When it comes to restorative dentistry, maintaining both the function and appearance of your teeth is key to long-term oral health. Treatments like dental onlays offer a versatile and minimally invasive solution for teeth that have suffered from decay or damage but do not require a full crown. If you’re curious about this option, this article will provide an in-depth look into dental onlays, their benefits, how they compare to inlays, and whether or not they’re expensive.
What Are Dental Onlays?
Dental onlays are a type of restoration used to repair damaged or decayed teeth. They are custom-made to fit the exact size and shape of the affected tooth. The purpose of an onlay is to restore both the chewing surface and the cusps (the pointed part of the tooth), as well as part of the sidewalls of the tooth if needed. In many ways, it serves as a middle ground between a filling and a crown, providing durable coverage for extensive damage without completely covering the entire tooth.
Onlays are typically made from materials such as porcelain, composite resin, or gold. At Legacy Smiles, we prioritize the use of tooth-colored materials like porcelain and composite resin to provide a natural look, ensuring the restoration blends seamlessly with your existing teeth.
How Do Dental Onlays Differ from Inlays?
Though dental onlays and inlays are often mentioned together, they serve slightly different purposes. The key difference lies in the extent of coverage on the tooth.
- Dental inlays are used when the damage or decay is confined to the chewing surface, without affecting the tooth’s cusps. An inlay fits snugly within the grooves of the tooth but does not extend over the edges.
- Dental onlays, on the other hand, cover a broader area. Not only do they restore the tooth’s chewing surface, but they also extend over one or more cusps of the tooth. In this way, onlays can repair more significant damage than inlays but still conserve more of the natural tooth structure than a full crown would.
To summarize:
- Inlays fit within the tooth’s cusps.
- Onlays cover one or more cusps, providing more extensive protection and support.
Why Do I Need Dental Onlays?
Our dentist may recommend them for several reasons. The need for an onlay typically arises when a tooth is too damaged for a regular filling but does not need a full crown. Here are some common scenarios where an onlay might be the right choice:
- Moderate Tooth Decay: When a cavity is too large for a standard filling but not severe enough to require a crown, an onlay can provide the necessary support to restore the tooth’s integrity.
- Cracked or Fractured Teeth: If your tooth has suffered a crack or fracture, especially on one or more cusps, an onlay can repair the damage while preserving more of the healthy tooth structure.
- Replacement of Old Fillings: Old or worn-down fillings that no longer provide adequate protection can be replaced with an onlay for better durability and aesthetics.
- Large Fillings: Teeth that already have large fillings are more prone to breakage. Onlays can provide extra reinforcement, reducing the likelihood of further damage.
By using an onlay, you not only restore your tooth but also protect it from future complications, such as additional decay or fractures.
Benefits of Dental Onlays
Dental onlays provide a host of benefits for patients looking for durable and natural-looking tooth restoration options. Let’s take a look at some of the top advantages.
Conserves More Tooth Structure
One of the biggest benefits of dental onlays is that they conserve more of your natural tooth structure than a crown. Instead of grinding down the entire tooth, as is necessary for a crown, an onlay only covers the damaged or decayed portion. This conservative approach helps maintain the overall strength and integrity of the tooth.
Durability and Strength
Onlays are extremely durable and can withstand the pressures of chewing and biting. Materials like porcelain and composite resin are engineered to last for many years, making onlays a long-lasting solution. In fact, with proper care, dental onlays can last up to 20 years or more.
Natural Appearance
At Legacy Smiles, we understand the importance of aesthetics when it comes to dental restorations. Our dental onlays are made from tooth-colored materials that blend seamlessly with your natural teeth, so no one will know you’ve had dental work done.
Prevents Further Decay
Onlays not only restore damaged teeth but also prevent further decay. By sealing off areas of the tooth that are vulnerable to bacteria, onlays help reduce the risk of additional cavities or infections developing.
Improved Comfort
Compared to large fillings or crowns, dental onlays provide a more comfortable and precise fit. They are custom-made to the shape of your tooth, ensuring that the restoration fits perfectly and functions as a natural part of your bite.
Are Onlays Expensive?
The cost of dental onlays can vary depending on several factors, such as the material used, the size of the onlay, and the complexity of the procedure. On average, a dental onlay can range from $650 to $1,200 per tooth.
While this may seem like a significant investment, it’s important to consider the long-term benefits of opting for an onlay over other treatments like fillings or crowns. Onlays are highly durable and provide excellent protection for your tooth, reducing the need for additional dental work in the future. Additionally, at Legacy Smiles, we work with patients to explore payment options and insurance coverage to help make the treatment more affordable.
If you’re comparing costs, here’s a general breakdown of restorative treatments:
- Fillings: $100 – $400
- Onlays: $650 – $1,200
- Crowns: $800 – $2,500
Although dental onlays may fall in the middle range, their longevity, and ability to conserve more of your natural tooth structure make them a worthwhile investment.
The Process of Getting a Dental Onlay
If you’re scheduled for an onlay procedure at Legacy Smiles, here’s what you can expect:
- Initial Consultation: During your first visit, Dr. Kolten Astle will examine your tooth to determine if an onlay is the best option for you. X-rays may be taken to assess the extent of the damage.
- Tooth Preparation: Once it’s confirmed that an onlay is needed, Dr. Kolten Astle will remove the damaged or decayed part of the tooth. The tooth is then cleaned and prepared for the onlay.
- Impressions: An impression of your tooth is taken to create a custom-fitted onlay. This impression is sent to a dental lab, where your onlay will be made.
- Temporary Onlay: While your permanent onlay is being created, Dr. Kolten Astle will place a temporary onlay on your tooth to protect it.
- Fitting and Bonding: At your next visit, the temporary onlay is removed, and the permanent onlay is bonded to your tooth. Dr. Kolten Astle will ensure the fit is perfect and that the onlay functions properly within your bite.
- Final Adjustments: After the onlay is placed, our dental team will make any necessary adjustments to ensure your bite is comfortable and natural.
Conclusion
Dental onlays offer an excellent solution for patients who need more than a filling but don’t require a full crown. They provide durability, strength, and a natural appearance while preserving more of your tooth’s structure.
If you think a dental onlay might be the right option for you, or if you have any questions about restorative treatments, reach out to Legacy Smiles today for a consultation. We’re here to help you achieve a healthy, confident smile!
