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what is an onlay dental procedure

by Rosetta Veum Published 3 years ago Updated 2 years ago
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Dental inlays and onlays are a dental procedure that is used to restore a decayed or damaged tooth to its original condition and can actually strengthen it. They are a more conservative approach than a dental crown because they don’t involve the removal of healthy tooth structure.

An onlay is related to an inlay and similar in some ways to fillings and crowns. An onlay is pre-molded outside of the tooth by a technician in a lab. It fits in the inside and outside portions of the tooth, over the cusps. The dentist bonds the onlay to the tooth using dental cement.

Full Answer

Do I need a dental onlay or inlay?

When a tooth has damage that is too extensive to be treated with a filling, but not extensive enough to need a crown, the best option for restoration may be an inlay or onlay. The primary difference between an onlay and an inlay is that an onlay will cover a cusp of the tooth, whereas an inlay fills the area between the cusps.

What does a dental onlay do?

Onlays go over the cusp (or cusps) of your tooth, whereas inlays fill the space between your cusps. Dental onlays can be thought of as a middle ground between filling a cavity and removing part of your tooth to cap it with a crown. Onlays are similar to crowns but replace less of the healthy tooth, making them a less extreme option.

When is a dental inlay is your best option?

When Is a Dental Inlay My Best Option? A dental inlay is your best option if more than half of your tooth has been decayed or is missing, or if the damage is so severe that it puts the tooth in danger. If this is the case, fillings are generally not recommended as the best courses of treatment.

What is a CEREC crown or onlay?

a combination of porcelain and metal that’s often called porcelain-fused-to-metal. A popular choice is the CEREC crown, which is often made out of a very strong ceramic and is designed, created ...

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Is onlay better than crown?

Compared to a crown, an onlay is a less aggressive restoration when one can be performed, as less tooth structure needs to be removed in order to place the onlay. The costs are similar, but an onlay is a little cheaper than a crown. As such, an onlay is actually the preferred restoration when possible.

Are onlays better than fillings?

An inlay is a restoration that repairs the top portion of a tooth, and an onlay replaces the cusp of a tooth. They offer many advantages over tooth-colored fillings since they are stronger, more durable, and more stain resistant.

How long does a dental onlay last?

But just how long do inlays and onlays last? On average, these restorations will not need replacing for 20 to 30 years. Following the proper guidelines can help prolong the life of your restorations and preserve your oral health.

Does getting an onlay hurt?

You may feel brief sharp pinches when your dentist injects your gums with local anesthetic. Ask your dentist if your gums can be partially numbed with a painless topical anesthetic before the injections. You may also feel pressure as your dentist prepares your tooth to receive an inlay or onlay.

How much do onlays cost?

How Much do Onlays Cost? You can expect to pay around $900 for the average onlay. If you have dental insurance, you might be able to get it for a bit cheaper, and if you don't have insurance, try to find a dentist that can work with you to get a better price.

How do you prepare for an onlay?

The procedure to fit and place an onlay usually requires two dental appointments: The first will typically involve your dental professional numbing a portion of your mouth with a local anesthetic. After your tooth is numb, they'll remove the decayed or damaged portion to prepare your tooth for the onlay.

Are onlays worth it?

Benefits of dental onlays The fit is more secure than a filling, and more of the natural tooth structure is preserved than with a crown. Onlays also strengthen the tooth, making it less likely that additional work will be needed in the future. Onlays last longer than dental fillings and crowns.

Why would you need an onlay?

Because they are cemented to the tooth, inlays and onlays provide an extremely durable solution to your damaged teeth. They create a tight seal over your tooth that prevents further damage, infection, or inflammation. The materials used for an inlay or an onlay are scratch-resistant and long-lasting.

How many times can an onlay be replaced?

Onlays usually last between 10 to 15 years. Similar to many other dental restorations, onlays do not last a lifetime and may eventually need to be replaced. However, they are very durable and long-lasting, providing you with a beautiful smile.

How long after an onlay can you eat?

After Final Restoration Placement: Avoid chewing on hard, crunchy, or sticky foods for 24 hours in order to give time for the cement to fully bond. Mild sensitivity to hot or cold foods is not unusual and should dissipate after a few weeks.

Can I eat after an onlay?

Follow these instructions carefully to ensure the successful healing of your tooth after the crown or onlay: Do not eat or drink anything until the anesthetic has worn off. Do not use the tooth to bite down on anything hard (peanuts, pretzels, ice, etc.) for 24 hours.

Can I chew gum with an onlay?

Gum chewing is inadvisable immediately following certain dental procedures. From crowns and inlays to onlays and bridges, dental procedures come in all varieties and aim to restore broken, weak or missing teeth so they can return to normalcy or become better functioning than before.

Which is better inlay or onlay?

