Cosmetic and General Dentistry,  Puneet Aulakh DDS,  Dentist located in Factoria Bellevue Washington



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Advantages of Cast Gold Restorations:

 


Please see below for Journal Articles:

Gold is strong, but forgiving:

Fragile areas of your natural tooth structure can be covered with gold to prevent fracture.  The gold itself will remain intact.


Defective silver filling, with a fracture



Gold is permanent:


Unlike some other types of restorations, gold does not wear away. You don't have to worry about it fracturing or chipping. In fact, a good gold restoration often lasts a lifetime.



There was a cavity on the back of the tooth extending to the root.

 



Gold is Natural:


Gold will not oxidize, or turn greenish gray, like many amalgam (sliver) fillings.  It does not stain surrounding teeth.  It complements the natural colors of teeth and tissues found in your mouth.  A well done gold restoration is truly beautiful.


Silver filling with a fracture on the back.

 


Same Filling, last tooth on the right.



Gold is pliable:  


It allows a dental technician and dentist to form a restoration that complements the natural form of you tooth. That's important because your natural bite plane remains intact, which reduces the chance of discomfort or fractured restorations.


Defective silver filling



Gold contributes to better health:


The margin, or area where the gold meets the natural tooth structure, is nearly imperceptible if handled properly.  that means that there's less chance of debris accumulating at or under the margin, which may result in tooth decay. 

 


Defective White fillings.



Gold is hygienic:


Because gold polishes so well, it results in a very smooth surface.  Restorations with a smooth surface are less likely to harbor plaque and other debris.

 

Gold is versatile:


When we speak of a "gold" restoration, we really mean gold alloy.  An alloy is a combination of different metals.  the dentist can chose from any number of alloys that offer the right properties for each patient.



Gold expands and contracts, just like your teeth do:


Some restorations, like amalgam, may expand more than the tooth resulting in tiny fractures or cracks.  That's not an issue with gold, as its expansion and contraction is similar to that of a tooth.

 


 

More Links:

 

Wikipedia - Onlays & Inlays

R.V. Tucker Gold Study Groups
Student RV Tucker Cast Gold Study Club

Why Gold restorations (pdf)




Journal:
J Esthet Restor Dent. 2004;16(3):194-204.

Retrospective clinical evaluation of 1,314 cast gold restorations in service from 1 to 52 years.

Source

Advanced Education in Prosthodontics, University of Southern California, Los Angeles, CA 90089-0641, USA. tdonovan@hsc.usc.edu

 

Abstract

A retrospective clinical evaluation of 1,314 cast gold restorations in 114 patients placed by one practitioner was conducted. A very high percentage of patients contacted (114/116 [98.3%]) participated in the evaluation. Almost 90% of the restorations had been in service for over 9 years, 72% for over 20 years, and 45% from 25 to 52 years. All restorations had been cemented using zinc phosphate cement. The restorations were evaluated by independent evaluators in terms of marginal integrity, anatomic form, and surface texture, and 96% of the evaluations were excellent (Figures 1-5). Sixty restorations required removal and replacement, yielding an overall failure rate of 4.6% or a survival rate of 95.4%. The survival rates at various time periods were 97% at 9 years, 90.3% at 20 years, 94.9% at 25 years, 98% at 29 years, 96.9% at 39 years, and 94.1% for restorations in place > 40 years.

 



It appears that properly fabricated cast gold inlays, onlays, partial veneer crowns, and full veneer crowns can provide extremely predictable, long-term restorative service. It is suggested that the use of such restorations should not be automatically precluded simply because they are gold colored. These restorations should be considered in patients who are more concerned with longevity than esthetics, and in those patients in whom placement of a conservative cast gold restoration would not result in an unesthetic display of metal.

 

 








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