Replacing old fillings: a gold tooth inlay instead of the filling
A gold tooth inlay is an inlay filling exactly mold up to measure in the dental laboratory. An inlay is therefore referring as a dental prosthesis. Unlike a conventional tooth filling, which the dentist produces in the practice from a filling material (composite) and puts it directly into the tooth. Because of their excellent compatibility, long service life, and high resilience, cast gold or gold inlays are a high-quality alternative to plastic, cement, or amalgam fillings in filling therapy.
Between tooth preparation (removal of caries, grinding, etc.) and adaptation of the complete inlay, the dentist uses a temporary filling so that the tooth is defending up and mind during all treatment steps.
Replacing an old tooth filling
Replacing an old tooth filling with gold or ceramic inlay can be useful for many reasons. For example, amalgam fillings, the classic “tooth seals”, have had a rather bad reputation for many years because their alloy components include copper, silver, zinc, and tin as well as mercury. Not only do many allergy sufferers fear that this mix of metals will put a strain on their organism and immune system. Due to the high resistance of today’s amalgam fillings, the risk is comparatively low, but scientists and dentists still assume that every amalgam filling continuously releases mercury, which can then be distributed in the body, albeit in small quantities.
In addition to better biocompatibility (body tolerance), Gold tooth inlay made of cast gold or ceramic have other advantages over composite fillings: Since they are more stable than composite fillings, they do not transmit mechanical stimuli such as pressure to the underlying tooth substance. The slight pain when biting hard, familiar to many people who wear conventional fillings, no longer occurs after inserting an inlay. Gold inlays are also in use to repair tooth defects that are not deep, but rather flat. A composite filling would not find sufficient or permanent hold here and could crack, crumble or fall out of the tooth again. This risk can steer clear of with a stable, firmly glued inlay.
When can a tooth inlay not come in use?
Inlays can always be used when the damage to the tooth is so minor that a strong preparation or crowning is not necessary. If, in addition to the chewing surface, the tooth walls are also affected or a lot of tooth substance has already been attacked or destroyed, the dentist will recommend a partial or full crown. The same applies if the outside of the tooth is heavily shabby. Such a circular (ring-shaped surrounding) tooth decalcification prepares for the inlay difficulty – here too a crown usually offers a better prognosis.
A gold tooth inlay does not consist exclusively of gold: Without the addition of other metals, the precious metal would be far too soft for permanent dentures. Palladium, platinum, silver, and iridium, for example, are in use as alloy components. These metals are very well-born and can withstand high chewing forces. Allergic reactions to the individual components of such high-gold alloys only occur extremely rarely. If you want to be on the safe side, you can rule out the risk of allergies by opting for a ceramic inlay.
Poor oral hygiene
It is another possible contraindication. Many dentists advise patients who do not or insufficiently clean and care for teeth and gums, as a matter of principle, not to use the inlay and instead recommend the cheaper and technically less complex filling therapy with composites. Anyone who relies on the proverbial gold standard in the mouth should therefore also adhere to this when cleaning teeth and oral hygiene. Then the high-quality supply with inlays is definitely worthwhile.
Different types of inlays
In dentistry and dental technology, a distinction is made between single and multi-surface fillings (or inlays). If only the chewing surface is in loss, a single-surface inlay is sufficient. Two-surface (inlay) fillings are mold if the damage affects the chewing surface and one of the surfaces to an adjacent tooth. If the chewing surface and two surfaces to the adjacent tooth have to be repaired, we speak of a three-surface tooth filling or a three-surface inlay. Even larger or more far-reaching defects, which, in addition to the chewing and side surfaces, also include the tooth cusps, are treated with an overlay (a partial crown).
1. Gold inlay
A gold tooth inlay is gold in color. You can recognize it as a denture at first glance – at the latest when it flashes when you laugh with your mouth wide open. However, not everyone is happy with this: Many do not want the filling to be visible as such and therefore want a tooth-colored inlay. This can be built from plastic or ceramic. Allergy-free, long-lasting, and aesthetic ceramics are the dental materials of the future, but all-ceramic restorations are complex to manufacture and can therefore be very expensive.
2. Ceramic inlay
Although ceramic is usually the most beautiful solution, it is not always the best. The stability and durability of gold alloys have so far been unbeaten, as the metal always remains a little elastic despite its hardness. It cannot crack or break even under heavy and long-term loads (e.g. from grinding teeth at night). The marginal seal, i.e. the exact adaptation of the inlay filling, can also be accomplished with gold. Depending on the general disposition, the position of the teeth, and the extent and location of the defect, the doctor can warn against using ceramics.
3. Veneered gold inlay
The veneer gold tooth inlay represents a middle ground. The gold core is a coat up in the laboratory with a ceramic layer in the individual tooth color. However, a fine gold rim around the veneer remains visible in this variant as this is the only way to guarantee the precise fit and long durability of the inlay. The dentist will be happy to advise you on the possible inlay types and their advantages. And if you want to save on dentures and still want the best and/or most beautiful variant, you can reduce laboratory and manufacturing costs by up to 80%. With dentures from MDH AG with the same manufacturing technology and material quality.