Gold Fillings

What are Gold Fillings?

Gold fillings are a premium kind of filling used to restore teeth damaged by decay, fractures, or old restorations. Also called gold inlays and gold onlays, these restorations are crafted from pure gold or high-quality gold alloys that include copper and other strengthening metals.

Gold has been used in dentistry for decades because it is exceptionally durable, highly biocompatible, and provides a precise, long-lasting fit. Unlike silver amalgam fillings—which contain mercury and can expand or contract—or tooth-coloured composite materials that may wear faster, gold remains stable and strong for many years.

In some cultures, gold in the mouth is even considered a symbol of wealth, adding an element of luxury to this restorative option.

Understanding Gold Fillings

Gold fillings are custom-made in a dental laboratory to match the exact size, shape, and contour of the cavity being restored. Typically containing around 70% gold, these restorations are engineered to resist cracking, corrosion, and everyday chewing forces.

How Gold Fillings Are Made

1. The dentist removes decayed or damaged tooth structure.

2. The tooth is shaped precisely to fit a gold inlay or onlay.

3. An impression or digital scan is taken.

4. A dental laboratory fabricates the restoration.

5. The finished gold piece is cemented and polished for a perfect fit.

With good oral hygiene, gold restorations can last 20–40 years or more, often outlasting composite, porcelain fillings, or silver amalgam alternatives.

Gold Fillings vs. Other Filling Materials

Each type of restoration has advantages and limitations. Understanding these differences helps you choose the most suitable option.

Gold Fillings

Pros

• Extremely durable and resistant to wear

• Highly biocompatible, low risk of allergies

• Precise fit reduces leakage and secondary decay

• Can last for decades

Cons / Disadvantages of Gold

• More expensive than other materials

• Noticeable appearance—not tooth-coloured

• Requires at least two dental visits

• Some patients prefer a more natural aesthetic

Composite (White) Fillings

• Blend naturally with the tooth

• Ideal for visible areas

• Less durable than gold

• May stain or chip over time

Porcelain Fillings (Ceramic Inlays/Onlays)

• Offer natural aesthetics

• More resistant to staining than composite

• Can be brittle under extreme force

• Shorter lifespan compared to gold

Silver Amalgam Fillings

• Strong and affordable

• Dark metallic appearance

• May expand/contract with temperature changes

• Less aesthetic and contain mercury

Your dentist can help determine the best material based on the tooth location, your budget, durability expectations, and aesthetic preferences.

Gold Fillings and Dental Tourism

For patients seeking premium dental work at more affordable prices, dental tourism can be an effective solution. Many international clinics use certified gold alloys and advanced digital technology—often at significantly lower prices than in Western Europe, the UK, or the USA.

If choosing gold fillings abroad, make sure the clinic provides:

• Full sterilization and safety protocols

• Certified, high-quality materials

• Experienced dentists and prosthetic technicians

• Clear treatment plans and transparent pricing

• Aftercare or follow-up support

After your trip, continuing routine check-ups with your local dentist ensures the long-term success of your restoration.

The Process of Getting Gold Fillings

If you decide on gold fillings, here’s what to expect:

1. Examination and planning – Your dentist assesses your oral health and explains all filling options.

2. Numbing and preparation – The decayed tooth structure is removed and shaped.

3. Impressions – A mold or digital scan is taken to create a custom gold inlay/onlay.

4. Temporary filling – A temporary restoration protects the tooth while your gold piece is being made.

5. Placement of the gold filling – The final restoration is cemented, adjusted, and polished for full comfort and function.

Gold fillings remain visible in the mouth, but many patients appreciate their elegance, longevity, and premium quality. Others prefer tooth-coloured materials for a natural appearance. Discussing your goals with your dentist will help you choose the most reliable and aesthetic solution for your smile.