In general, inlays are better in that they can fill a larger cavity, and they are more durable. The amalgam in fillings can expand and contract depending on the temperature, for example. This can lead to cracking of the filling, or even the tooth itself.

What is the difference between onlay and overlay?

Inlays, Onlays and Overlays Inlays are similar to fillings but the entire work lies within the cusps (bumps) on the chewing surface of the tooth. Onlays are more extensive than inlays, covering one or more cusps. Onlays are sometimes called partial crowns. Overlays extends outwards from onlays.

When do you use onlay and inlay?

But sometimes, other forms of dental restoration are necessary. For example, a dental onlay is for repairing a tooth with more extensive damage that spreads to the cusp or biting surface. While an inlay is usually for a cavity in your tooth's grooves, an onlay covers the higher points around the edges of your tooth.

What is difference between inlay and onlay?

The Onlay covers the cusp of the tooth while inlay only fills the area between the cusps. On the other hand, crown will cover the entire biting surface of tooth and the tooth structure above gum line. The cost of both is almost similar but Onlay can be a little cheaper in price.

How is a dental inlay or onlay performed?

Your dental inlay or onlay procedure will be performed in a dental office or clinic. The procedure varies depending on the type of tooth and inlay or onlay but generally includes these steps:

Who performs a dental inlay or onlay procedure?

The following dental providers perform dental inlay or onlay procedures:

How do I prepare for my dental inlay or onlay?

You are an important member of your own dental care team. The steps you take before your dental inlay or onlay procedure can improve your comfort and outcome. There is generally no special preparation needed, but it is important to do the following before any procedure:

How long do inlays last?

Inlays and onlays experience wear and tear and may eventually need replacement. However, most of them have a long life, as much as ten to thirty years. Visit your dentist at least once or twice a year, or as recommended, for regular cleanings and check-ups to ensure that your inlay or onlay is intact and working well.

How long does a temporary inlay last?

The temporary inlay or onlay lasts for a few weeks or months. You will return to the dentist’s office within a few weeks.

Why does my tongue go numb after a dental inlay?

Your mouth, gums and tongue may feel numb for a few hours after your dental inlay or onlay procedure. This is because the local anesthetic will take time to wear off.

What are the different types of inlays and onlays?

Types of dental inlays and onlays. Dental inlays and onlays can be made of the following materials: Composites (resins) include powdered glass-like material and acrylics. Composite inlays and onlays are more cosmetically pleasing than metal because they match the tooth’s color. Metal, typically gold, but other metals may be used as well.

What is an inlay in dentistry?

Inlays and onlays are indirect dental restorations, which means they are made outside of your mouth in a laboratory. An inlay or onlay is typically used when a cavity is too large for a simple filling. Inlays and onlays can increase a tooth’s strength by up to 75 percent.

What is dental inlay?

A dental inlay is made of a solid, custom-formed material. Depending on the cavity size and depth, inlays are either cast into shape with gold or milled into shape with porcelain. An inlay is molded to fit into the grooves of your tooth. It does not extend over the cusps of the tooth.

How Much Does an Inlay or Onlay Cost?

The cost of an inlay or onlay depends on the type of material used and where you live. Since inlays and onlays treat cavities and trauma-related dental conditions, insurance will cover part of the procedure.

How much do inlays and onlays increase tooth strength?

Inlays and onlays can increase a tooth’s strength by up to 75 percent. There are many benefits of inlays and onlays, including: More resistant to fractures and damage than traditional cavity fillings. Stain-resistant. Improve the natural aesthetic and appearance of teeth.

Why is gold used in dental restorations?

Since gold is extremely durable, it protects weakened teeth cusps caused by cavities and trauma. Today, with the introduction of tooth-colored restorations, gold dental restorations are less common. Gold inlays are typically used if a cavity filling ...

Why do dentists use gold inlays?

Some dentists recommend opting for gold inlays or onlays in areas of the mouth where appearance is not important, such as the back molars.

How long does it take for a tooth to heal after an inlay?

The recovery time for inlays and onlays only takes a few days. However, your teeth are still susceptible to plaque and oral bacteria buildup over time. It is essential to practice good oral hygiene to keep the restorations clean and strong.

What is an onlay in dentistry?

Where a crown covers the biting surface of a tooth , an onlay covers one or more cusps of the affected tooth. The dentist or a technician makes the onlay outside of the tooth, and the dentist cements it in place once it is ready. The dentist may choose this method when the decayed tooth is prone to cracking or breaking once a filling is placed. The onlay prevents this from happening and strengthens the tooth.

What does the dentist do before onlay?

Before getting an onlay, the dentist will speak to the patient about this dental restoration and whether it makes sense. The dentist explores other options and determines which will protect the tooth most effectively and produce long-term results. The dentist talks about the benefits and challenges of this procedure with the patient. Then, the dentist takes X-rays and an impression so the onlay can be made.

