Should You Opt for a Gold Filling?
Posted on 2/15/2025 by Janice K. Pliszczak, DDS |
 When you have a cavity, your dentist will likely recommend a dental filling to restore the tooth and prevent further decay. But with various filling materials available, choosing the right one can be confusing. In this article, we will explore gold fillings, their pros and cons, and help you decide if they are the right choice for you.
What is a Gold Filling?
A gold filling is a type of dental restoration made from a gold alloy, typically containing around 75% gold. Gold fillings are known for their durability and longevity, often lasting over 20 years with proper care.
Pros of Gold Fillings:
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Durability: As mentioned previously, gold fillings are incredibly strong and can withstand years of chewing and biting forces. |
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Longevity: With proper care, gold fillings can last for decades, making them a cost-effective option in the long run. |
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Biocompatibility: Gold is biocompatible, meaning it does not react with the body's tissues, reducing the risk of allergic reactions or irritation. |
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Marginal Integrity: Gold fillings have excellent marginal integrity, meaning they fit tightly against the tooth, preventing bacteria and debris from seeping in and causing further decay. |
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Aesthetic Appeal: While not as aesthetically pleasing as some other filling materials, gold fillings can be disguised with porcelain or composite material to blend seamlessly with your natural teeth. |
Cons of Gold Fillings:
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Cost: Gold is a precious metal, making gold fillings the most expensive option compared to other filling materials. |
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Multiple Appointments: Placing a gold filling often requires two appointments. During the first appointment, the dentist prepares the tooth and takes an impression. The actual gold filling is then crafted in a dental lab and placed during the second appointment. |
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Esthetics: The gold color can be noticeable, especially in the front teeth, which may be a concern for some patients. |
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Conductivity: Gold is a good conductor of heat and cold, which can lead to sensitivity to hot and cold foods or beverages. |
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Tooth Removal: Placing a gold filling may require more tooth structure removal compared to some other filling materials. |
Are Gold Fillings Right for You?
Ultimately, the decision of whether or not to choose a gold filling depends on your individual needs and preferences. Consider discussing the following factors with your dentist:
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Location of the cavity: For cavities in the back teeth, which experience heavier chewing forces, the durability of a gold filling may be advantageous. |
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Severity of the decay: In cases of extensive decay, gold's strength and ability to prevent further decay might make it the preferable choice. |
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Your budget: The higher cost of gold fillings compared to other materials should be taken into account. |
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Aesthetic concerns: Discuss your preference for a natural look with your dentist, as they may suggest alternative filling materials for front teeth. |
By carefully weighing the pros and cons of gold fillings and discussing your individual situation with your dentist, you can make an informed decision about the best filling material for your needs. Remember, maintaining good oral care habits through regular brushing, flossing, and dental check-ups is essential for maintaining the health and longevity of your fillings, regardless of the material chosen.
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