When to choose a ceramic crown over a composite restoration

Ceramic crowns are often recommended when a tooth has extensive structural loss and needs full cuspal coverage. In posterior regions, this can improve long-term fracture resistance compared with large direct restorations. Treatment planning should include occlusal analysis, remaining tooth wall thickness, parafunctional habits, and the patient's caries risk profile. Adhesive protocols, proper isolation, and margin design are key factors that influence success. Discussing alternatives, expected longevity, and maintenance with the patient helps align the restorative choice with clinical and functional goals.