Porcelain Onlay

What Is A Porcelain Onlay?

A Porcelain Onlay is a type of dental restoration that is used to repair a damaged or decayed tooth when the damage extends beyond a simple filling but does not warrant a full dental crown. It falls in between these two options and is often referred to as a “partial crown” or “inlay-onlay.” The onlay is custom-made to fit precisely on the tooth’s surface, covering and protecting it from further deterioration while blending seamlessly with the surrounding natural teeth. Before deciding on whether a Porcelain Onlay are right for you, there are some things you should know:

Who Needs A Porcelain Onlay?
What Are The Advantages Of A Porcelain Onlay?
What Are The Alternative Treatments If I Do Not Choose A Porcelain Onlay?
How Much Does A Porcelain Onlay Cost?
What Are The Steps In The Porcelain Onlay Procedure?
Can I Have A Porcelain Onlay If I Am Pregnant?
How Long Does A Porcelain Onlay Last?
What Are Common Problems with A Porcelain Onlay?

If you have any further questions about A Porcelain Onlay or other dental services offered at Atlas Dental, please contact us.

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Who Needs A Porcelain Onlay?

A porcelain onlay is a versatile and effective dental restoration option that may be recommended for individuals facing specific dental issues:

Moderate Tooth Decay: When a tooth is affected by moderate decay that is too extensive for a simple dental filling, but the damage does not require a full dental crown, a porcelain onlay becomes a suitable choice. The onlay can effectively restore the tooth’s structure, providing a durable and aesthetically pleasing solution.
Fractured or Damaged Teeth: Teeth that have minor to moderate fractures or damage due to trauma, wear, or grinding can be treated with porcelain onlays. These restorations are designed to strengthen and protect the compromised tooth, preventing further deterioration and potential tooth loss.
Large Old Fillings: Over time, traditional amalgam or composite fillings may wear out or fail to provide adequate support for a tooth. In such cases, a porcelain onlay can be an excellent option to replace the large filling and reinforce the tooth’s structural integrity.
Conservative Approach: One of the significant advantages of porcelain onlays is that they allow dentists to take a conservative approach to treatment. Unlike dental crowns that require more tooth structure to be removed, onlays preserve more of the natural tooth enamel, which is beneficial for long-term dental health.
Cosmetic Enhancement: Apart from addressing functional issues, porcelain onlays can also be used for cosmetic purposes. They can improve the appearance of discolored or misshapen teeth, providing a more uniform and pleasing smile.
Preventing Further Damage: If a tooth has deep grooves or pits that make it susceptible to decay, placing a porcelain onlay can help prevent future cavities and the need for more extensive treatments down the line.

It’s essential to consult with your dentist to determine whether a porcelain onlay is the right choice for your specific dental concern. A thorough examination and discussion of your oral health goals will enable your dentist to recommend the most appropriate treatment plan tailored to your individual needs. If you have further questions about Porcelain Onlays, please contact us.

What Are The Advantages Of A Porcelain Onlay?

Porcelain onlays offer several advantages as a restorative dental option, making them a popular choice for individuals with damaged or decayed teeth:

Natural Appearance: Porcelain onlays are custom-made to match the color, shape, and contour of your natural teeth. The porcelain material closely resembles tooth enamel, ensuring a seamless blend with the surrounding teeth. This natural appearance enhances your smile, allowing you to feel confident and at ease, even with a restored tooth.
Durability and Strength: Porcelain onlays are highly durable and can withstand the pressures of regular biting and chewing. They are particularly beneficial for molars and premolars, which endure more significant forces during chewing. With proper care, a porcelain onlay can last for many years, providing a long-term solution for a damaged tooth.
Preservation of Healthy Tooth Structure: Unlike dental crowns that require more tooth enamel to be removed, porcelain onlays are more conservative in their approach. They preserve a more significant portion of the healthy tooth structure, helping to maintain the tooth’s natural strength and reducing the risk of future complications.
Precise Fit: Porcelain onlays are custom-crafted to precisely fit the prepared tooth. Dental impressions and advanced technology ensure that the onlay matches the tooth’s contours perfectly, providing a snug and comfortable fit. This precise fit helps in restoring proper function to the tooth and prevents any discomfort during chewing.
Stain Resistance: Porcelain is a non-porous material, making porcelain onlays highly resistant to stains. This means that your restored tooth will retain its natural appearance and color over time, even when exposed to common staining agents such as coffee, tea, or tobacco.
Minimal Sensitivity: Compared to dental crowns, porcelain onlays typically cause less post-treatment sensitivity. Since less enamel is removed during the preparation process, there is less trauma to the tooth’s nerve, resulting in a more comfortable experience during and after the restoration procedure.
Biocompatibility: Porcelain is well-tolerated by oral tissues, making porcelain onlays a biocompatible option for dental restoration. Allergic reactions or adverse side effects are rare, ensuring that the restoration integrates seamlessly with your natural teeth and oral environment.
Quick and Convenient Procedure: Getting a porcelain onlay is a relatively straightforward and time-efficient process. After the tooth preparation, a dental laboratory fabricates the custom onlay, and once ready, your dentist bonds it securely to the tooth, completing the restoration in just a couple of visits.

