INLAYS & ONLAYS - Health Call
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What Is an Inlay?

An inlay is a premolded filling fitted into the grooves of a tooth and do not extend over the cusps of tooth. The patient is numbed using a local anesthetic and the dentist drills the tooth to remove and clean out the decay in the tooth. This is one of the restorative methods used to repair a tooth after it sustains harm from injury or decay that does not affect the cusps of the tooth. The dentist takes an impression and sends it to a laboratory where the inlay is made. Inlays are manufactured from porcelain or composite resin material matching the color of the tooth, and provide almost invisible dental restoration while repairing the chewing surface. Dental inlays are generally more durable than regular fillings made from composite or amalgam, and gold inlays are the most durable and the most expensive of the materials available, according to the American Dental Association.

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How an Inlay Differs from an Onlay or Filling

An onlay is a method used to repair a tooth that has more extensive damage affecting the cusp or tips of the tooth, or potentially the biting surface. The dentist will numb the patient with a local anesthetic and will drill the tooth to clean out the cavity, remove any decayed tooth material and insert a temporary dental onlay, while sending off the patient's impression to the laboratory. A week or so later the permanent onlay arrives, and at the next visit the dentist removes the temporary onlay and fits the final dental onlay in its place.
When to Choose an Inlay
Your dentist is likely to recommend an inlay instead of a regular filling if the damage to the biting surface matches these criteria:
• Broken, fractured or decayed teeth where it does not affect the cusp of the tooth.
• It is extensive enough to require a large dental filling that may weaken the remaining structure.
• The level of injury does not allow for removal of enough tooth material to support mounting a crown.
Inlays, onlays and fillings all restore your smile while preventing further decay. Your dentist will be able to advise which is the best option for you.

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