Gold Crowns
An Educational Overview
Prepared for Academic Reference and Scribd Sharing
Author: Haider
Date: September 2025
1. Introduction
Gold crowns are full coverage restorations made from high-noble or noble alloys
containing gold. They have been used in dentistry for decades and are considered the
gold standard in terms of longevity, biocompatibility, and durability. Despite the rise of
aesthetic alternatives like ceramics and zirconia, gold crowns remain highly valued in
specific clinical situations.
2. Composition of Gold Crowns
• High-noble alloys: ≥60% noble metals, of which ≥40% must be gold.
• Noble alloys: ≥25% noble metals (may include palladium and platinum).
• Base metal alloys: low gold content, mostly replaced by cheaper alternatives today.
3. Advantages of Gold Crowns
• Exceptional longevity (can last decades with proper care).
• Superior biocompatibility, minimal tissue irritation.
• Excellent fit and marginal seal due to precision casting.
• High resistance to wear and fracture.
• Gentle on opposing dentition (less abrasive than ceramics).
• Require less tooth reduction compared to porcelain crowns.
4. Disadvantages of Gold Crowns
• Poor aesthetics due to metallic appearance.
• High material cost due to gold content.
• Not always accepted by patients for anterior teeth.
• Technique sensitive casting and fabrication process.
5. Indications for Gold Crowns
• Posterior teeth where aesthetics are less critical.
• Patients with heavy occlusion or bruxism.
• Teeth requiring minimal reduction with maximum strength.
• Long-span fixed partial dentures requiring strong retainers.
6. Contraindications
• Patients with high aesthetic demands (especially in anterior regions).
• Patients allergic to certain alloy components (rare).
• When cost is a significant concern.
7. Clinical Considerations
Gold crowns require careful preparation with minimal taper and chamfer margins for
retention. They are usually cemented with conventional luting cements (e.g., zinc
phosphate, glass ionomer, or resin cements). Patient acceptance largely depends on
balancing function with aesthetics.
8. Conclusion
Gold crowns continue to be one of the most reliable restorative options in dentistry. Their
longevity, fit, and compatibility with oral tissues make them an unmatched choice for
posterior restorations, despite aesthetic and cost limitations.
9. References
• Rosenstiel SF, Land MF, Fujimoto J. Contemporary Fixed Prosthodontics. Mosby
Elsevier.
• Shillingburg HT, et al. Fundamentals of Fixed Prosthodontics. Quintessence
Publishing.
• Craig RG, Powers JM. Restorative Dental Materials. Mosby Elsevier.
