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By Dr. Stephanie ML Wong, DMD, Inc.
July 15, 2014
Category: Dental Procedures
Tags: Fillings  
FrequentlyAskedQuestionsaboutInlaysandOnlays

Q: I’ve never heard these terms used in dentistry. What are they?
A: In the decorative arts, an inlay refers to a small piece of distinctive material that’s set into a larger matrix: a mother of pearl accent worked into the lid of a wooden box, for example. In dentistry, it means something similar: a filling (or restoration) that’s fabricated in a dental laboratory, and then set into a tooth in an area that has been damaged or lost.

Q: What’s the difference between inlays and onlays?
A: An inlay is made to fit in between the cusps (small points or ridges) of a back tooth (molar or premolar), and it covers only a small region of the biting surface of the tooth. If the restoration covers one or more of the cusps, it’s an onlay.

Q: Why would I need to have one of these restorations?
A: When a tooth has suffered damage (from decay or trauma, for example), and the affected area is too large to fill with a simple filling — but not large enough to need a full crown (cap) — then an inlay or onlay may be just right. Both of these procedures are considered “indirect fillings,” because the restoration itself is custom-fabricated in a laboratory and then bonded to the tooth in the dental office.

Q: What is the procedure for getting an inlay or onlay?
A: It’s similar to having a crown placed, in that it typically takes more than one office visit — yet an inlay or onlay involves less removal of tooth structure than a crown would require. On the first visit, after the area has been anesthetized (usually with a numbing shot), any decay is removed, and the tooth is shaped to receive the restoration. Next, a model of the tooth is made (either with putty or in digital form), and the tooth receives a temporary filling. The laboratory uses this model to create the actual inlay or onlay, which may take a few days; it is then permanently attached to the tooth on a second visit to the office. However, with today’s advances in CAD/CAM (computer aided design/ manufacturing) technology, some inlays or onlays can be made in the office and placed in the same visit.

Q: What else do I need to know about these tooth restorations?
A: Both inlays and onlays are strong and long-lasting restorations that need no more care than you would normally give your teeth: namely, regular brushing and flossing, and periodic checkups at our office. But because they don’t require the removal of a great deal of natural tooth material, they are considered relatively conservative treatments. After a thorough dental examination, we can recommend the type of tooth restoration that’s most appropriate in your individual circumstances.

If you’d like to find out more about inlays or onlays, please contact us or schedule an appointment for a consultation. You can also read the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “The Natural Beauty of Tooth Colored Fillings.”

By Dr. Stephanie ML Wong, DMD, Inc.
May 16, 2014
Category: Dental Procedures
Have you been paying too much attention to your smile? Is it negative attention? If so, it may be time to have your smile assessed by a professional. You may be dealing with malocclusion. Oral Health
 

How Is the Spacing Between Your Teeth? 

Many patients come in with spacing problems, whether it’s gaps or crowding. Even the smallest dental imperfection can stick out like a sore thumb to a patient, and that’s something we take into consideration when we approach this from an esthetic point of view.
 
However, we also need to look at spacing problems from the perspective of function. Correcting malocclusion will improve the biting function of teeth while also making it easier to clean around and between certain teeth. This will be a positive change for your oral health, which is most important to you and us.
 

What’s Your Dental History Look Like?

A treatment plan is created around your dental history. Here is what we need to know about:
  • Missing teeth
  • False teeth
  • Gaps
  • Fillings
  • Crowding
  • Cosmetic treatment (dental implants, bonding, veneers, etc.)
  • Past orthodontic work

What Is Most Important to You?

Patients have primary goals for their smiles. Do you want to fix that space in the front teeth? Do you have a wedding down the road and need a less revealing orthodontic treatment? Find out what is most important to you and discuss it with us. Communicating your dental needs is the first step to figuring out what kind of treatment you need and want.
 

Honolulu Residents: Is Invisalign Right For You?

Malocclusion requires orthodontic treatment, and today’s dentistry offers a variety of orthodontic devices for treating misalignment and/or an impaired bite. At our office, we focus on patient convenience and comfort, which is why we provide the Invisalign system to your Honolulu patients.
 
Do you want to know more about Invisalign in Honolulu? Call our office today. We are happy to answer your questions.


Stephanie Wong

Dr. Stephanie Wong is unlike any other dentist you've ever been to.  The reason she became a dentist was her yearning to help and heal her patients.  Her goal was to "Create Life Changing Experiences".  She is also well regarded...

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