Despite the advancements of composites and ceramics, full cast restorations continue to be a classic choice for durable posterior crowns and bridges. Fabricated from gold content alloys, not only do they make a strong and long lasting choice but they are also extremely bio-compatible with the gums. In fact, crowns made with high noble white and gold alloys and non-precious metals are able to resist oxidization and corrosion, as well as helping to prevent the buildup of plaque along the gum line.

Indications

  • Can be used anywhere in the mouth for single crowns as well as for bridges
  • Perfect choice for when occlusal space is limited

Contraindications

  • Not advisable for patients only needing a partial bridge
  • Not suitable for patients with a metal allergy

Advantages

  • Can be used as single crowns or multi-unit bridges, as well as for inlays and onlays
  • Long-term wear characteristics
  • A long history of success
  • Available in yellow and white gold alloys
  • High marginal integrity and durability
  • Proven longevity
  • Great choice for para-functional patients

Disadvantages

  • Aesthetics – some patients prefer not to see metal anywhere in their mouth
  • Price volatility – it can be hard to persuade a patient to have a gold tooth as the price can vary drastically depending on the current gold price and the amount of gold alloy needed to prepare the tooth