# Reviving the Art of Onlay Cast Metal Restoration

## TL;DR

This paper discusses the continued relevance of cast metal restorations in dentistry, especially for repairing damaged teeth with onlay techniques.

## Contribution

The paper highlights the revival and modern application of indirect cast metal onlay restoration for tooth reinforcement.

## Key findings

- Cast metal restorations remain valuable for extensive dental damage due to their durability and mechanical properties.
- Indirect cast metal onlay restoration is effective for replacing tooth cusps and reinforcing weakened teeth.
- Despite alternatives like ceramics, cast metal is still preferred in high-force or complex clinical scenarios.

## Abstract

Cast metal restorations have been a cornerstone in restorative dentistry for decades, providing durable and reliable solutions for restoring damaged teeth. This case report explores the evolution of cast metal restoration techniques, highlighting recent advancements and their implications in modern dental practice involving indirect cast metal onlay restoration as a successful treatment option that involves the replacement of the tooth cusp and reinforcement of the tooth through indirect restoration. Historically, cast metal restorations, commonly fabricated from alloys such as gold, have offered superior mechanical properties, biocompatibility, and longevity compared to other materials. However, concerns regarding esthetics and cost have prompted the development of alternative materials such as ceramics and composite resins. Nonetheless, cast metal restorations remain indispensable for certain clinical scenarios, particularly in cases of extensive damage or high occlusal forces.