Inlays & Onlays

Porcelain inlays and onlays are advanced restorative dental treatments designed to repair damaged teeth while preserving as much natural tooth structure as possible. These custom restorations offer a durable, natural-looking alternative to traditional fillings and crowns, making them an excellent choice for patients who want strength, longevity, and aesthetics working together.
Often referred to as conservative restorations, inlays and onlays are ideal for children, adolescents, and adults who have teeth affected by decay, trauma, or large, failing fillings. They restore function and appearance without over-treating the tooth, which is why they are a preferred option in modern dentistry.
What Are Porcelain Inlays and Onlays?
Porcelain inlays and onlays are custom-made fillings crafted from tooth-colored porcelain, composite material, or gold. They are created by a professional dental laboratory and permanently cemented into or onto the tooth by your dentist.
- Porcelain inlays fit within the grooves of a tooth and do not extend over the chewing cusps
- Porcelain onlays cover one or more chewing cusps and are sometimes called partial crowns
- Both restorations are designed to blend seamlessly with your natural teeth, offering a polished, lifelike result.
How Are Inlays and Onlays Different from Fillings and Crowns?
Inlays and onlays sit comfortably between traditional fillings and full crowns in terms of coverage and conservation.
- More durable and precise than standard composite fillings
- More conservative than crowns, meaning less natural tooth structure is removed
- Designed to strengthen the tooth and protect it from future damage
- Custom-crafted for an exact fit and natural appearance
This balance makes them an excellent solution when a tooth is too damaged for a filling but does not require a full crown.
When Are Porcelain Inlays or Onlays Recommended?
Porcelain inlays and onlays are commonly recommended for teeth that need reinforcement but still have healthy structure remaining.
Reasons your dentist may recommend an inlay or onlay include:
- Broken or fractured teeth
- Teeth damaged by decay or trauma
- Large or failing fillings
- Fractured or worn restorations
- Cosmetic enhancement for back teeth
These restorations help stabilize the tooth while restoring comfort and confidence when chewing or smiling.
Why Choose Porcelain for Inlays and Onlays?
Porcelain is a popular material choice because it closely mimics the look and performance of natural tooth enamel.
Benefits of porcelain inlays and onlays include:
- Natural tooth color and translucency
- Excellent durability and strength
- Resistance to staining
- Smooth, polished finish
- Long-lasting results with proper care
Porcelain restorations are designed to handle everyday chewing forces while maintaining their appearance over time.
How Long Do Porcelain Inlays and Onlays Last?
Like most dental restorations, porcelain inlays and onlays are not permanent. However, they are highly durable and can last many years with proper care.
Their longevity depends on factors such as:
- Oral hygiene habits
- Diet and chewing forces
- Regular dental visits
- Avoiding habits like teeth grinding or chewing hard objects
With routine checkups and good home care, these restorations provide reliable, long-term performance.
What Does the Inlay or Onlay Procedure Involve?
Both inlay and onlay treatments typically require two appointments to ensure precision, comfort, and durability.
First Appointment
- The tooth is numbed for comfort
- Decay and old filling material are removed
- The tooth is cleaned and carefully shaped
- Highly accurate impressions are taken
- A temporary restoration is placed to protect the tooth
These impressions are sent to a dental laboratory where your custom inlay or onlay is crafted.
Second Appointment
- The temporary restoration is removed
- The custom inlay or onlay is carefully cemented into place
- Minor adjustments are made to ensure proper fit and bite comfort
This precise process ensures your restoration feels natural and functions properly.
Will Inlays and Onlays Feel Natural?
Yes. Once placed, porcelain inlays and onlays feel very similar to natural teeth. They are designed to fit precisely and restore normal chewing function without discomfort.
Most patients quickly forget they even have a restoration, other than noticing improved comfort and appearance.
How Do You Care for Porcelain Inlays and Onlays?
Caring for inlays and onlays is simple and similar to caring for natural teeth.
To help extend the life of your restoration:
- Brush and floss daily
- Maintain a balanced, tooth-friendly diet
- Avoid chewing ice or hard objects
- Attend regular dental exams and cleanings
Your dentist will provide personalized care instructions at the end of your treatment.
Are Porcelain Inlays and Onlays Right for All Ages?
Porcelain inlays and onlays are suitable for teens, adolescents, and adults, depending on tooth development and the extent of damage. Your dentist will evaluate each case carefully to ensure this conservative approach supports long-term oral health.
When Should You Consider Inlays or Onlays?
If you have a tooth with significant damage, a large filling, or cosmetic concerns but want to avoid a full crown, porcelain inlays or onlays may be the ideal solution.
Schedule a consultation today to find out whether porcelain inlays or onlays are right for you or your family. Our team is committed to providing high-quality, patient-focused care that restores strength, function, and confidence with a natural-looking result.
Frequently Asked Questions
Choosing the right restoration often comes with questions about comfort, longevity, and daily life after treatment. Below are answers to common questions patients frequently ask when considering porcelain inlays and onlays. Our goal is to help you feel informed, confident, and at ease with your decision.
How do I know if I need an inlay, onlay, or crown?
The best option depends on how much of the tooth is damaged. Inlays and onlays are ideal when the tooth still has healthy structure but needs more support than a filling can provide. If damage is more extensive, a crown may be recommended. Your dentist will evaluate your tooth and explain the most conservative option.
Are porcelain inlays and onlays stronger than fillings?
Yes. Porcelain inlays and onlays are custom-made and bonded to the tooth, which provides greater strength and stability than traditional fillings. They are designed to withstand chewing forces while protecting the remaining tooth structure.
Do porcelain inlays and onlays stain over time?
Porcelain is highly resistant to staining. Unlike some fillings, inlays and onlays maintain their color well over time with proper oral hygiene and regular dental visits.
Are porcelain inlays and onlays covered by dental insurance?
Coverage varies by plan, but many insurance policies offer partial coverage for inlays and onlays when they are medically necessary. Our team is happy to help review your benefits and answer questions about costs.
How long will my tooth feel sensitive after treatment?
Mild sensitivity is normal for a short time after placement, especially to temperature changes. This usually fades within a few days as your tooth adjusts. If sensitivity persists, your dentist can easily evaluate and adjust the restoration.