Dr. David Garber says: The best type of crown really depends upon your specific needs. Gold crowns in the back of the mouth where no one sees them require less tooth removal or preparation, keeping your tooth considerably stronger. Today the new all zirconium crowns can do very much the same and in a tooth colored material. However, if you need optimum esthetics particularly in the front of the mouth, the all-ceramic crown, such as the lithium disilicate reinforced ones, provide for a more attractive match or blended outcome. Last, porcelain fused to metal crowns are time tested so work well, but are generally not as natural looking as all-ceramic crowns.