A Simple 5 Step Guide to Dental Inlays and Onlays in Billings

You ever have that moment where you’re chewing something—maybe a tortilla chip or a piece of bread that’s way harder than it needed to be—and suddenly you feel that sharp little zing in your tooth? It’s the kind of feeling that makes you stop mid-bite and think, “Okay… something’s not right here.”

That’s usually where the journey toward dental inlays and onlays in Billings starts for a lot of people. Not with a disaster. Not with a tooth that’s falling apart. Just a quiet little signal that your tooth needs a bit more support than a simple filling can give. And honestly, if you catch things at that stage, you’re doing great. That’s exactly when treatment is easiest, most comfortable, and long-lasting.

Maybe it’s your first time hearing about inlays and onlays, or maybe you’ve heard the words before but never really understood the difference. Either way, you’re in the right place.


What Are Inlays and Onlays?

Think of your tooth as a house. A cavity is like a little patch of damage in one room. A filling is the quick repair job that patches the wall. But sometimes the damage is bigger—too big for a simple patch but not big enough to tear down the whole wall and rebuild it, which is what a dental crown essentially does.

That’s where inlays and onlays fit in. They’re the perfect “middle ground” restoration.

  • Inlay: Fits inside the cusps (the bumps) on your tooth
  • Onlay: Covers one or more of those cusps, like putting a protective cap over the damaged section

They’re custom-made, super durable, and designed to match the shape and color of your natural tooth. And the best part? They protect the healthy part of your tooth instead of shaving it down like a crown would.


Why Our Dentist Might Recommend One

Here’s the moment of truth: no one wakes up wanting an inlay or onlay. But you do want a tooth that works, doesn’t hurt, and doesn’t crack every time you eat something with crunch.

Dr. Kolten Astle on Grand Ave might suggest an inlay or onlay if:

  • A cavity is too large for a filling
  • Your tooth has small fractures
  • An old filling is failing
  • You grind your teeth and need a stronger restoration
  • You want a long-lasting alternative to traditional fillings

Think of them as the reinforcements your tooth didn’t know it needed.


A Step-by-Step Look at the Process

If you’re someone who likes to know what’s coming (honestly, same), here’s the simple version of what to expect.

1. The exam

Dr. Kolten Astle takes a close look at the tooth, maybe uses digital X-rays, and figures out whether an inlay or onlay makes the most sense. You’ll talk through options, costs, and timing.

2. Preparing the tooth

The damaged or decayed area is cleaned out gently and precisely. No unnecessary drilling. The goal is always to save as much of your natural tooth as possible.

3. Taking impressions

This helps create a restoration that fits your tooth perfectly. Like, puzzle-piece perfectly.

4. Temporary protection

You’ll get a temporary covering while your inlay or onlay is being crafted.

5. Placement

Once it’s ready, Dr. Kolten Astle bonds it securely to your tooth. And that’s it. No drama. Just a strong, natural-looking tooth again.


Why People Love Inlays and Onlays

If you’re like most people in the West End, Ironwood, or Cooper Ridge neighborhoods, you probably don’t spend your evenings researching dental restorations. But here’s why patients actually end up loving inlays and onlays once they get them:

They last.

Seriously—these can outlive traditional fillings by years. Sometimes decades.

They feel natural.

Once it’s in place, you forget it’s even there. No weird bumps. No sharp edges.

They protect your tooth.

They strengthen weak spots and help prevent cracks.

They look good.

Color-matched to your natural tooth. No metal. No dark shadows.


How Do I Know If I Need Dental Inlays and Onlays in Billings

Look, you know your body. You know when something feels “off.” But teeth can be sneaky. Here are a few subtle signs:

  • Sensitivity when chewing
  • Sharp pain when biting down
  • Rough edges on a tooth
  • A filling that keeps falling out
  • Little fractures you can feel with your tongue
  • A dark spot that doesn’t brush away

And honestly? Sometimes there are no signs at all—your dentist just sees early damage before it turns into something bigger. If you’re in the 59106 or 59102 areas and it’s been a while since your last checkup, this might be the perfect time to get eyes on things.


Inlays vs. Onlays vs. Fillings vs. Crowns

Here’s the quick version, like a cheat sheet:

TreatmentBest ForTooth PreservationDurability
FillingSmall cavitiesHighGood
InlayMedium damage inside cuspsVery HighExcellent
OnlayLarger damage including cuspsVery HighExcellent
CrownMajor damage or cracksMediumExcellent

If fillings are like “quick repairs,” inlays and onlays are like hiring a professional contractor. Crowns? That’s the full remodel.


How Inlays and Onlays Fit Into the Bigger Picture of Your Oral Health

This is where the pillar structure matters. Inlays and onlays are often part of a bigger restorative plan.

If the damage is deeper, you might be linked to posts about:

And if you’re someone who wants a straighter smile or brighter shade after your repair, we’ll link toward cosmetic options like:

Everything connects, like a little ecosystem built around healthier teeth.


How Long Do Inlays and Onlays Last?

This is one of the questions dentists get all the time.

Here’s the honest answer:
With good home care and regular checkups, many last 10–30 years.

That’s not a typo. They’re built to last.

But grinding, skipping cleanings, or biting ice (please don’t bite ice) can shorten their lifespan.


Do They Hurt?

Most patients say the same thing afterward: “That wasn’t nearly as bad as I expected.”
Any discomfort is usually mild and fades quickly. Local anesthesia keeps you comfortable during the procedure.


Why Legacy Smiles Is a Trusted Choice for Inlays & Onlays in Billings

Besides offering modern restorative materials and precise digital technology, the team genuinely cares.

And being your trusted Grand Ave dentist means they’re right here in the neighborhoods you already live your life in—West End, Ironwood, Cooper Ridge, 59106, 59102. Accessibility matters. Familiar faces matter.


How to Take Care of Your New Restoration

Here’s all you really need:

  • Brush gently but thoroughly
  • Floss daily
  • Avoid chewing ice or jawbreaker-level candy
  • See your dentist every six months
  • Wear a night guard if you grind

Simple steps. Big payoff.


When to Schedule Your Visit

If your tooth has been sensitive…
If you’ve noticed an old filling feeling loose…
If you’ve been putting off that “little chip” for months…

This is your sign.

Your smile deserves care that doesn’t feel rushed or confusing—just real, human, supportive dentistry.

Legacy Smiles is here to help you understand your options and get the treatment that protects your tooth for years to come.

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