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Before - Amalgam fillings             After - Inlays/Onlays

 


Inlays/ Onlays

When over 1/2 of the tooth’s biting surface is damaged a dentist will often use an inlay or onlay. This is a more conservative and cost-effective treatment option than a full crown.


What are inlays and onlays?

Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth; an onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.

Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth.


                                                           Porcelain Onlay




How are they applied?

Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling  being replaced, or the damaged or decaying area of the tooth is prepared for the inlay or onlay.  An impression of the tooth taken and sent to a lab for fabrication. Dr. Subramanian will then place a temporary filling in the tooth and schedule the next appointment.

At the second appointment, the temporary filling is removed. Dr. Subramanian will then make sure that the inlay or onlay fits correctly. Once the fit is verified, the inlay or onlay will be bonded to the tooth with a strong resin cement and polished to a smooth finish.


Considerations

Traditional fillings can reduce the strength of a natural tooth by up to 50%. As an alternative, inlays and onlays, being bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75%. As a result, they can last from 7 to 15 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.