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Gold or Porcelain Crowns? The Factors to Consider

GoldorPorcelainCrownsTheFactorstoConsider

Gold is more than a financial commodity or a symbol of wealth — it’s one of the best materials for restoring damaged tooth crowns, the visible portion above the gum line. It’s extremely durable and can last for several decades if properly maintained. It also causes minimal wear to adjacent teeth.

But as new, more life-like materials have come into prominence, gold restorations have diminished in popularity. Dental porcelain in particular, a type of fired ceramic glass that mimics the look and color of teeth, has increased in popularity for use in highly visible areas.

But unlike gold, all porcelain crowns lack strength, tend to be more brittle and can abrade other teeth during biting and chewing. If they break, they can shatter beyond repair. All porcelain crowns are improving dramatically as newer space age materials become available. Historically, though, they are thought of as more unpredictable when used for back teeth; the greater biting forces make them more susceptible to failure than with front teeth.

A Porcelain-Fused-To-Metal (PFM) crown is a hybrid of these two materials that seeks to impart the strengths of both — the aesthetic appeal of porcelain and the durability of gold or platinum. But a PFM crown also has drawbacks: the porcelain surface may still abrade opposing teeth; they can lose their aesthetic appeal if the metal collar becomes visible if gum tissues recede; and they can fail if the porcelain fractures or separates from the metal.

To address some of porcelain’s weaknesses, some PFM variations reduce the amount of porcelain by placing it only on the visible side of a cast gold crown. In addition, other porcelain materials are now coming into use that may be more durable yet just as life-like.

Choosing which material to use for a crown depends on many factors: cost, the location of the crown, and, of course, the patient’s desires for the resulting smile appearance. It all begins with a comprehensive exam: from there, we can advise you on your options and help you make a choice — gold, porcelain or something in between — that’s durable and pleasing to the eye.

If you would like more information on your options regarding dental crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gold or Porcelain Crowns?

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  • "Dr Dave Brust has been our family’s dentist for 20 years - the best dentist I’ve ever had (and I lived in LA for 10 years, which supposedly has a good selection of dental professionals). Terrific hygienists, friendly, caring clinic staff, beautiful, warm office. HDC puts the P in Professional!"
    Iris E.
  • "1st visit was excellent. They had my records from my out of state dentist and picked up where prior dentist was in the yearly 2x visit per year. Communication was very good."
    Ed V.
  • "I strongly recommend Dr. Brust. He and his assistant do everything to make sure I’m comfortable and I always trust their diagnosis."
    Lynne F.
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    Tom F.
  • "I have been going there 25 plus years and they have always had taken Great care of me and my teeth."
    Tom H.
  • "Amazing staff. Positive environment. Above and beyond perfect."
    Jerzie S.
  • "Professional and family oriented business. The hygienist was very kind and easy to talk to. She understood and listen to my needs and did a thoroughly cleaning of my teeth."
    Mimi D.
  • "Julie has been my hygienist for 40+ years I will miss her, she's been great. Dr. Buck and his father before him have always been so nice, professional and most importantly they make sure your comfortable. Dr. Buck always makes sure you don't feel anything if your getting any work done, which I appreciate. I guess I'm wimpy when it comes to pain in my mouth."
    Kate R.
  • "Where to begin? Dr. Brust has been my dentist for almost 30 years now! Him and his assistant make the best team. Absolutely enjoy my visits to Heritage Dental. I feel as if I were part of the team and not a costumer when I go in. My daughter’s absolutely love going to get their teeth polished as well!! Hygienist Ana and Bobbi do an excellent job taking care of my girls! I don’t think I could ever switch dental offices. Thank you for all you do at Heritage Dental!"
    Cindy S.