Hello!
My upper left central incisor broke. It had been treated many years ago and had a large filling. Otherwise I had no problems with the tooth, but it still broke in half. My dentist is now treating the canals of this tooth. In ten days she will take an impression for a new tooth. The right central incisor has a similar prognosis. She therefore advised me to have the right tooth done as well. She says the two will be connected and therefore stronger. She suggests putting gold around the post in the right central incisor, saying this would make it stronger and would hold both teeth better, since they would also be connected to each other. I would like your opinion on whether gold really is that much stronger and whether it makes sense to choose gold, since the cost is then quite a bit higher. Would an ordinary post be all right? I am undecided.
Thank you for your answer and kind regards.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
By "post" you probably meant a root post or radicular anchor. In my opinion, based on past clinical experience, gold root posts are certainly better than classic stellite ones (dark metal). Strength itself does not actually play the main role, since all metals used are extremely strong (resistance to fracture of the body). Unlike classic "metal" posts, gold posts do not darken the root and surrounding tissues. Gold has a high redox potential, which means that it does not dissolve in an electrolyte (saliva and body fluids) compared with other less noble metals. Significantly less decay has been observed around gold root posts, which is attributed to certain properties of the tooth that there is no point going into at this moment. If possible, I would choose a gold post.
Have a nice day!