Dental Inlays and Onlays in Aurora, CO

Dental inlays and onlays are custom-fabricated restorations used to repair teeth that have moderate decay or damage. They are an option when a traditional filling is insufficient but the tooth does not yet need a full crown.

An inlay fits within the cusps (the raised points) of a tooth, much like a filling. An onlay extends over one or more cusps, providing more coverage and protection. Both are bonded securely to the tooth, restoring its shape, strength, and function.

At Alameda Dental, Dr. Casandra Barnes evaluates each tooth individually to determine whether an inlay, onlay, or another restoration is the most appropriate treatment.

Inlays and onlays are typically recommended when a tooth has: - A cavity too large for a direct filling but not extensive enough for a crown. - A cracked or fractured cusp that needs protection. - An old, failing filling that needs replacement. - Moderate wear or erosion.

Because inlays and onlays require less tooth reduction than crowns, they help conserve more of your natural tooth structure. Dr. Barnes will discuss whether this approach is suitable for your specific case during your consultation.

Your treatment typically involves two visits, though in some cases same-day restorations may be possible. Here is what to expect:

First Visit – Preparation and Temporary: 1. We numb the area with local anesthetic to ensure your comfort. 2. Dr. Barnes removes any decay or old filling material and shapes the tooth to receive the restoration. 3. This information is sent to a dental lab that will fabricate your custom inlay or onlay. 4. A temporary restoration is placed to protect the tooth while the permanent one is being made.

Second Visit – Placement: 1. At your next appointment, we remove the temporary and check the fit, color, and bite of your new restoration. 2. The tooth is cleaned and prepared for bonding. We use an adhesive technique to securely bond the inlay or onlay to the tooth. 3. We polish the restoration and make any final adjustments to ensure a comfortable bite.

Some practices use same-day technology like CEREC to mill restorations in-office. We can discuss whether this is an appropriate option for you.

Inlays and onlays can be made from several materials, each with strengths: - Porcelain: Tooth-colored, highly aesthetic, and stain-resistant. Often preferred for visible areas. - Composite resin: Also tooth-colored, can be a more cost-effective option, but may wear faster than porcelain. - Gold: Extremely durable and long-lasting, though not tooth-colored. Some patients choose gold for back teeth where forces are high.

Dr. Barnes will help you select the material that best balances your esthetic goals, functional needs, and budget.

Benefits of inlays and onlays include: - Conservation of healthy tooth structure compared to crowns. - Excellent fit and seal that helps prevent future decay. - Strength and durability that can protect a weakened tooth from fracture. - Natural appearance when made from tooth-colored materials.

Considerations: - The process typically requires two visits unless same-day technology is used. - Bonded restorations can occasionally de-bond or fracture over time, though proper care minimizes risk. - Not all teeth are suitable; extensive damage may still require a crown.

Our team discusses both the advantages and limitations so you can make an informed decision.

After the procedure, it is normal to experience some sensitivity to temperature or pressure for a few days. Over-the-counter pain relievers usually manage any discomfort. Avoid chewing hard or sticky foods on the treated side for the first 24 hours.

Long-term care is similar to your natural teeth: brush twice daily, floss around the restoration, and attend regular checkups. With good oral hygiene and routine professional cleanings, inlays and onlays can provide many years of function.

The cost of an inlay or onlay depends on the tooth size, material chosen, and whether any additional treatment is needed. Because these are custom lab-fabricated restorations, they generally cost more than direct fillings but less than crowns in many cases.

Alameda Dental accepts most major insurance plans. Coverage for inlays and onlays varies by plan; some policies treat them as basic restorative, while others classify them as major. Our team will verify your benefits and provide a written estimate before treatment begins. Call our office to discuss your specific costs and payment options.

If you have a tooth that is damaged, decayed, or causing discomfort, Dr. Casandra Barnes can determine whether an inlay or onlay is right for you. At Alameda Dental, we take time to understand your concerns, explain your options clearly, and provide care that prioritizes your long-term oral health.

Contact our office at (303) 343-7072 or request an appointment online. We are located at 14591 E Alameda Ave, Aurora, CO 80012 and welcome patients from Aurora and nearby communities.