We practice conservative dentistry with inlays and onlays to rebuild damaged teeth
At the Athens Dental Group, we ask: “Why place a full crown when you can place a partial crown (or dental onlay)?” Or, “Why place a partial crown when you can place a dental inlay?” And lastly, we ask, “Why place a dental inlay when you can place a ‘simple’ filling?” These questions also represent our fundamental approach to caring for all the oral health needs of individuals and their families from across greater northern and eastern Georgia. Led by Drs. Drew Richardson, Brant Sandifer, and R. Lawrence George, our team practices conservative dentistry.

What exactly are dental inlays and onlays?
Our teeth are made up of parts. The white part above the gum line noticeable when you smile is called the “crown.” Our natural crowns may sustain damage due to progressive enamel erosion, tooth decay such as cavities, and deep or severe inflammation and infection at the tooth’s center (its pulp chamber).
Excessive wear and tear due to behaviors like chronic teeth grinding, cracks, and other trauma can also break down the protective, hard enamel covering of the tooth. When this happens, the softer inner parts of the tooth are vulnerable to damage, too.
Fortunately, our talented and experienced dentists can replace lost or weakened tooth structure. They do so with dental restorations like inlays and onlays. Both types of restorations can be made from “tooth-like” materials like color-matched ceramics and composite resin. These materials are prepared and applied to the natural, remaining tooth structure. Once bonded or secured in place, the inlay or onlay fills in the deteriorated or lost parts of the tooth. The strength of the tooth is restored.
What is the difference between an inlay versus an onlay?
Generally, an inlay may be suitable for patients with a tooth that has a larger cavity. A simple dental filling must have sufficient remaining tooth structure for the dental material or restoration to hold on to and to support the lasting health and functionality of the treated tooth. If not, the tooth is susceptible to further damage. An inlay provides more coverage and support to a tooth with more extensive damage. An onlay is a step up in terms of coverage from an inlay. It is sometimes referred to as a “partial crown” because the onlay is considered to be an alternative to a full dental crown.
Preserve and Protect Your Natural Tooth with Inlays and Onlays
If you have a damaged tooth that doesn’t require a full crown, Athens Dental Group can repair it with an inlay or onlay. We provide personalized care for every member of your family to keep your smiles healthy and functional. Contact us about your options today.
How do you treat teeth with inlays and onlays?
The process is generally no more extensive than a routine filling. To ensure utmost comfort, a localized anesthetic is applied. So, you won’t feel anything as we go to work removing any damaged tissue and reshaping the tooth. Once we have given the tooth a “clean slate,” the prepared dental material is skillfully applied to build and restore the tooth. For inlays, the material covers just the surfaces of the teeth and not the high points (cusps or tips). For onlays, the material covers both the chewing surfaces and at least one of the tip(s) or cusp(s). Once everything looks and feels perfect, the material is “fixed” or bonded in place.
Frequently Asked Questions About Inlays/Onlays
When might a dentist recommend an inlay or onlay instead of a traditional filling?
How do inlays and onlays support a conservative approach to dentistry?
Inlays and onlays allow dentists to repair teeth while preserving as much healthy enamel as possible. Rather than covering the entire tooth with a crown, these restorations target only the damaged areas. This conservative treatment approach helps maintain the natural structure and long-term health of the tooth.
What types of dental problems can inlays or onlays treat?
Inlays and onlays are often used to repair teeth affected by moderate decay, cracks, or wear. They can also strengthen teeth weakened by older fillings or damage from grinding. These restorations help rebuild lost structure while restoring the tooth’s ability to function normally.
Are inlays and onlays noticeable when you smile or talk?
Most modern inlays and onlays are crafted from tooth-colored materials designed to blend with natural enamel. Dentists carefully match the shade of the restoration to surrounding teeth. Once bonded in place, the restoration typically looks very natural and is difficult to distinguish from the original tooth.
What is the average duration of dental inlays and onlays?
With proper care, inlays and onlays can last many years. Their durability depends on oral hygiene habits, diet, and the amount of stress placed on the treated tooth. Routine dental checkups and avoiding habits such as chewing ice or grinding teeth help extend their longevity.
Is the procedure for placing an inlay or onlay uncomfortable?
The procedure is usually comfortable because dentists use local anesthesia to numb the area. Patients typically feel little to no discomfort during treatment. After the restoration is placed, mild temporary sensitivity may occur, but it usually resolves as the tooth adjusts.
How do dentists ensure inlays and onlays fit properly?
Dentists carefully prepare the tooth and take detailed impressions or digital scans to create a restoration that fits precisely. This custom design allows the inlay or onlay to align with surrounding teeth and maintain proper bite balance, ensuring comfort when chewing.
Can inlays and onlays help prevent future tooth damage?
Yes. By reinforcing weakened tooth structure, these restorations help protect teeth from additional cracks or decay. Strengthening the damaged area can reduce the likelihood of needing more extensive treatment later, such as a full crown or tooth extraction.
Are inlays and onlays suitable for patients who grind their teeth?
Patients who grind or clench their teeth may still benefit from inlays or onlays. However, dentists often recommend protective measures such as wearing a night guard. Reducing excessive pressure on the teeth helps protect restorations and maintain overall dental health.
How can I find out if an inlay or onlay is the right treatment for my tooth?
The best way to determine whether an inlay or an onlay is appropriate is through a dental evaluation. At Athens Dental Group, the dentist will examine your tooth, review your symptoms, and recommend the most suitable restorative option to restore strength and function.
Athens Dental Group welcomes any additional questions that you may have. Proudly serving Watkinsville, Athens, Winder, Bethlehem, Jefferson, Winterville, Madison, and other communities in greater Clarke and Oconee counties, our team in Athens, GA, can be reached at (706) 666-4611.

