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FAQ:  Dental Inlays



Question:
Gold Inlay Substitute: Is there a good substitue for gold inlays? Mine has come loose twice and now I fear it has cracked. ... Visitor from OR

Answer:
Assuming the original gold casting fit well to begin with, when your gold inlay came out the first time the tooth or the casting may not have been 100% cleaned prior to re-cementation. This would allow for a less accurate fit the second time around and therefore a reduced bond strength.

Additionally if a gold casting is tin plated-a process that can be done in the office taking two minutes-the bond strength is significantly improved. It is unlikely that your gold inlay or casting has cracked.

Without seeing it or your tooth everything is a guess. You may just be in the market for a new casting.

What holds the average inlay is an extremely well designed and precision preparation providing a design form to resist displacement and dislodgement. This is usually accomplished by frictional retention of near parallel walls to the preparation.

A well designed gold casting continues to be the undisputed quintessential restoration of choice in the absence of significant cosmetic considerations.

Editorial Staff

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