Overview
Still the Benchmark for a Loaded Posterior Tooth
No material has a longer clinical track record than cast gold. For a second molar, a bruxer, or a tooth with minimal clearance, full cast gold crowns remain the restoration other materials are measured against.
The one thing gold does not do is disappear. It is unmistakably metal, so it belongs on non-esthetic posterior teeth where function outweighs appearance — but where it does, it is often the most conservative, most durable option on the tray.
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Conservative reduction: Gold performs in thin section, so the prep takes roughly 0.5–1.0 mm — less than a ceramic wants.
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Kind at the margin: It burnishes and adapts, and wears close to enamel instead of grinding down the opposing tooth.