Porcelain Inlays and Onlays: Restoring Large Cavities Without a Full Crown

When dealing with a large cavity that’s too big for a traditional filling, many people assume a full crown is the only solution. However, for patients looking to preserve more of their natural tooth structure while still receiving long-lasting protection, porcelain inlays and onlays offer a beautiful, conservative alternative.

These custom restorations blend seamlessly with your smile and can help maintain your oral health without the need for more aggressive treatments. At Roots Dental in Meridian, we believe dental care should fit your life, not the other way around. That’s why we take a compassionate, whole-person approach to every treatment plan, tailoring care to suit your individual needs.

What Are Porcelain Inlays and Onlays?

Porcelain inlays and onlays are lab-fabricated restorations used to repair moderate to large damage from decay or fractures, especially in molars and premolars. They're often referred to as “indirect fillings” because they’re created outside the mouth at a dental lab, then bonded to the tooth surface by a dentist.

These restorations are a perfect middle ground between standard fillings and full dental crowns, offering excellent protection while preserving more of your natural tooth structure. Here’s a closer look at each:

• Inlays: Fit within the cusps (or “points”) of the tooth, restoring the internal chewing surface.
• Onlays: Extend over one or more cusps, covering a broader area and offering additional strength to the tooth structure.

Crafted from durable porcelain, both inlays and onlays are color-matched to your natural teeth and are resistant to stains and fractures. They’re ideal for restoring function while preserving as much of your healthy tooth structure as possible.

When Are Inlays and Onlays a Better Option?

Choosing the right restoration depends on the extent of tooth damage, cosmetic goals, and long-term durability. At Roots Dental, Dr. Bill Frei and Dr. Stephen Thomas often recommend porcelain inlays or onlays when:

• A cavity is too large for a traditional filling but doesn’t require a full crown.
• You want a more cosmetically appealing option compared to an amalgam filling or metal crown.
• You wish to preserve the maximum amount of your natural tooth.
• Your tooth has been worn down or fractured but still has a solid internal foundation.

This approach not only supports long-term tooth integrity but also minimizes unnecessary dental work, an important part of the holistic, patient-first philosophy we follow at Roots Dental.

Porcelain Inlays vs. Crowns: Why Choose Conservative Care

Full crowns can be excellent solutions for severely damaged teeth, but they require significant removal of tooth enamel. In contrast, inlays and onlays are more conservative, preserving as much healthy structure as possible. Here’s how they compare:

• Less Invasive: Inlays and onlays require only the decayed portion of the tooth to be removed.
• Natural Look: Porcelain materials mimic the sheen and shade of your real teeth.
• Long-Term Solution: With proper care, inlays and onlays have a lifespan of 10-15 years or longer, which is about the same as dental crowns.

They’re also less likely to cause post-treatment sensitivity than large fillings or crowns, which is especially comforting for those who may feel anxious about the dental experience. At Roots Dental, our calming environment and leading-edge technology help ensure your visit is as painless and positive as possible.

The Step-by-Step Process of Receiving Inlays or Onlays

Your journey to a restored smile begins with a thorough evaluation by Dr. Frei or Dr. Thomas. We start by gently removing any decay and preparing the tooth for restoration. Then:

• A digital impression is taken to design the custom inlay or onlay, no goopy molds required.
• We place a temporary restoration to protect your tooth while your permanent piece is fabricated in the lab.
• Once your porcelain inlay or onlay is ready, you’ll return for a second appointment, where it’s bonded securely in place for a snug, long-lasting fit.

Thanks to advanced techniques and meticulous care, the entire process is smooth and comfortable. Plus, for uninsured patients, Roots Dental offers a $149 new patient package and dental membership plans that are designed to keep high-quality care within reach.

Restore Your Smile with Inlays and Onlays in Meridian

If you’ve been told you need a crown, or if you’re looking for a long-lasting, natural-looking option for repairing a cavity, porcelain inlays and onlays may be the solution that’s right for you. 

At Roots Dental in Meridian, our dedicated team is here to help you feel confident and comfortable every step of the way. Call us today at (208) 906-0306 to schedule your consultation and experience compassionate dental care that puts your needs first.