your cheek or tongue.
Provided by a general dentist
Care here is provided by Dr. Elba Casillas, DDS, a general dentist licensed in Texas. Her license is listed in the footer.