What Do Dentists Do With Gold Crowns They Remove?

A gold crown is a specialized dental restoration made from an alloy containing a high percentage of noble metals, particularly gold. These alloys are chosen for their durability, biocompatibility, and resistance to corrosion. When a gold crown needs replacement due to wear, decay, or damage, patients often wonder about the fate of the valuable metal removed. This material holds an intrinsic monetary value not present in porcelain or resin crowns. The disposition of the gold follows a specific path dictated by patient rights, standard dental office policy, and the specialized precious metal recycling industry.

Ownership and Patient Rights to the Removed Crown

The dental crown, once removed from the tooth, is considered the personal property of the patient who paid for its placement. Dentists acknowledge this right and offer the patient the opportunity to take the crown home. Patient consent is paramount, guiding whether the crown is returned or relinquished to the dental office for disposal.

Most dental offices will sterilize the crown after removal to eliminate biohazards. Despite the financial value, many patients choose to forfeit the crown, often due to a lack of awareness regarding its scrap value or finding the process inconvenient. When the patient declines possession, the crown officially becomes part of the office’s accumulated metal scrap collection.

The Standard Collection and Recycling Process

If a patient chooses to leave the crown behind, the dental office typically collects it along with other metallic dental waste in a specialized container. This material, which includes gold, palladium, and platinum alloys, is commonly referred to as dental scrap. The scrap is not recycled directly by the dental practice; instead, it is sent to specialized dental scrap refining companies.

These refineries process dental material, often using advanced technology like X-ray fluorescence (XRF) to accurately determine the exact metal composition. The process involves high-temperature melting and chemical separation to isolate noble metals from base metals, porcelain, or residual tooth structure. The refined gold and other precious metals are converted into pure forms suitable for reuse, including the creation of new dental alloys. Money generated from selling the refined metal is returned to the dental practice, often used for office supplies or donated to charity.

Factors Influencing the Material’s Value

Not all gold crowns possess the same scrap value; the final worth is determined by purity, weight, and the fluctuating gold market. Gold crowns are made from alloys, which are mixtures of gold and other metals added for hardness and durability. Dental alloys are categorized by their precious metal content, with high-noble alloys containing at least 60% noble metal.

Purity is measured in karats or fineness, and dental gold typically falls between 10-karat (about 41.7% gold) and 22-karat (about 91.7% gold). The crown’s overall weight, averaging between two and five grams, is a direct factor in the final calculation. The presence of other noble metals, such as palladium or platinum, also contributes to the value, while base metals like silver or copper lower the overall gold percentage.