What is a smile makeover?

A smile makeover corrects different forms of dental cosmetic concerns to give you an attractive smile. Dental flaws like tooth discoloration, cracks, fractures and minor misalignment issues can affect the appearance of a healthy smile. The dentist can provide cosmetic dentistry treatments together or alone to achieve aesthetically appealing results. The following are some of the…

Can you fabricate porcelain onlays?

Today, dentists can fabricate porcelain or ceramic onlays that match the color of the affected tooth and surrounding teeth. Patients can benefit from this because the onlay will not stand out and hinder the person’s smile. It will be virtually unnoticeable to other people.

What is an inlay?

An inlay is a restoration that fits within the cusps of a tooth. It is made outside of the mouth as opposed to a filling which is made inside the mouth. It may be made of porcelain or metal, in a lab or at the office with a CEREC machine. It is bonded into the tooth.

How long do onlays or inlays last?

With regular dental checkups and good home maintenance, they can last indefinitely. In some cases, they may even add to the longevity of a tooth. Even so, it is reasonable to assume that replacements might be needed some time during a person’s life.

Will my insurance pay for my onlays and inlays?

They call this an alternate benefit. This does not mean that you do not need or should not have an onlay or inlay, just that your benefit contract doesn’t pay for them. It is a mistake to let benefits be your sole consideration when you determine what you want to do about any dental condition.

Why Would You Need A Dental Inlay Or Onlay?

Dental inlays and onlays are used to repair or restore teeth. Your dentist may recommend an indirect filling if your tooth is too damaged or decayed for a regular filling but hasn’t been weakened to the point that it needs a crown. This damage may have several causes, including:

What Is A Dental Inlay?

A dental inlay is a filling that fits into the pits and fissures (grooves) of a tooth’s chewing surface. It doesn’t cover any of the tooth’s cusps (bumps).

How long do inlays last?

Traditional fillings can last anywhere from five (5) to fifteen (15) years, while an inlay or onlay can last as long as thirty (30) years. Older inlays or onlays may wear down over time, and they may fall out if tooth decay forms underneath the filling.

How long does a temporary filling last?

These fillings only last about a month, so it’s essential to return for your second appointment.

What are the different types of onlays?

There are several types of dental onlays and inlays, including gold, composite resin, and porcelain. Each material has advantages and disadvantages. Your dentist can help you choose the type of inlay or onlay that’s right for your needs.

What is a partial crown called?

A dental onlay is also known as a partial crown. This restoration is more extensive than an inlay and covers one or more of your tooth’s cusps.

How long does it take to get a dental inlay?

Getting a dental inlay or onlay is like getting a regular filling. However, the dental inlay/onlay procedure can take one (1) or two (2) visits.

How to do an onlay?

The procedure to fit and place an onlay usually requires two dental appointments: 1 The first will typically involve your dental professional numbing a portion of your mouth with a local anesthetic. After your tooth is numb, they’ll remove the decayed or damaged portion to prepare your tooth for the onlay. At this time, they’ll take an impression of your tooth to send out to a laboratory to create the permanent restoration. Finally, they’ll protect your tooth until your next appointment with a temporary onlay. 2 The second will be scheduled after your onlay is fabricated. Your dental professional will remove your temporary onlay, clean the tooth, place the restoration, and ensure a good fit. After checking your bite, they will permanently bond the onlay to your tooth and polish it to match your natural teeth.

What is an onlay made of?

Onlays fit over your tooth’s biting surface and are made of a solid piece of porcelain, composite, resin, or gold. This type of restoration is used to fix a tooth that has been damaged by decay or injury.

What is the difference between inlays and onlays?

Onlays go over the cusp (or cusps) of your tooth, whereas inlays fill the space between your cusps. Dental onlays can be thought of as a middle ground between filling a cavity and removing part of your tooth to cap it with a crown. Onlays are similar to crowns but replace less of the healthy tooth, making them a less extreme option.

How many appointments are needed for an onlay?

The procedure to fit and place an onlay usually requires two dental appointments:

Can you have an onlay on a tooth?

Situations when a dental professional may recommend an onlay: If you have a cavity on a tooth with a weak structure that may crack if restored with a regular filling. To avoid the removal of the amount of natural tooth structure usually required to place a crown.

What is an inlay in dental?

An inlay fits within the grooves that are within the cusps of your teeth. An onlay, the larger of the two, fits within the grooves but wraps up and over the cusps covering more of the tooth’s surface. An onlay is used when the damage is more extensive and the restoration covers the entire chewing surface including one or more tooth cusps.

Why do you put an inlay on a tooth?

The inlay or onlay will be placed to ensure a correct fit before it is bonded to the tooth. If the fit doesn’t interfere with the patient’s bite, it is permanently attached to the tooth using special cement or bonding then polished for appearance.

