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Services -> Restorative and Cosmetic Dentistry -> Onlays and inlays
Onlays and inlays

Inlays and Onlays are used to restore back teeth that require large fillings. If the broken or decayed part of a tooth is too large then a white filling is not always possible. An onlay covers either one or all the cusps (points) of a tooth while an inlay would be more like a filling. They are stronger than white fillings but still allow excellent aesthetics. They are bonded on to the remaining tooth structure. Each inlay and onlay is hand made in a laboratory to either match and fit your existing teeth. There are several types of inlay available, each type being suitable for different situations.

Types of inlays and onlays

Inlays and onlays are able to be made from a variety of materials including porcelain, gold, and tooth-coloured composite resin.

These pieces are bonded to the damaged area of the tooth. An inlay is used inside the cusp tips of the tooth, whereas an onlay extends 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, with advanced technology, ceramic (or porcelain) has become the material of choice because of the natural appearance, strength and ability to bond directly to enamel.

Composite resin inlays or onlays are also popular today because they are kinder to opposing natural dentition than porcelain and once bonded in place their strength compares with porcelain.

 

The Problem

  • Any level of decay on a portion of any tooth
  • Need for a long-term, durable restoration
  • Desire to limit the amount of healthy tooth structure removed
  • Need to strengthen and reinforce tooth

The Inlays and Onlays Procedure

Decay is removed and cleaned from the tooth and a highly accurate impression or mold is made of the prepared surface. This mold is used to create a model of the tooth which is then sent to a special laboratory that will create a gold or porcelain (tooth colored) restoration called an inlay or onlay. The inlay or onlay is then cemented into the prepared surface of the tooth.

An inlay covers only one or two surfaces of the tooth and is used to restore a small amount of decay. An onlay actually covers one or more cusps (the chewing surface of the tooth.)

Advantages:

Porcelain offers a fine alternative to other tooth restoration materials. Made to perfectly match the shade and shape of your teeth, it's durable, it's strong, and it's virtually undetectable.

Inlays and onlays are incredibly strong due to the fact that they are created in a laboratory. This protects the tooth from fracturing and actually strengthens the tooth. In addition, inlays and onlays fit almost perfectly into the prepared surface of the tooth, reducing the size of the seam between the restoration and the tooth. This helps keep decay from eventually occurring under the restoration.

Inlays and onlays require the removal of only decayed areas of the tooth, leaving more healthy tooth structure intact. This can help prevent the expense of root canal therapy in the future.

Disadvantages:

Due to the fact that they are crafted in a laboratory, inlays and onlays require a greater initial investment than regular fillings. However, in the long run, inlays and onlays are a better investment than fillings due to their extremely long life and highly accurate fit. Gold inlays and onlays generally have a greater long term durability than porcelain inlays and onlays.

 

Alternatives:

In cases of extensive decay, crowns are the only alternative.

A well made inlay or onlay which closely matches your existing tooth can give you the confidence to laugh and smile without worrying that anyone will realise that it is there. We want your dentistry to look great, feel great and stay healthy for many yearsWhite fillings allow us to restore decayed or broken potions of your teeth almost invisibly. They have contributed much to dentists ability to improve smiles.

 

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Denta-joy International Dental Clinic (The Orthodontist Co., Ltd.) Fifty Fith Plaza , 2 nd Floor, Sukhumvit 55 Rd. (Thong lo 2) , Wattana , Bangkok, Thailand
Tel. 662-789-3033 Fax. 662-381-4016 Email: info@dentajoy.com

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