Gold Crowns
Gold crowns are the gold standard; what it lacks in aesthetics it makes up for in longevity and strength. The malleability of gold allows for very thin occlusal clearance which prevents the restoration from breaking or cracking under heavy load. Margins are easily burnished and softness of alloy allows for quick polishing. Although an older technique in crown fabrication, gold serves its purpose when all other options have been exhausted.
Indications
Anterior and posterior crowns
Bridges
Inlays/onlays
Strength
100 MPa flexural strength on exposed porcelain areas
Benefits
Long-term reliability
Healthy tissue response
Hypoallergenic
Highly biocompatible
Conventional cementation protocol
Plaque resistance
Contraindications
Not recommended for high esthetic demand
Not recommended for patients with specific alloy sensitivities
Preparation
Incisal/Occlusal Reduction: 1.0 mm (2.0 mm for bridges)
Facial Reduction: 1.2 mm (1.5mm for bridges)
Cervical Reduction: 1.0 mm reduction with bevel or shoulder margin (knife edge margin is also suitable)
Cementation
Standard cementation materials and technique