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Onlays and Inlays

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Is Gold The Best Dental Repair?

Side view man gold inlays

Gold onlays and inlays and crowns are the most durable dental restorations that have ever been placed in human teeth. They have outlasted all other restorations by dozens of years, and have the great advantage of being extremely conservative in the amount of tooth structure that needs to be removed to make them.

 

Restoring teeth with Gold

Gold restorations are completely inert and cannot break.  They only fail because they are ground through, or because the teeth get decayed around them.  In clinical practice, it is not uncommon to find gold restorations in the mouths of eighty and ninety-year-old which had been placed fifty years beforehand.

What are the disadvantages of using gold on your teeth?

Their disadvantage is their color and cost.  They are technically demanding to prepare and make well, but their ability to outlast all the new materials causes much chagrin to the dental supply companies who market prettier but less durable materials.  It is possible for a skilled clinician to engineer a gold onlay or inlay so that it does not show in the smile.  We strive to make gold onlays well in our practice.

What about using Zirconium on my Teeth?

It is possible that the new Zirconium restorations will give the gold onlay a run for its money, and last as long, but that remains to be seen when 2030 rolls around.  However, this new porcelain alternative requires much more aggressive tooth reduction because it needs to be much thicker than gold for strength. Upper Occl gold inlays

Beautiful gold inlays that will outlast all other materials and are designed not to show in the smile.  From the Lower gold inlaysTucker Study Club

PORCELAIN ONLAYS IN WEST HOLLYWOOD, CA 

An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain onlays are popular because they resemble your natural tooth.  An onlay is sometimes also referred to as a partial crown.  Porcelain onlays are made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.

Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays.  Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.

As with most dental restorations, onlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long-lasting smile.

Reasons for onlay restorations:

  • Broken or fractured teeth. 
  • Cosmetic Enhancement. 
  • Decayed teeth. 
  • Fractured fillings. 
  • Large fillings.

What does getting an onlay involve?

An onlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration.  A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory.

At your second appointment, your new onlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.

PORCELAIN INLAYS IN WEST HOLLYWOOD, CA 

X-ray image B&W showing filling
Silver filling to be replaced

An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain inlays are popular because they resemble your natural tooth.  A porcelain inlay is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.

Image of tooth with a lost silver filling
The silver filling out

Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Inlays are an ideal alternative to conventional silver and composite fillings.  Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

Porcelain inlay tooth web
The final restoration bonded into the tooth

As with most dental restorations, inlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long-lasting smile.

WHAT DOES GETTING AN INLAY INVOLVE? SEE ONLAY ABOVE

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.

Inlay and Onlay Restoration

An inlay is a custom made filling made of composite material, gold, or tooth-colored porcelain.  It is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.

Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Inlays are an ideal alternative to conventional silver and composite fillings.  Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.

As with most dental restorations, inlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for inlay restorations:

  • Broken or fractured teeth.
  • Cosmetic Enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.

What does getting an inlay and onlay involve?

An inlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration.  A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.

At your second appointment, your new inlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.

 
 
 

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Dr. McLeod would love to improve your smile!
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Dr. Neil McLeod, DDS

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