My opinion\advice: Technically and theoretically, two dissimilar metals in the presence of saliva which is acidic may create a galvanic response causing some 'shock'. In reality, this has never been a problem for me or my patients. It can happen and is often mild and temporary. Other options are to replace the silver filling with a composite filling, or use a ceramic crown.
Answered 7/7/2018
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Electrolysis: A gold crown can be done over a silver filling. However, there is a possibility of electrolysis occurring when 2 different metals are put in a liquid environment like the mouth. A small electric charge will pass between metals--more likely to occur between a silver filling and a gold crown rather than in a single tooth with a silver core covered by a gold crown.
Answered 9/9/2013
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