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Hess T A, Wadhwani C P K. Oper Dent 2012; 37: 93–97

The patient, who was a hygienist, 'requested the removal and replacement of her composites with cast-gold restorations utilizing the Tucker Technique'. Is this paternalism under the facade of autonomy? The pre-operative photograph and radiograph of the upper right first molar tooth showed both a small mesial and occlusal resin composite restoration. The tooth had an intact oblique ridge and described as 'of ample stock'. Both restorations appeared satisfactory. However, the adjacent tooth was restored by a composite that showed surface degradation, management of which was not discussed. Both inlay cavities were prepared predominantly in healthy tooth tissue and were finished with an array of chisels (Suter Dental, Chico, CA, USA – company now ceased trading). The gold inlays were of the highest standard and will no doubt last for ever, unless there is a perturbation in the microenvironment. Is this the end of a golden era?