The Progression of Dental Cavities: From Fillings to Implants (and What It Costs)

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Person standing in a bathroom clutching their cheek in pain while holding a toothbrush, as if suffering from a severe toothache.

At Sugar Land Dental Associates, we believe patient education is key to protecting your smile — and your wallet. Cavities don’t heal on their own. If left untreated, a small issue can turn into a serious and expensive problem. Here’s a breakdown of how cavities progress, how treatment changes and what you can expect in terms of cost.

Stage 1: Early Decay — Filling

When a cavity is small and limited to the enamel or slightly into the dentin, a dental filling is the simplest solution. The decayed portion is cleaned out and replaced with a durable, tooth-colored composite.

Estimated Cost: $150 – $300
Insurance Coverage: Typically 80% for basic restorative services

Why act now? Catching decay early means avoiding more extensive — and costly — treatments later.

Stage 2: Extensive Decay — Crown

If decay spreads and compromises the tooth structure, a dental crown may be needed. This protective cap restores strength and function, especially when large areas of the tooth are damaged.

Estimated Cost: $1,000 – $1,500
Insurance Coverage: Usually 50% for major procedures

Don’t delay: Delaying a crown can lead to nerve damage or infection requiring a root canal.

Stage 3: Infection — Root Canal & Crown

When decay reaches the nerve (pulp), a root canal becomes necessary to remove infection and relieve pain. Afterward, a crown is placed to protect the tooth from further damage.

Estimated Cost:

  • Root Canal: $1,500 – $2,000
  • Crown: $1,000 – $1,500
    Insurance Coverage: Often 50% for both procedures

Good news: Root canals are easier and less painful than ever — and they can save your natural tooth.

Stage 4: Tooth Loss — Extraction & Dental Implant

If the tooth is too far gone to save, an extraction is needed. To restore your bite and smile, a dental implant is the gold-standard solution, replacing both the root and crown of the missing tooth.

Estimated Cost:

  • Extraction: $200 – $600
  • Implant & Crown: $5,500 – $6,000
    Insurance Coverage: Extractions often covered; implants may not be

Long-term value: Implants prevent bone loss and preserve your facial structure — making them a smart investment in your health.

How to Save: Prevention Is Key

The earlier we catch a cavity, the less it costs. That’s why regular cleanings and exams at Sugar Land Dental Associates are essential. We also offer:

  • Flexible payment options
  • In-house savings plans
  • Transparent treatment estimates

Schedule Your Exam Today

If you’re experiencing tooth sensitivity or haven’t had a checkup in a while, don’t wait. Contact Sugar Land Dental Associates to book your appointment and take control of your dental health before small problems become big ones.

Call us at 281-207-4161