Rock Dental
Restorative Dentistry

Inlays and Onlays in New York, NY

Inlays and onlays are lab-made restorations bonded to a damaged back tooth when a filling is not enough and a crown is more than you need.

About Inlays and Onlays at Rock Dental

Dental inlays and onlays are considered a conservative method of treating damaged teeth. They are used instead of placing a crown. Some dentists even use inlays and onlays to treat tooth decay. Instead of filling in the tooth, your dentist may use dental inlays and onlays.

Dental inlays and onlays are made in a dental lab and then fitted to your tooth. They are then bonded to your tooth.

Why Choose an Inlay or Onlay Over a Crown

When a back tooth has a large cavity or an old filling that has broken down, a standard filling may not hold up well, because a lot of filling material in a tooth can leave the remaining walls weak. A crown solves that, but it requires reshaping the whole tooth. An inlay or onlay sits in between. It replaces only the damaged part, so more of your healthy tooth structure can stay in place.

The difference between the two is coverage. An inlay fits within the grooves of the chewing surface, between the raised points of the tooth. An onlay extends over one or more of those points and is sometimes called a partial crown. Both are made as a single solid piece, usually from porcelain, composite or gold. That solid construction typically makes them strong and stable under chewing forces. Your dentist will advise which option suits the tooth.

What to Expect at Your Inlay or Onlay Visits

Treatment is typically done in two appointments. At the first, the tooth is numbed and your dentist removes the decay or the old filling, then shapes the space. An impression or scan is taken for the dental lab, and a temporary filling protects the tooth while your restoration is made. At the second visit, the temporary comes out, the inlay or onlay is tried in and checked against your bite, and it is bonded into place and polished.

Between visits, go easy on the temporary. Avoid sticky or very hard foods on that side and call the office if it comes loose. After the final restoration is bonded, some sensitivity to temperature or pressure for a few days is common and usually settles. If your bite feels high or uneven, let us know, since a small adjustment typically fixes it. From there, care is simple. Brush, clean between your teeth daily, and keep your regular checkups.

Inlays and Onlays

Common Questions

Is an inlay or onlay better than a filling?
Neither is right for every case. Fillings work well for small to medium cavities and are placed in one visit. When the damaged area is larger, an inlay or onlay is often recommended because it is made as one solid piece and can support the remaining tooth. Your dentist will advise based on how much tooth is left.
When would I need a crown instead of an onlay?
A crown is usually recommended when there is too little healthy tooth left to support a smaller restoration, when a tooth is badly cracked, or after some root canal treatments. If enough sound tooth remains, an onlay may do the job while removing less. Your dentist will explain the reasoning for your tooth.
Does getting an inlay or onlay hurt?
The tooth is numbed with local anesthetic before any work begins, so you should feel pressure and vibration rather than pain. Mild soreness or sensitivity afterward is common and typically fades within days. If dental visits make you anxious, ask our team about nitrous oxide to help you relax.
How long do inlays and onlays last?
With good care they often last ten years or more, though this varies with the material, where the tooth is in your mouth, and habits such as grinding. Brushing, cleaning between teeth and regular exams help, because decay can still form at the edge where the restoration meets the tooth.
How much do inlays and onlays cost?
Cost depends on your treatment plan, including the size of the restoration and the material chosen. Once your dentist has examined the tooth and recommended an option, our team will go over the costs with you before treatment begins.
Glossary

Terms You May Hear

Inlay
A custom restoration that fits inside the chewing surface of a tooth, between its cusps.
Onlay
A custom restoration that covers one or more cusps of a tooth, larger than an inlay but smaller than a crown.
Cusp
One of the raised points on the chewing surface of a back tooth.
Keep Reading
  • Fillings

    A tooth-colored composite filling repairs a tooth damaged by decay or a small crack, restoring its shape and function for anyone with a cavity.

  • Porcelain Crowns

    A porcelain crown is a tooth-shaped cap that covers and strengthens a badly decayed, cracked, or heavily filled tooth while blending in with your smile.

  • Cracked Tooth Repair

    Cracked tooth repair finds and treats cracks in a tooth, easing pain when you chew and protecting the tooth from infection or loss.

  • Bonding

    Dental bonding uses tooth-colored resin to repair chips, close small gaps, and reshape teeth, a conservative option for adults who want a modest cosmetic change.

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Location

630 Fifth Avenue, Suite 1865
New York, NY 10111
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