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Gold Fillings

What are Gold Fillings?

Gold Fillings

What are Gold Fillings?

Dating back to the 19th century or even earlier, gold and its alloys have been used for restorative purposes from ancient days. Gold has been used in dentistry by the Egyptians since the 19th century as gold wires and for filling cavities. Various forms in which gold can be used in dentistry are direct filling gold restorations, inlays, onlays, and gold crowns.

Known as the noble metal, gold does not corrode and is extremely durable and biocompatible. It has excellent marginal integrity and has proven to be one of the longest-lasting restorations. Unfortunately, many people are unaware of the considerable benefits this metal can offer when compared to other materials used for dental restorations.

Gold Restorations - Long Lasting Fillings

Gold Fillings

Gold Restorations - Long Lasting Fillings

At Dr Paul’s Dental Clinic, Dubai, our Specialist Endodontist and Restorative Dentist, Dr. Binoy Paul, advocates the use of gold fillings. Combining the advantages of gold fillings with in-depth knowledge and clinical expertise, you can be assured of optimal results.

A dentist needs specialized training and experience to do gold fillings. Experienced dentists advise gold fillings for restoring back teeth where strength is vital. Cast gold fillings are done with 18 karat gold and are one of the strongest restorations in dentistry today. Gold foil restorations are done with 24 karat gold.

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Gold filling fabrication requires a significant amount of time, skill, and labour unlike CAD/CAM techniques used for crown and bridge fabrication in the modern era. This has also been a reason for the dying popularity of gold fillings. Lack of experience in the field has also led young dentists to opt out of placing gold fillings.

Gold fillings can last a lifetime if one maintains good oral hygiene and takes the right care of the gold fillings.

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Patient Stories

FAQs

  • What are mouth grills?

    In many parts of the world, gold restorations are considered a status symbol. Surprisingly, they are even fixed after filling a healthy tooth. Mouth grills have gained a lot of popularity as they are sported by famous rappers and singers. It has become part of hip-hop fashion in western countries. They are either permanently attached to the existing teeth or worn as a cap. A dentist needs specialized training and experience to do gold restorations. 

  • What are the indications for gold restorations?

    • Direct filling gold can be used in the restoration of cavities
    • To replace a non-gold restoration that has a history of repeated failure within a short duration
    • As inlays, onlays, and crowns
    • Restoration of teeth abrasions near the gum margin
    • To minimize the risk of tooth fracture after endodontic treatment
    • Mouth Grills (decorative covers)

  • What are the disadvantages of gold restoration?

    • Aesthetic concerns, not tooth-colored, impart a yellowish tinge
    • Cost higher than other restorative materials
    • Technique sensitive
    • Increased chair time
    • Possibility of galvanic shock in the presence of adjacent dissimilar metal restorations

  • What are the advantages of gold restorations?

    • Gold castings do not fracture or chip 
    • Braces the enamel from breaking down
    • Malleable and biocompatible metal
    • Does not corrode and can last for 10-15 years
    • Similar to natural teeth and can withstand chewing forces
    • Will not exhibit marginal wear of the material itself
    • The anatomy of the tooth can be precisely fabricated and can be polished to a highly smooth surface. Proximal contacts can be well restored
    • Does not absorb oral fluids and does not oxidize in the mouth
    • Does not change shape by itself and does not discolour the tooth
    • Direct filling gold restorations do not require additional adhesive agents
    • Does not cause wearing of opposite natural teeth
    • Does not liberate toxins (no mercury)
    • No incidence of an allergic reaction and does not irritate the gums
    • Coefficient of thermal expansion similar to that of natural teeth

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