Aesthetic restoration of teeth: inlays, onlays

Operative restoration of a tooth in one visit with a filling

If our main goal – to solve the problem quickly, then the therapist can restore our tooth in one visit with composite photopolymerization materials.

This solution will ensure that we:

• Quick relief from inconveniences;
• Rapid restoration of acceptable chewing function of teeth;
• Sufficiently high aesthetics of the seal due to modern materials;
• The service life of the restoration is up to 5 years.

However, we must be prepared for a number of risks:

• Aesthetic impairment over time: formation of a visible border between the restoration and the tooth, change in the texture of the filling;

• Continued destruction of the tooth under the filling due to shrinkage of the composite material and incomplete adhesion of the restoration;

• Tooth wall chipping if the restoration area was extensive;

• Bite change due to incomplete restoration of chewing tooth function and tooth shape.

«We are all used to having our teeth treated therapeutically. Every patient has his favorite dentist-therapist with golden hands, to whom he goes all his life. We are so used to it: toothache – we go to put a filling. For us it is clear, it is quick and easy.

But over time, with the advent of new technologies, our doctors are already offering us more advanced solutions: inlays, onlays. But we are cautious about it: it's more expensive, it's microprosthetics - everything new scares us a little bit.

But remember what dentistry was like 20 years ago! And now everyone has forgotten about cement fillings and pain during treatment. We're getting used to the need for 3D imaging, using innovative whitening systems, aligning teeth with the latest generation of clear braces, treating pulpitis with a microscope. And inlays and onlays will soon be a common treatment method because it ensures long-term aesthetic results and dental health in the future.»

What materials are used/what are inlays and onlays made of?

It can also be made of composite materials, but the service life of such a restoration, although made in a laboratory, will be reduced by about half, because the composite is not comparable in strength to ceramic or zirconium dioxide.

At «Konfidencia», doctors recommend zirconia dioscide restorations.

First reception

During the first visit, there is a consultation, a preparatory stage for diagnosis and preparation of the tooth.

During the consultation, you share all your worries with the doctor, then take a 3D picture. Based on the results of a CT scan and an external examination, the doctor offers you all treatment options that you discuss together and choose the best one for you.

The doctor treats the tooth and makes an impression using a special modeling wax, selects the color of the restoration.

Then a temporary protection made of a special plastic material is installed in the treated area until the next visit.

Diagnosis and fabrication of the restoration

Based on the 3D image and using the patient's impressions, the doctor makes a detailed diagnosis of the jaw alignment. Based on the diagnostic data, he performs computer modeling of the correct jaw alignment, recreates the shape and relief of the tooth and draws a model of the future inlay or onlay.

Then, in the dental laboratory, using the orthopedist's calculations and the patient's impressions, the technician fabricates the finished inlay or onlay.

Second reception

At the second visit, the prosthodontist will remove the temporary guard and try on the finished restoration. Only when the inlay or onlay is a perfect fit will the dentist cement it into the tooth opening using special cements or dental glue. When finalized, the inlay or onlay will be polished for a natural shine.

There may be a little discomfort at first: the patient may feel a little strange with the new tooth surface, but this feeling will soon pass.

Guarantees

The warranty period for orthopedic constructions in the clinic «Konfidencia» is two years.

When is a tab used and when is an overlay used?

Inlays or onlays can be used depending on the need, the affected area of the tooth, the bite condition, and the patient's aesthetic desires, and can be shaped in a variety of ways.

Inlays are often used in cases of wear in the lateral areas of the tooth to restore lost height, function, and relief. If the tooth has all the walls of the crown of the tooth intact and we need to restore the interior cavity, we will use an inlay.

• The tab is used to restore a small cavity in the center of the tooth.
• The overlay is used for restoration when one or more tooth mounds are completely overlapped.

But the principle of the work is quite identical, as is the cost.

Onlay or veneer?

Onlays are used in restoring chewing teeth, veneers – are «onlays» on front teeth.

Cost of restorations