Restorative dentistry · Myaree

Inlays and onlays, between a filling and a crown

An inlay fits inside the grooves of a tooth’s chewing surface; an onlay also covers one or more cusps. Both are made to fit outside the mouth, then bonded in place.

Illustration of a ceramic onlay fitted onto the biting surface of a back tooth.
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In plain English

What are inlays and onlays?

Inlays and onlays are custom-made pieces that repair part of a back tooth. They sit between a filling and a crown: stronger than a large filling, but they keep more of your own tooth than a crown.

Inlay

Fits within the grooves of the chewing surface.

Onlay

Also covers one or more cusps of the tooth.

Ceramic inlay and onlay pieces on a dental model
Ceramic onlay on a model tooth. Illustrative image.
See how it works

Inlays and onlays in pictures

Press play or use the arrows. Captions are on (CC).

Repairing part of a tooth. How a custom piece is made and fitted to a back tooth.

Step by step Inlays & onlays: how it works

Cross-section illustration of a molar with decay and an old filling in its chewing surface.

Step 1 Decay or an old filling has damaged the chewing surface of a back tooth.

Show transcriptHide transcript (4 steps)
  1. Decay or an old filling has damaged the chewing surface of a back tooth.
  2. The damaged area is removed, and the tooth is shaped.
  3. A custom ceramic inlay or onlay is made to fit the space.
  4. It is bonded into place and polished. An onlay also covers one or more cusps.
Illustration, not to scale. Your own treatment may differ, and your dentist will explain your plan.
At a glance

Treatment facts

Plain-language answers to common questions. General information only: your dentist will explain your own options, risks and costs after examining you.

Is it right for me?

It may suit you if

  • a back tooth has a large filling or a crack
  • a cusp (point) of the tooth has broken
  • the damage is too big for a filling, but there’s enough tooth to avoid a crown

Worth knowing first

  • If too little tooth is left, a crown may be better.
  • Some tooth is shaped away, and this can’t be undone.
  • Decay needs to be removed first.

What happens

  1. Check and plan

    We examine the tooth, take X-rays and explain your options.

  2. Preparing the tooth

    The tooth is numbed, and decay or the old filling is removed.

  3. 3D scan

    A digital impression of the tooth is taken.

  4. Making it

    With CEREC it is milled here, often the same day. Otherwise a lab makes it, with a temporary in between.

    1 or 2 visits
  5. Bonding

    It is bonded in place, the bite is checked and it is polished.

  6. Check-ups

    We check it at your regular visits.

Times are typical ranges only. Your dentist will give you your own plan.

Pre-visit checklist

Recovery and aftercare

The first few days

  • The tooth may be a little sensitive for a few days.
  • Wait until the numbness wears off before eating.
  • Call us if your bite feels high.

Looking after it long term

  • Brush twice a day and clean between your teeth.
  • Wear a night guard if you grind your teeth.
  • Keep up regular check-ups.

Read the crown and onlay aftercare guide

When to call us: ring (08) 9330 7115 if you have pain, a sore spot, sensitivity that isn’t settling, or anything else that worries you.

Risks to know about

Every treatment has some risks. Your dentist will talk you through the ones that apply to you.

  • Sensitivity after the tooth is prepared.
  • Chipping, wear or loosening over time.
  • Nerve problems in some deep repairs, which may later need root canal treatment.
  • Decay at the edges if the area isn’t kept clean.

Other options

Filling

Quicker and usually costs less, but may not be as strong for a large repair.

Crown

Covers the whole tooth when there is less tooth left.

Cost and paying

What affects the cost

  • inlay or onlay
  • the material used
  • same-day CEREC or lab-made
  • X-rays

We can’t give an exact price before we examine you. You’ll get a written, itemised plan and estimate before any treatment starts. Health fund rebates depend on your fund and level of cover.

Paying for an inlay or onlay

  • Estimate first. For planned treatment you get a written estimate with item numbers before you start.
  • Claim on the day. Bring your health fund card. We claim on the spot with Tyro, so you pay only the gap.
  • Check your cover. Use the health fund checker to see which item numbers to ask your fund about.
  • Ways to pay. EFTPOS and card, including tap and pay. Payment plans are available through Tyro and are tailored to each patient. Ask us about eligibility, terms and any fees before you start. Fees and payments
FAQs

Common questions

How is an inlay different from a filling?

A filling is shaped directly in the tooth. An inlay or onlay is made as one solid piece to fit the prepared tooth, then bonded in.

Can it be done in one visit?

Often, with CEREC same-day technology. Otherwise a temporary is placed while the piece is made.

How do I look after it?

Brush, floss and come for regular check-ups, as you would for natural teeth.

More FAQs

Related

You might also like to read

Information adapted from our main website, myareedental.com. General information only; it isn’t a substitute for advice from your dentist. Fees are confirmed in a written treatment plan after your examination.

Your next step

Request an appointment online, call or text our team.