Intracoronal cast gold restorations

Cast gold is by far the longest lasting dental material available. However, cast gold has been used less frequently for intracoronal restorations since the "esthetic revolution" of the early 1970s. As a result, more direct composites and tooth-colored inlays, onlays, and crowns are being placed with each having problems of sensitivity, secondary caries, fracture, increased wear. The author recommends that dentists obtain some exposure to intracoronal cast gold techniques so that they can determine which type of restoration is most appropriate for their patients.