Gauss made great progress in number theory in $\mathbb{Z}$ by working in $\mathbb{Z}[i]$ (or equivalently $\mathbb{Z}\left[\sqrt{-1}\right]$), so much so that we call $\mathbb{Z}[i]$ the Gaussian integers now. And it was even known to the old mathematicians that solutions to Pell's equation $x^2 - dy^2 = 1$ could be better analysed by working in $\mathbb{Z}\left[\sqrt{d}\right]$.
But now in modern number theory we study much more the ring of integers $\mathcal{O}_{\mathbb{Q}\left[\sqrt{d}\right]}$. I find this confusing, as if we want to study Pell's equation with $d = 5$, we have that $\mathcal{O}_{\mathbb{Q}\left[\sqrt{5}\right]} = \mathbb{Z}\left[\frac{1 + \sqrt{5}}{2}\right]$ instead of $\mathbb{Z}\left[\sqrt{5}\right]$, which is not what we need. I was under the assumption that modern number theory usually tries to generalise its techniques but I don't see how this is a sensible generalisation and I don't see why the ring of integers is any more useful than just plain old $\mathbb{Z}\left[\sqrt{d}\right]$. So my question is:
Why is the ring of integers defined the way it is?