Overall, a porcelain onlay offers a combination of cosmetic appeal, functional restoration, and tooth preservation, making it a reliable and attractive choice for those seeking to address dental issues without the need for a full dental crown. However, every dental case is unique, so it is essential to consult with your dentist to determine whether a porcelain onlay is the best solution for your specific dental needs. If you have further questions about Porcelain Onlays, please contact us.

What Are The Alternative Treatments If I Do Not Choose A Porcelain Onlay?

While porcelain onlays offer numerous benefits, they might not be the best option for every dental situation. Depending on the extent of tooth damage, your budget, and personal preferences, your dentist may recommend alternative tooth filling treatments to address your dental needs:

Composite Resin Filling: Composite resin fillings are a popular choice for treating small to moderate-sized cavities and restoring damaged teeth. They are made of a tooth-colored material that blends naturally with your teeth, providing a discreet restoration. Composite resin fillings are versatile and can be used for both front and back teeth. However, they may not be as durable as porcelain onlays and might need replacement more often, especially for larger restorations.
Glass Ionomer Filling: Glass ionomer fillings are another tooth-colored option for dental restorations. They are a blend of acrylic and glass materials and are typically used for small cavities, particularly in baby teeth or areas of low bite pressure. Glass ionomer fillings release fluoride, which can help prevent further decay. However, they are not as durable as porcelain onlays or composite resin fillings and may not be suitable for larger restorations.
Amalgam Filling: Amalgam fillings, also known as silver fillings, have been used for decades to treat cavities. These fillings are made of a combination of metals, including silver, tin, copper, and mercury. While they are durable and cost-effective, their silver color makes them more visible than tooth-colored alternatives, making them less popular for visible areas in the smile.
Porcelain Inlay: A porcelain inlay is similar to a porcelain onlay but is used to treat smaller areas of tooth damage. Inlays are placed within the cusps (points) of the tooth, while onlays cover one or more cusps. Like onlays, inlays are custom-made in a dental laboratory and offer a natural appearance. They provide an excellent alternative to onlays for smaller cavities or damaged areas confined to the tooth’s chewing surface.
Dental Crown: A dental crown, also known as a cap, is a custom-made restoration that completely covers the entire visible portion of a damaged tooth. Dental crowns are used when a tooth has significant decay or damage, and other filling options may not be sufficient. Crowns can be made from various materials, including porcelain, metal, or a combination of both. They provide exceptional strength and protection for weakened teeth.
Dental Veneer: Dental veneers are thin shells of porcelain or composite resin that are custom-made and bonded to the front surface of teeth to improve their appearance. They are an alternative to fillings for treating minor cosmetic issues, such as chipped or discolored teeth.

Choosing the most suitable treatment option depends on the extent of your tooth damage, your aesthetic preferences, and your dentist’s recommendation based on your unique oral health needs. It is essential to discuss the pros and cons of each alternative with your dentist to make an informed decision and achieve the best possible outcome for your dental health. If you have further questions about Porcelain Onlays, please contact us.

Cost of Porcelain Onlays

The cost of a Porcelain Onlay includes the dentist’s professional fee ($1140), plus the dental laboratory’s fee (approximately $200) in making the crown. The codes relevant to dental crowns in the Ontario Dental Association’s Suggested Fee Guide appear as follows:

Onlays, Porcelain/Ceramic/Polymer Glass (Bonded)

25531 – Onlay, Porcelain/Ceramic/Polymer Glass (Bonded): $1140 + Dental Lab Fee ($200)

The Ontario Dental Association’s Suggested Fee Guide is a proposed fee structure that dentists in Ontario may or may not follow. Please consult with your dentist about fees before going ahead with treatment.

