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Inlays and Onlays

When more than half of the tooth’s biting surface is damaged or in certain other situations, a 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.

How are inlays and onlays applied?

Inlays and onlays require two appointments to complete the procedure. During the first 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 impression of the tooth is made by the dentist and sent to a lab for fabrication. Drs. Pollowitz and Brown will then apply a temporary sealant on the tooth and schedule the next appointment.

At the second appointment, the temporary sealant is removed. The doctor will then make sure that the inlay or onlay fits correctly. 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, can at times increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 20 years. In some cases, when the damage to the tooth is limited enough not to merit an entire crown, onlays can provide a very good alternative.

Our Happy Patients

"My favorite dentist. Dr. Brown is hands down my favorite dentist. Highly skilled, fantastic bedside (chair side?) manner and a great team of skilled techs. Dr. Brown thoroughly explains proposed treatment, and keeps you informed the entire way. Her husband, Dr. Polowitz, is also great. Our whole family sees them."

Bill S.

"Dr. Brown and Pollowitz are highly skilled dentists, very talented artists, and have the best bedside or should I say "chair side" manner I have ever experienced. I trust them completely and have been seeing Dr. Brown and Pollowitz for almost 20 years now. When I lived out of town for two years, the dentist I saw there was amazed at the skill and perfection of the veneer and implant Dr Brown did and got the whole staff to come look at my mouth! I had an accident when I was a kid and have had lots of problems with my teeth ever since, and that includes many unpleasant experiences, but their kindness has given me a renewed respect and love for dentistry. It means a lot that Dr Brown will call me and find out if I am OK after a crown or something painful. She knows I am sensitive and takes time to take extra good care. Love them both."

Jenny L.

"As always my experience was top notch for a dental appointment. Dr Pollowitz explained the details of what he was going to do as he worked. It was an appointment to both replace a filling and to take care of the cavity on the outside of that filling. He proceeded slowly and there was never any feel of him rushing to get to the next patient. And Sylvia was very professional as always. Rate this office as a 5 star!"

Joan M.
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