At City Smiles DC, we provide our patients, young and old, with dental onlays and inlays when a simple filling will not do the job, but a porcelain crown is not necessarily warranted for the tooth decay that needs to be addressed. A dental onlay or inlay is very similar to a tooth-colored filling, but is used when a patient has significant tooth decay, yet still has enough healthy tooth left to not need a whole crown. Our board-certified dentist, Dr. Stuart Ross can make a digital impression of your tooth, create a mold of the lost section, and create an onlay or an inlay to fit in the area so that the tooth can be whole again.
Inlays and onlays can be made with several materials, including gold, porcelain, or resin. For visible front teeth, Dr. Ross will usually recommend a tooth-colored porcelain to match your existing teeth, and to maintain the appearance of the smile. Resin may be used for the molars, which will last longer against teeth grinding. Patients report to Dr. Ross that these restorations, with good care, are a long-lasting solution to their dental decay. If you would like to learn more about inlays and onlays, schedule a consultation with one of our friendly Patient Coordinators in our Washington, DC office.
When the center of a tooth is damaged, or a deep filling noticeably needs replaced, we can apply a tooth-colored dental inlay to the surface are of the tooth to strengthen it for chewing without the need for a dental crown.
Onlays, which are placed on the cusps, or the biting surface of the teeth, to make the tooth more durable, can also strengthen teeth when a filling won't do the job and a crown really isn't necessary at this point. Oftentimes, patients will opt for dental onlay treatment for cosmetic reasons, bite issues, misalignment, upgraded crowns, and more.
"This review only contains a rating"- A.P. / Google / Mar 19, 2017
"I was referred to Dr. Ross for veneers. Wow.....I've never felt so comfortable in the dentist chair until my visit at City Smiles. Dr. Ross and Tina were so professional, warm, and comforting. I had a lengthy procedure - 6 veneers in one day. The technology they offer creates veneers almost instantly. They talked me through every step of the process. I highly recommend Dr. Ross for veneers and plan to use City Smiles for my regular visits."- K.A. / Yelp / Nov 27, 2017
"A completely different experience than I am accustomed to from a dental practice. I have been to two types of dentists before. One has the dentists doing the cleaning and x-rays and just about everything else. The other had a hygienist do the cleaning and the dentist would come in for about 10 seconds and say "You need to brush and floss more". In either case the level of care was probably average. Dr. Ross's office was a completely new experience. Based on his credentials and the scattered gray hair (he seems to have a great humbled sense of humor too), he has been practicing for a long time so he has a lot of experience, but it looks like he keeps up with all of the latest technology and has not stagnated. Some of the equipment is impressive. I am an Engineer so it was interesting to hear about some of it and Dr Ross was excited to show me. Dr. Ross spent more time with me than any other health care provider I have ever seen. He took many close up digital images of my teeth from every angle and used a digital X-Ray machine. He was instantly able to show me exactly where the problems were and it was very clear. I could also see quite clearly that I needed to get a sharper razor. All of the other dentists I have been to look with their eyes and try to explain in words what they are seeing. It might be obvious to them but the pictures really helped me. The hygienist was very professional and thorough. If your hygienist is not referencing X-Rays and close up images as they are cleaning your teeth and gums, they are behind the times. They are flying blind. You might get out of your dentist with a checkup and cleaning for $99.95, but it looks like Earl Sheib cleaned your teeth. By the way, the 1990's called, they want their dentist back.The receptionist staff was friendly and patient. I think with the proliferation of online reviews, many practices are paying more attention to how patients are treated by employees other than just the doctor. I have noticed an improvement at other dentist's/doctor's offices and it is very clear here that it is important. Dr. Ross was forthcoming on the costs of the various procedures I should consider, some of which he could provide and others he could not. Once I saw the pictures and he explained how not fixing certain issues would degrade my teeth faster since the hard enamel is worn or chipped, it made sense what I needed to do. I have had a few crashes/hits that affected my teeth so I was not expecting the best report card, however, I did not feel pressured to do anything at any point. In fact, I left the office without making any follow up appointments. No medical procedure is cheap so there are tough decisions to be made. I will be going back to have some more work done soon though, and will schedule the rest over time. I would rather deal with the issues up front while I am younger than be getting a ton of bridges, root canals, implants ... when I am 75 which would ultimately cost a lot more money. And I will have better looking teeth now. Probably like remodeling the kitchen right after you buy the house or right before you sell it. Do I want a nice smile now or do I want to look good at my funeral? I came in from Rockville to specifically to see Dr. Ross because my wife went to see him based on the great reviews and a recommendation from a friend. She had nothing but good things to say when she came home and had two teeth perfectly repaired. There are plenty of other dentists between my house and the middle of DC but I felt like I needed to re-baseline what I should expect from a dentist. Glad I went. There is a good pastry shop, Paul, right around the corner too. Dirty up all of the work you just had done. 3% of the reason I trekked in to DC. And no matter what they say, those donuts are not "oven baked" they are deep fried. Maybe I should write a review of Paul while I am at it."- R.B. / Google / Nov 12, 2017
"Amazing experience. No pain, clean teeth, lots of knowledge, high tech without the price. Don't forget the M&M dispensers everywhere!!! Keeps you coming back!"- M.R. / Yelp / Oct 24, 2017
"Dr. Ross and his team are wonderful. Highly recommend checking them out!"- B.S. / Google / Oct 22, 2017
What to Expect
A dental inlay or onlay usually takes 2 visits to the dentist’s office. During the first visit, the dentist will prepare the damaged tooth or teeth and make an impression for a molds that will be sent to a dental laboratory. Once the custom inlay or onlay is made at the lab and returned to the dentist, the patient will come in to have their inlay or onlay placed, fitted, and bonded.
Once the inlay or onlay is bonded to the tooth, patients should not need to alter their home oral care routine. Inlays and onlays should be brushed with the natural teeth at least twice a day and flossed at least once a day. The inlay or onlay may wear down over time and need to be replaced. Patients should continue to see their dentist at least twice a year for professional cleanings and an annual exam where the dentist can check the integrity of their inlay or onlay.
The cost will depend on how many areas are being treated, the size of the areas treated, and the material chosen for the inlay or onlay. During the initial consultation, the dentist will go over the patient’s options and the break down of costs.
Plan Your Procedure
- Procedure Recovery Location
Restore, Renew, and Protect
Are you ready to revamp your smile at City Smiles with Dr. Stuart Ross? If your smile needs a touch-up to hide those cracks, chips, or decayed sections of your tooth, give us a day to create quality molds with our in-office, digital impression technology. Schedule a consultation with Dr. Ross, where you can discuss your smile goals, discover our available treatments in more detail with inlays and onlays in our Washington, DC office.