Onlays and inlays are not as common as they should be! Think of an onlay has a partial crown. It will incorporate one or more cusp(s) of the tooth, but it isn’t “full coverage” like a crown. Dr. Pinner often advocates onlays if possible because he is able to maintain more of your natural tooth. Keeping as much natural tooth as possible allows you more options in the future. He always says, “You can’t undo a crown.” If an only fails, you can almost always still crown the tooth. If a crown fails, your next option is an implant, a bridge, or a denture. Onlays can be conservative treatments that help you keep your natural teeth as long as possible.
Inlays are like fillings. But they’re made in a lab and cemented in place. Inlays often cost a little more than a traditional filling, but they can last longer too. Onlays an inlays are cemented with a special bonded resin that is incredibly strong. It’s some seriously tenacious stuff!
Onlays and inlays usually require two visits. Much like a crown, the first visit is used to remove decay, make space for the onlay or inlay, and place a temporary onlay/inlay. At the second visit, we will inspect the onlay or inlay and cement it permanently in place. If you’ve heard you need a crown, you may be able to get an onlay instead. There isn’t a huge cost savings, but you may retain the option of crowning the tooth at a later date. Be sure to ask us of an onlay could be an appropriate treatment for you.