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Dental Inlay/Onlay

Dental Inlay/Onlay

A dental inlay/onlay is needed when a filling, cavity or tooth fracture encompasses one or more cusps.   In lieu of cutting down the entire tooth for a dental crown, a dental inlay is an excellent option for a more conservative restoration.  

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In our office, if at least two solid cusps remain, a dental onlay is fabricated to restore the tooth to optimal form and function.  The procedure involves:

1. Numbing the tooth

2. Preparing the tooth

3. Scanning/designing/milling the restoration 

4. Cementing the restoration/adjusting as needed

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In most offices, a tooth with any compromised cusps is treated with a crown.  However, our office prefers to use our technology to create same day dental onlays that conserve tooth structure and optimize the long term health of the tooth. 

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Many patients asks why they are not able to have a filling in these instances.  The reasoning is that any tooth with more than 1/3 of the tooth compromised is at an increased risk of fracturing.  If a filling is placed when a dental onlay is more ideal, we can expect the filling to break easily or the remaining tooth to break due to the compromised structure.  

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