Porcelain Onlays are considered a major restorative service under all dental insurance plans and may or may not be covered by your dental insurance. Be sure to find out from your dental insurance plan provider how much you are eligible for before going ahead with dental treatment. Your dentist can help you submit an predetermination to your dental insurance.

For patients without dental insurance, Atlas Dental is pleased to offer dental financing through Dentalcard. Affordable payment plans start at 7.95% for terms of 6 months to 6 years. To learn more about Dentalcard dental treatment financing, follow this link.

What Are The Steps In The Porcelain Onlay Procedure?

The process of getting a porcelain onlay typically involves several steps, which are carefully carried out to ensure a precise fit and successful restoration of the damaged tooth:

Initial Consultation: The first step is to schedule an appointment with your dentist for a comprehensive dental examination. During this consultation, your dentist will assess the condition of the affected tooth and determine if a porcelain onlay is the most appropriate treatment option for you. Dental X-rays may be taken to assess the extent of decay or damage and to determine the suitability of a porcelain onlay for your case. Please review these tooth filling pre-visit instructions before your appointment.
Tooth Preparation: If a porcelain onlay is deemed suitable, your dentist will begin by preparing the damaged tooth. This involves removing any decay or existing filling material from the tooth to create a clean and stable surface for the onlay to adhere to. The tooth is then reshaped to accommodate the onlay without interfering with your bite.
Impression Taking: Once the tooth is prepared, your dentist will take an impression of the treated tooth and the surrounding teeth. This impression serves as a mold and is sent to a dental laboratory, where skilled technicians will use it to create a custom-made porcelain onlay that precisely fits your tooth.
Temporary Onlay Placement: While your permanent onlay is being fabricated at the dental lab, your dentist will place a temporary onlay on the prepared tooth. This temporary restoration protects the tooth and maintains its functionality until the permanent onlay is ready for placement.
Onlay Fabrication: In the dental laboratory, the dental technicians will use the impression of your tooth to create your custom porcelain onlay. They will carefully craft the restoration to match the size, shape, and color of your natural teeth, ensuring a seamless integration into your smile.
Permanent Onlay Placement: Once the permanent onlay is ready, you will return to your dentist’s office for its placement. Your dentist will remove the temporary onlay and thoroughly clean the tooth to ensure proper bonding of the permanent onlay. They will then check the fit of the onlay and make any necessary adjustments before permanently bonding it to the tooth.
Final Polishing: After the onlay is securely in place, your dentist will polish it to achieve a smooth and natural appearance. The polished surface helps to prevent plaque buildup and promotes a comfortable bite.
Post-Treatment Care and Instructions: Your dentist will provide you with dental filling post-treatment care instructions to ensure the longevity of your porcelain onlay. It is essential to maintain proper oral hygiene, including regular brushing, flossing, and dental check-ups, to keep your onlay and natural teeth healthy.

The porcelain onlay procedure is generally straightforward and well-tolerated by patients. Always follow your dentist’s guidance and maintain regular dental visits to enjoy the full benefits of your restored tooth and overall oral health. If you have further questions about Porcelain Onlays, please contact us.

Can I Have A Porcelain Onlay If I Am Pregnant?

If you are pregnant and require dental treatment, consult your dentist and obstetrician to discuss the best course of action. In many cases, getting a porcelain onlay during pregnancy can be safe and beneficial for your oral health:

Safety Considerations: Generally, dental procedures, including the placement of a porcelain onlay, can be performed safely during pregnancy. Porcelain onlays are considered a conservative treatment option that helps preserve the natural tooth structure and reduces the need for more extensive procedures that might be riskier during pregnancy.
Timing of the Procedure: The best time to undergo non-emergency dental procedures, including getting a porcelain onlay, is during the second trimester of pregnancy. This period is generally considered the safest time for dental work, as the risk of complications is relatively lower. It is also essential to avoid dental procedures during the first trimester when the baby’s vital organs are forming.
Local Anesthetics: Local anesthetics used during dental procedures are generally safe for pregnant individuals when administered in recommended doses. Your dentist will choose an appropriate local anesthetic with minimal systemic absorption to minimize any potential risks to the developing fetus.
Radiographs (X-rays): Dental X-rays are typically avoided during pregnancy to minimize fetal exposure to radiation. However, if a dental X-ray is absolutely necessary for the diagnosis and treatment planning of your condition, your dentist will take precautions to minimize exposure to the fetus, such as using a lead apron to shield the abdominal area.
Communication with Your Healthcare Provider: If you are pregnant and require a dental procedure, including a porcelain onlay, it is crucial to inform both your dentist and obstetrician about your pregnancy. Provide them with your prenatal care records, including any medications you are taking or specific medical conditions you may have. This collaboration ensures that the dental treatment is tailored to your unique needs and is carried out with your overall health and pregnancy in mind.
Oral Hygiene during Pregnancy: Maintaining good oral hygiene is essential during pregnancy. Proper brushing, flossing, and regular dental check-ups can help prevent dental issues and ensure that any necessary treatments are addressed promptly.

