When a tooth has been broken, chipped, or decayed, patients in the Paxton and Worcester, MA area have a variety of options for restoring health and function to the tooth. Depending on the extent of the damage, Dr. Scott Siemen, dentist at Paxton Dental Care, may recommend dental inlays or onlays.

Google review for Inlays and Onlays ~ Ashley P.

Dr. Siemen and his staff have been nothing short of professional. From the moment you step foot in the door until the moment you leave, the staff is always so friendly and accommodating. Their work in the dental chair is thorough, yet gentle. It would be difficult to find a dental practice that makes your experience much more pleasant than Paxton Dental Care.

What are inlays and onlays?

Also called partial dental crowns, inlays and onlays are conservative tooth restorations that cover more of a tooth than a filling, but less than a crown. An inlay is a custom-made restoration that repairs and restores the tooth’s biting surface. An onlay is like an inlay, but it covers both the biting surface and at least one of the chewing cusps on the tooth. They are more durable than fillings and will last quite a long time with good oral hygiene and regular dental care.

Learn how you can benefit from restorations like Inlays to combat the effects of dental decay!

Dental decay is one of the most common diseases in the world, and if left unchecked can lead to the extensive breakdown of the tooth and potential loss. To prevent further decay of the tooth and restore that which has been destroyed your dentist may choose to place a bonded indirect restoration known as an Inlay. This procedure begins with a removal of the decayed tooth structure. The dentist will also follow specific preparation guidelines to accommodate the Inlay restoration. Next an impression is taken of the prepared tooth. Once the impression is completed, a temporary filling is used to seal the Inlay in place. The impression is then sent to a Denta lab for custom fabrication of the Inlay. The Inlay maybe fabricated of either a composite material or ceramic. A choice that will depend on the location of the Inlay. Upon return from the lab the temporary inlay is removed, the tooth is then prepared with a cleaning agent and an adhesive agent that is used to bond the adhesive cement to the Inlay. This cleaning agent is rinsed off, and then the adhesive bonding agent is applied. This adhesive is then cured with blue light so that it hardens. The blue light waves have energy required to polymerize the bonding agent. A resin cement is then applied to the underside of the Inlay and placed on to the tooth preparation. Excess cement is removed with a small brush. The curing light is then used to harden the cement and bond the inlay to the tooth. Inlays are not only highly aesthetic and a good choice for larger restorations but also offer greater strength and hardness than regular fillings.

Inlays or onlays may be recommended by Dr. Siemen for:

  • Fractured tooth repair
  • Tooth decay
  • Replacement of old or broken fillings
  • Cosmetic purposes

Inlays and onlays are considered more conservative than porcelain crowns or other types of full dental crowns because they require the alteration of much less tooth structure than full crowns.

How inlays and onlays are placed

First, Dr. Siemen will discuss your treatment preferences and help you determine the right material to use for your inlay or onlay. Several different materials are available, such as gold, composite resin, or porcelain; most patients choose porcelain for its durability and natural tooth-like appearance. Dr. Siemen will prepare your tooth for the inlay or onlay and take several dental impressions so that the restoration can be custom-made for your tooth. Then, Dr. Siemen will place a temporary restoration on your tooth, so it is protected and to reduce sensitivity while your inlay or onlay is being made.

Once it is ready, you come back into the office, where Dr. Siemen will place your inlay or onlay on the tooth and carefully fit it so it both feels and functions like a natural tooth. Then, we cement it onto your tooth with a strong dental cement.

If you have any questions about inlays or onlays, feel free to call Paxton Dental Care today at (508) 557-2400!

Dr. Scott Siemen, DMD

Dr. Scott Siemen

A graduate from Worcester State College and Tufts University, Dr. Scott Siemen is a well renowned and skilled professional in the field of dentistry. He is a firm believer in developing and maintaining good relationships with his clients by being honest and providing the best possible dental care.

With over 25 plus years of experience in the field, Dr. Siemen established the Paxton Dental Care center with the vision of creating a relaxing and dental anxiety-free environment for his patients. His areas of specialty include porcelain veneers and cosmetic bonding, bite problems, advanced tooth wear, one-visit CEREC crowns, and sedation dentistry.

He is presently a member of the Massachusetts Dental Society and the American Dental Association.

Paxton Dental Care now offers Epic X Laser Teeth Whitening Treatment