Inlays

and Onlays

Both restorations are used in the posterior teeth (molar and premolars). They are a single costume made solid piece material made in the lab, used to fill/cover a cavity. The inlay fills the area between the cusps and the onlay covers the cusp of the tooth, but not all of them. This type of treatment provides a conservative option to restore a tooth without needing a crown, because they are precisely made in the size and shape of the cavity space.

It takes two appointments to complete the treatment.

1

Preparation: Numb the area. Isolate the teeth to work on with a rubber dam and clamp. Make the tooth preparation by eliminating the cavity or removing old restorations. Take the cavity impression which is going to be send to the lab for the inlay/onlay fabrication. It takes 5 to 7 business days to be made. In the meantime, the patient will leave the office with a temporary restoration acrylic/resin based.

 

2

Placement: Numb the area. Remove the temporary restoration, fit the inlay/onlay, take an x-ray to corroborate the proper sealing of the restoration. Some adjustment can be needed in order to fit perfectly the restoration, and the occlusion as well. After everything fits well, the restoration has to get cleaned, and the tooth must be isolate with rubber dam and a clamp, clean and prepare the tooth structure to receive the inlay/onlay with the resin-based cement. A blue light will be used to complete the cementation process. Excess of cement must be removed and a final x-ray must be taken to ensure the perfect bond.

When do you need this?

An inlay is needed when the cavity is too large or wide, without involving any cusp, that cannot be filled with a simple composite filling; it is also common to need an inlay after a replacement of an old amalgam restoration or a huge composite restoration. In the other hand, an onlay is needed when the cavity is too large or wide, involving cusps, but not all of them; also, if the tooth suffered a cusp fractured but still have enough remain healthy tooth structure so we don’t have to trim that structure as for crowns.

What is

the Inlay/Onlay made of

The most common material is the porcelain inlay/onlay. But it can also be made of zirconia or gold. The porcelain restoration material provides long lasting, esthetic, stain-resistant and an effective bond between the tooth and the restoration.

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