How Much do Inlays & Onlays Cost?

The prices are based on national averages.

How are inlays and onlays preformed?

Both inlays and onlays are pre-formed in a lab before being bonded to the damaged or decayed tooth. The difference of use depends on the amount of tooth structure that has been lost to wear or decay. Your dentist will help you decide which is most appropriate for you.

Why do we need inlays and onlays?

Dental inlays and onlays are a dental procedure that is used to restore a decayed or damaged tooth to its original condition and can actually strengthen it. They are a more conservative approach than a dental crown because they don’t involve the removal of healthy tooth structure. For this reason, inlays and onlays are considered ...

How many visits does it take to do an inlay?

The procedure to place an inlay or onlay is basically the same and both require two dental visits unless your dentist has an in-office milling unit (See CAD/CAM Dentistry ).

What is indirect filling?

Inlays and onlays are fabricated in a dental lab and are then fitted and bonded to the damaged tooth by the dentist. This type of restoration is called an indirect filling because unlike a traditional dental filling they are not molded into place during your dental visit.

What is an inlay procedure?

Inlay procedure involves placing a custom-made insert in the selected area of the tooth to restore it. The method helps in stabilizing the affected tooth and in preventing further decay.

Can you use dental inlays to restore teeth?

At times, usual fillings and cosmetic bonding do not prove sufficient for restoring the tooth strength. In such cases, dentists recommend dental inlays and onlays to restore stronger chewing ability. Both names are self-explanatory, onlays act as a cover on the teeth, while inlays are fitted inside the tooth’s structure.

Are onlays better than crowns?

Both crowns and onlays happen to be a part of the restorative dentistry. The procedures strengthen and restore the functioning of the teeth and oral health. However, these procedures have a different set of benefits.

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1.What Is a Dental Onlay? - Smiles Dental Care Mountain …

Url:https://smilesdental.com/what-is-a-dental-onlay/

32 hours ago  · An inlay or onlay is typically used when a cavity is too large for a simple filling. Inlays and onlays can increase a tooth’s strength by up to 75 percent. There are many benefits of inlays and onlays, including: More resistant to fractures and damage than traditional cavity fillings. Stain-resistant.

2.Dental Inlays & Onlays (Materials, Procedure & Costs)

Url:https://www.newmouth.com/dentistry/restorative/inlays-onlays/

31 hours ago Onlays are a similar dental restoration choice. An overview of this dental restoration procedure. Where a crown covers the biting surface of a tooth, an onlay covers one or more cusps of the affected tooth. The dentist or a technician makes the onlay outside of the tooth, and the dentist cements it in place once it is ready.

3.What Is an Onlay Dental Restoration?

Url:https://stonecanyondental.com/blog/what-is-an-onlay-dental-restoration/

8 hours ago An onlay is a restoration made outside the mouth that replaces a cusp or cusps of a tooth. It is bonded into place. It is a more conservative or tooth structure saving restoration than a full crown. It may be made of porcelain or metal. The restoration can be made in the office with a CEREC machine or in the laboratory.

4.What is an Onlay? - Adams Dental

Url:https://www.adamsdentalnj.com/education-resources/fact-sheets/what-is-an-onlay/

28 hours ago Dental inlays and onlays are very similar. Both types of indirect fillings are used to repair the chewing surface of a tooth. The critical difference is how much of the chewing surface is covered. Inlays cover the pits and fissures between a tooth’s cusps, while onlays are more prominent and cover one or more cusps.

5.Dental Inlays and Onlays Explained | Smile Generation

Url:https://www.smilegeneration.com/dental-services/cosmetic-dentistry/inlays-onlays/

31 hours ago  · Dental onlays can be thought of as a middle ground between filling a cavity and removing part of your tooth to cap it with a crown. Onlays are similar to crowns but replace less of the healthy tooth, making them a less extreme option.

6.Onlay Preparation And Expectations | Colgate®

Url:https://www.colgate.com/en-us/oral-health/fillings/onlay-preparation-and-expectations

24 hours ago Dental inlays and onlays are a dental procedure that is used to restore a decayed or damaged tooth to its original condition and can actually strengthen it. They are a more conservative approach than a dental crown because they don’t involve the removal of healthy tooth structure.

7.Inlays & Onlays: Differences, Procedure, & Cost - ACE …

Url:https://www.acedentalresource.com/dental-procedures/restorative-dentistry/inlays-and-onlays

18 hours ago  · Onlays Vs Dental Crowns The primary distinction between an onlay and an inlay is that an onlay will cover a cusp of the tooth, whereas an inlay only fills the area between the cusps. The cavity is still drilled from the tooth, and an onlay is fabricated to the exact size and shape of the space. ... The procedure to fit and place an onlay ...

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9.Videos of What Is An Onlay Dental Procedure

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