Sometimes a tooth has sustained enough damage from decay or injury that a simple filling is not sufficient to restore the shape and function of the tooth, but a full dental crown is more than is required. That is where porcelain inlays and onlays come in! At Shadowridge Dental Group, we offer patients in the San Marcos, Oceanside, Carlsbad, Escondido, Encinitas, and neighboring CA areas this custom-made, versatile treatment that helps your tooth look, feel, and function like a natural tooth again.
Porcelain inlays and onlays explained
Porcelain inlays and onlays are dental restorations that are fabricated in a dental laboratory to our precise specifications based on impressions of your mouth. Whereas a dental crown covers an entire tooth and requires a significant amount of tooth structure to be removed, an inlay or onlay covers a smaller area on the biting surface of the tooth and is a more conservative approach to treating a tooth that has too much decay or damage for a filling. In addition, porcelain inlays and onlays:
- Look and feel like natural teeth, with the same color and luster of tooth enamel
- Are more durable than the composite resin that is used for tooth-colored fillings, making them a good choice for areas that are more susceptible to grinding and wear and tear (such as the tooth cusps)
- Help hold a damaged tooth together and provide long-lasting results with good home care
What is the difference between an inlay and an onlay?
The main difference between inlays and onlays is how much of the tooth they cover.
- Inlays cover only the space between the cusps (bumps) on the tooth
- Onlays cover one or more cusps and often extend over the whole biting surface of the tooth
Porcelain Inlays & Onlays FAQs
What are porcelain inlays and onlays? How do they differ from fillings or crowns?
Onlays are a restoration option crafted to repair teeth with moderate damage. While an inlay fits neatly in the interior of the tooth’s grooves, an onlay extends over a single or multiple cusps. They differ from fillings, which are applied directly into the tooth, and from crowns, which cover the entire tooth surface.
What are the main benefits of choosing porcelain inlays or onlays?
The biggest advantage of porcelain inlays and onlays is their ability to conserve more of your natural tooth structure while still offering long-lasting protection. They blend seamlessly with natural enamel, resist staining, and restore full chewing function. Many patients also find them more comfortable and natural-feeling compared to large fillings.
Who is a good candidate for porcelain inlays or onlays?
Inlays and onlays are often recommended for patients whose teeth are too damaged for a simple filling but not damaged enough to require a full crown. Ideal candidates have healthy gums and sufficient tooth structure to support the restoration. Patients should also be free of extensive decay that reaches below the gumline, and they should be committed to maintaining good oral hygiene to protect the treated tooth.
How much do porcelain inlays or onlays cost?
The cost depends on several factors, including the size of the restoration, the tooth being treated, and the materials used. In general, porcelain restorations range from several hundred to over a thousand dollars per tooth.
Will my dental insurance cover porcelain inlays or onlays?
Many dental insurance plans provide partial coverage for inlays and onlays when they are considered medically necessary to restore a tooth’s function. However, coverage levels vary widely, and porcelain options may sometimes be reimbursed at a different rate than other materials.
What is the procedure like? What can I expect during treatment?
Treatment for porcelain inlays and onlays usually requires two visits. During the first appointment, we prepare the tooth, remove any decay, and take an impression that is sent to a dental laboratory. A temporary restoration is placed for comfort while your custom inlay or onlay is being fabricated. On the second visit, the restoration is carefully bonded in place and polished.
How long do porcelain inlays or onlays last?
Porcelain inlays and onlays can last 10 – 20 years or longer with proper care. Their longevity depends on the quality of the restoration, the patient’s bite, and at-home habits. Patients who brush and floss daily, attend routine dental visits, and avoid biting on hard objects can enjoy many years of reliable function from their restorations.
Are there situations where inlays or onlays are not recommended?
Inlays and onlays are not the best choice if the tooth has too little healthy structure left to support them. In these cases, a crown may be a better solution. Patients who grind their teeth heavily without wearing a protective mouthguard may also shorten the lifespan of their restorations.
How can I find a trusted provider for porcelain inlays and onlays in San Marcos, CA?
When looking for a dentist who offers inlays and onlays, it’s important to choose a provider with experience, training, and a commitment to high-quality materials. At Shadowridge Dental Group, our team uses advanced techniques and porcelain restorations crafted to match the natural tooth, ensuring both strength and beauty. Patients from San Marcos, Oceanside, and nearby communities trust our team for customized and reliable care.
What kind of care do porcelain inlays and onlays require after treatment?
Caring for inlays and onlays is simple and mirrors the routine care for natural teeth. Daily brushing and flossing help keep the edges of the restoration free from plaque, while regular professional cleanings ensure long-term health. Avoiding habits like chewing ice or using your teeth to open packages can also protect your restoration.
Getting a porcelain inlay or onlay placed
The process for getting a porcelain inlay or onlay typically takes two visits. In your first visit, any decayed portions of the tooth will be gently removed and the dentist will sanitize the area from any lingering bacteria. Then, we will take dental impressions and place a temporary filling. The dental laboratory will custom-fabricate your inlay or onlay, and when it is ready, you will come back in to the office and our dentist will bond it on to your tooth with a strong dental cement.
To schedule your appointment at Shadowridge Dental Group, call us at (760) 284-8111 today!
