Tooth cleaning and preparation
The dentist carefully removes damaged or decayed tooth tissue. This is important to ensure a clean and healthy base for the inlay or onlay. The tooth is then ground to fit the future restoration as closely as possible.
Inlays and onlays
A ceramic analogue of a filling in case of significant tooth decay is a restoration of the lost anatomic structure and function. The procedure makes it possible to preserve the natural tooth and internal structure for a tooth that will last at least another 20 years. The restoration is absolutely invisible.
Modern methods of dental restoration: Inlays and onlays in detail
Inlays and onlays are one of the most effective methods of restoring the aesthetics and functionality of teeth that have been partially damaged. This is especially true in cases where the damage is not significant enough to require a crown.
The procedure involves the fabrication of restorations in a dental laboratory from high-quality materials – these can be porcelain, composite resins, zirconia mixtures, or even gold.
These materials are chosen to achieve the optimal combination of strength, durability, and visual appeal to not only restore the tooth, but also give it a natural look.
What are inlays and onlays?
Inlays
This is a form of dental restoration that is used to restore the inside of a tooth after decay or damage has been removed. An inlay is a prefabricated insert that precisely matches the shape of a cavity that has been cleaned of decay. Inlays can be made from a variety of materials such as gold, porcelain, composite, or zirconia and are set into the tooth using a special dental cement. This restoration method preserves a larger portion of the healthy tooth and is more gentle than a full crown.
Onlays
Used to restore a much larger portion of the tooth. They cover one or more of the chewing surfaces of the tooth and can go over the sides. Onlays are ideal for restoring teeth that have undergone significant decay, but are still suitable if they can be preserved without a full crown. Made from the same materials as inlays (porcelain, gold, composite resins, and zirconia), they provide durability and aesthetics, restoring the tooth’s functionality and appearance.
These two forms of restoration are chosen depending on the extent of damage to the tooth and treatment goals. Both inlays and onlays are individually created in dental laboratories to ensure a perfect match with the patient’s natural tooth shape.
Advantages of use
Correction of dental defects
They are used to restore the shape of teeth that have been partially destroyed by decay or trauma, preventing the need for complete extraction.
Preventing further tooth decay
Protect teeth with large defects or wear from further damage by strengthening their structure.
Minimal intervention
Compared to crowns, inlays and onlays require less removal of healthy tooth tissue, which is a less invasive procedure.
Quick recovery
The insertion procedure usually takes less time, and patients adapt to inlays or onlays more quickly, returning to their normal lives.
Optimization of chewing function
Restore the correct height of the teeth and their anatomical shape, which improves chewing and makes it easier to process food.
Prevention of dental infections
Tight-fitting inlays and onlays protect decay-prone areas of the teeth from food debris and bacteria, reducing the risk of further infection and decay.
Improved hygiene
The smooth and non-porous surfaces of ceramic inlays and onlays make it easier to care for your teeth and promote healthy gums.
Aesthetics
They are manufactured with a high degree of precision and can accurately mimic the colour and shape of neighbouring teeth, making the restoration virtually invisible.
Are inlays/onlays better than fillings or crowns?
Dental restorations are customised depending on the extent of damage and the functional needs of the tooth. Let’s take a look at when the different methods are used:
Crowns are the ideal choice for teeth that have undergone extensive decay. They provide complete coverage of the tooth, protecting it as much as possible from further damage and restoring its functionality and appearance.
Fillings are most suitable for minimal and superficial damage, such as small cavities. Thanks to modern materials, fillings restore the tooth quickly and effectively, and the procedure is relatively inexpensive.
Inlays and onlays are used when the damage to the tooth is significant, but not so severe as to require a crown. These restorations are custom-made and are designed to fit exactly into the tooth structure, restoring its form and function. They are highly durable and long-lasting, often exceeding the lifespan of conventional fillings.
These tooth restoration options provide varying levels of restoration and protection, and the best method depends on the specific clinical picture and treatment goals that the dentist determines with the patient.
Stages of work
01
02
Creating an accurate impression
Digital scans are used to make an accurate impression of the prepared tooth. This impression is necessary so that the laboratory can create an inlay or onlay that perfectly matches the shape and size of the tooth.
03
Making a sketch in the laboratory
The impression is sent to a dental laboratory where an inlay or onlay is made. High-quality materials that match the colour and strength of natural teeth are used.
04
Fitting and adjustments
When the inlay or onlay is ready, the patient returns to the clinic for fitting. This step is critical to ensure a perfect fit and comfort. The dentist can make the necessary adjustments to ensure that the restoration matches the rest of the teeth perfectly in colour and shape.
05
Finale
The last step is to secure the inlay or onlay in place. A special solution is used to ensure the longevity and stability of the restoration. After placement, the dentist checks the occlusion of the teeth and, if necessary, performs the final correction.
Doctors in the direction
All doctors
Dr. Liliia Zhernova
DentalDate owner, Medical leader, Orthodontist-gnathologist/ General Dentist
Dr. Oleg Mordanov
Prosthodontist-gnathologist/ General Dentist
Dr. Rita Dzhafarova
Orthodontist-gnathologist/ General Dentist
Dr. Iuliia Savitskaia
General Dentist
Dr. Valeriia Kozachenko
Orthodontist-gnathologist
Dr. Kseniia Islamova
Surgeon-Implantologist / General Dentist
Dr. Vera Demidova
General dentist, Endodontist
Dr. Denis Nikitin
Prosthodontist-gnathologist/ Surgeon-implantologist/ General Dentist
Dr. Yuliya Gruich
Orthodontist-gnathologist/ General Dentist
Dr. Bianca Prayle
Prosthodontist/ General Dentist
Dr. Anastasiia Mordanova
Pediatric dentist/ General Dentist
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F.A.Q
How long does it take to install inlays or onlays?
The placement of inlays or onlays usually requires two visits to the dentist. The first visit involves preparing the tooth and taking an impression, and the second visit involves placing the restoration itself. Each visit can last from 30 minutes to 2 hours, depending on the complexity of the case.
Is the installation process painful?
The insertion process is usually accompanied by minimal discomfort. The dentist may use local anaesthesia for pain relief, making the procedure comfortable for the patient.
What happens after the installation procedure is complete?
After placement, there may be a slight sensation of discomfort or sensitivity, which will quickly subside. The dentist will advise on the care of the restoration, including proper oral hygiene and nutritional advice.
What is the lifespan of inlays and onlays?
Inlays and onlays made from high-quality materials can last 10 to 30 years if properly cared for, including regular check-ups and professional dental cleanings.
What are the risks and limitations?
The main risks include the possibility of chipping or damage to the restoration if used improperly, as well as potential loss or weakening of the restoration over time. Limitations include the inability to use them in cases where teeth have extreme damage or significant loss of structure.
How does the fitting affect neighbouring teeth?
Placement usually has no negative impact on neighbouring teeth. The dentist carefully selects the size and shape of the restoration to ensure that it fits harmoniously into the tooth row and does not interfere with the functionality of other teeth.
What precautions should I take immediately after installation?
Once fitted, it is recommended that you avoid hard foods for the first few days, do not bite your nails or open packages with your teeth to prevent damage to the restoration.
Can inlays and onlays cause an allergic reaction?
Allergic reactions to inlays and onlays are possible, but they are extremely rare. Modern materials such as ceramics or composite resins are usually biocompatible and hypoallergenic. If you have a known allergy to certain dental materials, be sure to inform your dentist before the procedure.