Inlays & Onlays Louisville KY

When more than half of the tooth’s biting surface is damaged, or a cusp is missing, your dentist will often use an inlay or onlay.

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.

For more information about Inlays & Onlays or to schedule an appointment with Dr. Bewley:

How are inlays and onlays applied?

Inlays and onlays traditionally require two appointments to complete the procedure, but our CEREC technology allows us to complete this treatment for you in a single visit. During your visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an optical impression of the tooth is made by the dentist, the restoration is designed on the computer, and sent to the in house mill for fabrication.

Once milling is complete, Dr. Bewley will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.

Considerations for inlays and onlays

Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, inlays and onlays, which are bonded directly onto the tooth using special high-strength resins or ceramics, can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 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. With our CEREC, you may opt to have a filling made of porcelain rather than composite and bonded to your tooth for a nominal fee.