Inlays and onlays are an effective restorative dentistry treatment that our dental team uses for advanced tooth decay or to restore the functionality and aesthetics of your smile. We may opt for an inlay or only in situations when a dental crown is too much, but a dental filling is not enough. Inlays and onlays are made from high-quality dental resin.
These types of dental restorations can be a long-term solution for preserving the integrity of your tooth and preventing future tooth decay. Our team of dentists always aims to offer the most conservative treatment options possible. We aim to restore your oral health and preserve the natural function and health of your teeth using dental inlays and onlays in Owings Mills, MD.
What are Dental Inlays and Onlays?
Dental inlays and onlays are restorative dentistry treatments that aim to repair and strengthen damaged or decayed teeth. Our local dental lab will craft the onlay or inlay from durable materials, such as porcelain, composite resin, or gold. We will design your restoration to fit precisely within the contours of your tooth.
An inlay is a solid, custom-made filling that your dentist will bond within the tooth’s indented top surfaces or the chewing surfaces of the premolars and molars. On the other hand, an onlay is a more extensive restoration that conceals one or more cusps (the raised points on premolars and molars).
Both inlays and onlays preserve more of the natural tooth structure than dental fillings or crowns, making them a more conservative treatment option.
The Different Between Inlays and Onlays
While inlays and onlays are similar, there are distinct differences in their application and coverage:
- Inlays: Your dentist will use these restorations to fill the indented areas or grooves on the tooth’s chewing surface. Inlays are typically smaller and fit within the cusps of the tooth.
- Onlays: These types of restorations are more extensive and shield one or more cusps of the tooth like a partial dental crown. Onlays extend beyond the indented areas and onto the chewing surface, providing additional support and protection.
Why Do I Need An Inlay or an Onlay?
Inlays and onlays both address tooth decay. They are used in different ways to treat decay affecting varying regions of the tooth. Inlays are designed to cover large areas of decay or damage on the surface of a tooth. Onlays are commonly used to treat decay in the molars that can be difficult to treat with a traditional dental filling.
Tooth decay is a common dental health concern. When left untreated, decay can damage the integrity of your teeth and may result in the need for a tooth extraction. Routine dental checkups can allow for early detection and effective treatment. Inlays and onlays are more conservative than dental crowns but more secure than a traditional dental filling.
The Dental Inlay and Onlay Process
If advanced tooth decay is detected during a dental health exam, your dentist will present all possible treatment options to the patient so that they are able to make an informed decision about restoring their oral health. In some cases, an inlay or onlay can allow the dentist to preserve as much of the natural tooth as possible, supporting a more stable bite long term.
The process of receiving dental inlays or onlays involves two or more visits to your dentist. Throughout your treatment, we will take all the necessary precautions to ensure your comfort and provide you with instructions for post-operative care.
During your first appointment, your dentist will assess the condition of your tooth to determine if an inlay or onlay is the best treatment option. We will begin the treatment by getting the tooth ready to receive the inlay or onlay. Your dentist will remove any decayed or damaged tooth material and shape the tooth to accommodate the restoration.
Then we must take impressions of the tooth. We will use the impressions to create a mold for the dental laboratory to use to create your custom inlay or onlay. Additionally, your dentist will select the appropriate shade to match the restoration with your natural teeth. Your dentist will bond a temporary restoration on to your tooth while you wait for your permanent one.
During your second appointment, we will first remove the temporary restoration and carefully place the custom-made inlay or onlay. After ensuring a proper fit and bite, we will bond the restoration to your tooth using a special adhesive. Your dentist will make adjustments to complete your treatment.
A well-fit inlay or onlay will be practically invisible to other people. You will be able to enjoy a normal diet without restriction.
Inlays and Onlays Aftercare and Maintenance
To ensure that your dental inlays or onlays last a long time and are successful, proper aftercare and maintenance are essential. If you follow these basic guidelines, you can help maintain a beautiful and functional smile for years to come.
- Oral Hygiene: Maintain a stable oral hygiene routine by brushing your teeth two times a day with a soft-bristled toothbrush and flossing daily. Good daily oral hygiene will help prevent plaque from building up on your teeth and reduce your chances of getting tooth decay and periodontal disease.
- Avoid Hard Foods: While inlays and onlays are durable, it’s best to avoid biting down on hard objects or foods, such as ice cubes, hard candies, or nuts. These types of object can potentially damage or dislodge the restoration.
- Wear a Nightguard: If you your teeth or clench your jaw at night, we will suggest that you wear a nightguard. Wearing a custom mouthguard will protect your inlays or onlays from excessive wear and tear.
- Attend Regular Dental Appointments: Attend bi-annual dental checkups and cleanings. Regular dental checkups allow your dentist to check on the condition of your inlays or onlays and address any potential issues early on.
- Avoid Staining Substances: There are many types of foods and beverages that can stain or discolor your inlays or onlays over time. This include coffee, tea, red wine, and tobacco. We suggest that your limit your consumption or use of these substances, or rinse your mouth with water after consumption.
Frequently Asked Questions about Dental Inlays and Onlays
Please explore our inlay and onlay FAQ section to gain a deeper understanding about this type of dental restoration. Inlays and onlays can contribute to your long-term dental health and well-being. We hope that this information helps you make a decision that will benefit your dental health.
Can I get an inlay or onlay instead of a filling?
Yes. It is possible to get an inlay or onlay instead of a dental filling. Although this is only recommended if the filling will not suffice. Inlays and onlays are used for larger cavities that fillings can’t cover. A dental crown can be used as well.
How long do I have to wait to eat after a filling?
We usually recommend waiting to eat until about two hours after the tooth filling procedure. Tooth fillings are cured almost instantly, but you need to wait until your mouth is not numb anymore before you use it. This recommendation keeps you from accidentally biting your tongue, or cheek while you eat.
How long do tooth fillings last?
A dental filling can last anywhere from 7-20 years. The range is wide because it can depend on a variety of factors, including: the location of the filling, the size, the type of filling, and the way you take care of your teeth. Fillings are a great line of defense from cavities, but they aren’t the final solution. You can expect a metal filling to last for about 15 years before it needs to be replaced, while composite resin fillings last for about 7-10 years.
Are there alternatives to inlays and onlays?
There are several alternatives to inlays and onlays, including composite fillings, crowns, and veneers. Composite fillings are a common and cost-effective option that we can match to the color of your teeth. We may also suggest a dental crown if the damage to the tooth is extensive. Porcelain veneers are also an option for a full smile makeover.
What should I do if my inlay or onlay feels loose?
If your inlay or onlay feels loose, scheduling an appointment with your dentist as soon as possible is important. They may recommend a simple repair or, in some cases, suggest a replacement. Until your appointment, you need to avoid chewing on the tooth until your appointment to prevent further damage or discomfort.
Does dental insurance cover inlays and onlays?
Just like with all dental treatments, the amount of insurance coverage you will receive for inlays and onlays will vary based on your specific plan and provider. In some cases, insurance may cover some of the cost, especially if the treatment is medically necessary. It is always a good idea to consult your insurance provider directly. Your representative will help you understand your plan and coverage details for each dental treatment.