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Item A Direct Refractory Die Technique for Cast Gold Restorations(2017-03) Smith, Cleveland T.; Diefenderfer, Kim E.; Cariology, Operative Dentistry and Dental Public Health, School of DentistryFabricating accurate cast gold restorations can be challenging for both clinicians and laboratory technicians. Removing the wax pattern from the master die often distorts the pattern, which, in turn, compromises the overall fit and marginal adaptation of the casting. This article demonstrates a laboratory technique in which the final restoration is cast directly on the refractory die without removing the wax pattern. Thus, distortion of the wax pattern is avoided, enabling the production of superbly fitting gold castings for both intracoronal and extracoronal restorations. Used by permission. © Operative Dentistry, Inc. Transmission or reproduction of protected items beyond that allowed by fair use requires the written permission of Operative Dentistry, Inc