Are Onlays the Right Option for Your Damaged Teeth?

When a tooth is damaged by decay or injury, choosing the right type of dental restoration is important for maintaining its strength and function as much as possible. For some patients, a filling may not be sufficient — but a full dental crown may not be necessary. In these cases, an onlay may be the customized middle-ground solution they're searching for. At Maison BE Dental Studio, NYC dentist Dr. Ellen Katz provides advanced dental inlay and onlay treatments to help restore damaged molars and premolars with natural-looking, long-lasting results when a filling isn't enough.

What's the difference between an onlay and a crown?

Generally speaking, dental onlays are considered a step above a filling but less extensive than a dental crown. While fillings are used for small cavities — and crowns cover the tooth — an onlay is designed to restore only the damaged portion of the tooth. A high-level comparison of fillings vs. onlays vs. crowns includes:

• Fillings repair small cavities within the tooth structure
• Onlays cover the upper edges and biting surface of a tooth
• Crowns encase the tooth when significant damage is present

Overall — when it comes to moderate tooth decay or fractures — an onlay preserves more of the natural tooth than a full crown while still providing substantial strength and protection.

When is an onlay recommended?

While every patient's case is unique, a dental onlay may be recommended for patients with:

• A large cavity that's too big for a filling
• Cracked or fractured teeth that need extra reinforcement
• Weakened molars or premolars that require added support
• Damage that does not extend to the full tooth structure

If the damage is confined to the center of the tooth, a dental inlay may be more appropriate. Dr. Katz evaluates each patient's needs through a comprehensive dental exam and digital imaging to determine the ideal course of treatment.

What are dental onlays made of?

Onlays can be made from several different materials, each with a distinct set of characteristics and advantages based on the patient's particular needs and goals. Some of the most popular dental onlay materials include:

• Porcelain, which blends seamlessly with natural teeth for a discreet, aesthetic result
• Composite resin, which offers a cost-effective option with a natural appearance
• Metal (gold or silver), which provides exceptional durability, often used for molars

During your initial consultation and exam, Dr. Katz will discuss the right onlay material based on function, aesthetics, and personal preferences.

What is the process of getting a tooth onlay?

At Maison BE Dental Studio, onlays can be crafted using CEREC same-day technology or a dental laboratory, depending on the patient's needs. While each experience is unique, the process of placing a dental onlay typically includes some combination of the following:

• Consultation and exam, during which dental x-rays are taken to assess the level of tooth damage
• Tooth preparation to remove the damaged or decayed portion of the tooth
• Digital impressions and fabrication, for which patients may choose between:
  • Same-day restorations with CEREC technology for immediate placement
  • Lab-created onlays that require a second visit for bonding
• Placement and bonding for long-term durability

How long do onlays last?

With proper care, dental onlays can last up to 10 – 15 years or longer. Regular brushing, flossing, and routine dental check-ups can help ensure longevity and prevent future decay or damage so you can enjoy a seamless, healthy, beautiful smile for decades.

Not sure about your choice between a dental crown vs. filling? Consider the benefits of dental onlays in New York, NY

If you have a damaged or decayed tooth that may require more than a filling but not a full crown, an onlay could be the perfect solution. At Maison BE Dental Studio, Dr. Ellen Katz offers state-of-the-art restorative dental treatments — including custom inlays and onlays — to help patients achieve stronger, healthier smiles. Schedule a consultation today to learn more about onlays and other dental restoration options in New York, NY, and get a personalized dental plan that offers the peace of mind you deserve.