By prioritizing your dental care, you can ensure a healthy smile for both you and your growing baby. If you have further questions about Porcelain Onlays, please contact us.

How Long Does A Porcelain Onlay Last?

On average, a well-maintained porcelain onlay can last anywhere from 10 to 30 years or more. Some onlays have been known to last even longer with proper care. The longevity of a porcelain onlay depends on various factors:

Quality of the Onlay: The quality of the porcelain onlay is a crucial determinant of its longevity. A well-crafted onlay made from high-quality materials by skilled dental technicians is likely to have superior strength and resistance to wear.
Oral Hygiene: Maintaining excellent oral hygiene is essential for the long-term success of any dental restoration, including porcelain onlays. Regular brushing, flossing, and dental check-ups help prevent plaque buildup and reduce the risk of dental decay around the onlay’s margins.
Dietary Habits: Avoiding excessive consumption of sugary or acidic foods and beverages can protect the onlay from acid erosion and subsequent decay. Additionally, refraining from using teeth to open packages or bite on hard objects can prevent accidental damage to the onlay.
Teeth Grinding (Bruxism): Individuals who grind their teeth may experience accelerated wear on dental restorations, including onlays. Wearing a nightguard or occlusal splint can help protect the onlay from the effects of bruxism.
Regular Dental Check-ups: Routine dental check-ups are vital for monitoring the condition of the porcelain onlay and detecting any issues early on. Your dentist can address minor problems before they develop into more significant concerns.
Personal Habits: Avoiding habits such as nail-biting, chewing on pens or pencils, or using teeth as tools can prevent unnecessary stress on the onlay, prolonging its lifespan.

Regular dental visits, good oral hygiene practices, and a conscious effort to protect the onlay can significantly contribute to its long-lasting success, helping you maintain a healthy and beautiful smile for years to come. If you have further questions about Porcelain Onlays, please contact us.

What Are Common Problems with A Porcelain Onlay?

While porcelain onlays are generally reliable and long-lasting dental restorations, like any dental procedure, they may occasionally encounter certain issues:

Fracture or Chipping: Although porcelain is a durable material, it can still chip or fracture under excessive force or impact. Chewing on hard objects, clenching, or grinding teeth (bruxism) can increase the risk of chipping or fracturing the onlay.
Loose Onlay: In some cases, a porcelain onlay may become loose or dislodged from the tooth. This can occur due to inadequate bonding or an issue with the onlay’s fit. A loose onlay can lead to discomfort and create a space for bacteria to accumulate, increasing the risk of decay.
Marginal Decay: The edges or margins of the porcelain onlay can become susceptible to decay if not adequately sealed against the underlying tooth structure. Inadequate oral hygiene or poor placement can contribute to marginal decay over time.
Tooth Sensitivity: Some individuals may experience increased tooth sensitivity after getting a porcelain onlay. This sensitivity is usually temporary and should subside as the tooth adjusts to the restoration. However, persistent or severe sensitivity may indicate a problem with the onlay’s fit or bonding.
Discoloration: While porcelain is highly stain-resistant, it is not entirely impervious to discoloration over time. Consuming highly pigmented foods and beverages or tobacco use can cause the onlay to become slightly discolored.
Grinding-related Wear: Individuals who grind their teeth may experience wear on the porcelain onlay over time. Using a nightguard or occlusal splint can help protect the onlay from the effects of bruxism.

While porcelain onlays are generally successful restorations, occasional problems may arise. Being proactive about your dental care, practicing good oral hygiene, and promptly addressing any concerns with your dentist will help ensure the continued functionality and aesthetic appeal of your porcelain onlay for many years to come. If you have further questions about Porcelain Onlays, please contact us.