Question: My dentist recently did a crown on the last tooth on the bottom. When I looked in the mirror as I applied lipstick, I was mortified that the crown was gold! I thought all crowns today were white porcelain. — Sadie in Parkland
Answer: This reminds me of the Ford Motor Co.’s salesmen’s line when the Model T came out: “It comes in any color you want, as long as it’s black.”
There are basically three material choices in crowns:
1. Porcelain fused to gold — white porcelain on the outside fused to a metal substructure below, used in areas of high stress and in bridges replacing multiple missing teeth and over implants.
2. Metal-free, all porcelain crowns — used in highly aesthetic, lower stress areas and in veneers and inlays.
3. Gold — still a great, hygienic, biocompatible material that is often the best choice in crowning second molars like yours because of their high stress position and short height above the gumline.
If my second molars ever need a crown, I’m going with the “golden” rule.
by Dr. Mitchell A. Josephs