restorative procedures

Inlays and Onlays

Inlays and onlays are restorations that are made in the dental laboratory and require two visits to complete. These are an upgrade from fillings and are used when regular fillings are not adequate to restore the teeth to function. That means when the side of a tooth is broken or the hole is too large for just a filling an inlay or onlay is used.

The difference between inlays and onlays is that an inlay usually fills a hole created by the dentist and restores one or two sides of the tooth. An onlay is usually larger and restores the sides of the tooth as well as part or all of the chewing surface.

Inlays and onlays can be made of different materials including gold, resin composite or porcelain. As with fillings there is a big difference in longevity among these three materials with gold of course being the longest lasting by far. Choice of material and restoration is guided by size, location, function, and esthetics.

 

Case Study #1- Inlays and Onlays

Cast gold inlays have replaced old silver fillings (gold foils can be seen on the sides of the molars).

 

Case Study #2- Inlays and Onlays

Large old amalgam filling with cracks and worn edges
Cast gold inlay has replaced the old amalgam filling.

 

Case Study #3 - Inlays and Onlays

 

Case Study #4- Inlays and Onlays

Old and worn amalgams have been replaced with porcelain inlays.

Case Study #5- Inlays and Onlays


Old ill fitting tooth-colored restoration


Much better fitting and longer lasting cast gold inlay

Case Study #6- Inlays and Onlays


Broken tooth with old fillings and decay


New cast gold onlay which goes over the top of three cusps