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Inlays and onlays

Direct billingCDCP registeredSame dentist every visit

An inlay or onlay is a solid, custom-made repair, bonded into a tooth that is too damaged for a filling but not damaged enough to need a crown. An inlay sits within the cusps. An onlay also covers one or more of them.

What happens

How it is made and fitted

The scanning and design are done here, on our own equipment.

PreparationThe tooth is frozen and the damaged part removed, leaving a clean shape for the repair to key into.
Digital scanThe shape is captured with a 3D scanner rather than a tray of impression material.
DesignThe restoration is designed on that scan, so it meets the opposing tooth the way the original did.
MillingIt is milled from a solid block of porcelain, which is why it does not shrink the way a layered filling can.
BondingIt is bonded into the tooth, the bite is checked and the edges polished smooth.
Not sure which one your tooth needs?Request AppointmentCall 780-434-8749

An inlay, or an onlay?

Inlay

Where it sits
  • Fits inside the cusps, in the dip of the tooth.
  • For damage in the middle of the biting surface.
  • Keeps the most tooth of the two.

Onlay

Where it sits
  • Covers one or more of the pointed cusps as well.
  • For a tooth with a broken or worn corner.
  • Protects a weakened cusp from splitting off.

They are the same treatment in different sizes. Which one you need is decided by how far the damage reaches, not by preference, and often only once the old filling is out.

How much is covered

Filling, inlay, onlay or crown

The four repairs are the same idea at four sizes. Which one you need is decided by how much sound tooth is left to hold it.

The smallest repair that will hold is always the right one

  1. FillingA small hole
  2. InlayA bigger hole
  3. OnlayA cusp has gone
  4. CrownMost of the tooth

more of your own tooth keptmore of it replaced

The same tooth, four repairs. Which one you need is decided by how much sound tooth is left, not by preference.

Where it fits

Filling, inlay, onlay, or crown?

Four repairs for the same tooth, in order of how much they cover. The rule is to use the smallest one that will actually hold.

If
A small or medium cavity, with strong walls around it
Then
FillingPlaced and finished in one visit, and the least tooth is removed.
If
A large cavity, but the cusps are still sound
Then
InlayStronger and better shaped than a very large filling, and it does not shrink.
If
A cusp is broken, cracked or worn away
Then
OnlayCovers and protects the weak cusp without cutting the whole tooth down.
If
Little sound tooth left, or the tooth has had a root canal
Then
CrownFull coverage is the only thing that will hold it together.

Afterwards

What to expect

Porcelain does not stain and does not shrink. The tooth around it still needs looking after.

Floss the edgesThe join is where new decay starts, exactly as with a crown. It is below the contact point, so a brush will not reach it.
Nothing hardPorcelain is strong under chewing and brittle at an edge. Ice and popcorn kernels are what chip them.
A guard if you grindClenching loads a bonded restoration in a way normal chewing does not.
They are checked at each visitWe look at the margins and the bite. A small repair caught early avoids a remake.
Opens at 8am, Monday to Saturday

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780-434-8749
2118 109 St NW, Edmonton, AB T6J 7C1
In Heritage Square, right next to the IDA Pharmacy
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FAQ

What does an inlay or onlay cost?

We go over the quote with you before any work is done. We bill your insurer directly wherever your plan allows it. We make every attempt to work with your insurer so your plan covers as much as it can, and what a plan finally pays is the insurer's decision. The practice is a registered provider for the Canadian Dental Care Plan. There is more on fees and insurance.

What is the difference between an inlay and an onlay?

An inlay fits within the cusps, the raised points on the biting surface. An onlay covers one or more of those cusps as well. The choice depends on how much of the biting surface is gone.

Why not just have a large filling?

A very large filling in a back tooth can act as a wedge under chewing force and split the tooth. An inlay or onlay is made outside the mouth and bonded in, which distributes that force more evenly.

How many appointments does it take?

Traditionally two: one to prepare the tooth and take an impression, and one to fit the finished restoration, with a temporary in between.

How does the cost compare with a crown?

They occupy similar territory. The reason to choose an inlay or onlay is usually conservation of natural tooth rather than price.

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