Save Damaged Teeth with a Dental Inlay or Onlay

Dental inlays and onlays are a conservative treatment that can restore the stability of compromised molars. When decay is too extensive for a filling, but not extensive enough for a crown, inlays and onlays may be recommended. Dr. Joseph Fusco in Long Island, NY, focuses on biomimetic dentistry, which emphasizes the conservation of healthy tissue. By placing an inlay or onlay instead of a dental crown, Dr. Fusco can preserve more of your natural tooth structure while providing outstanding cosmetic and restorative results. 

dental inlays and onlays
Inlays and onlays are designed to replace compromised tissue by achieving a precise fit with your tooth.

Our Inlays and Onlays

At our practice, we make our inlays and onlays from durable, tooth-colored dental porcelain. Unlike fillings, which are directly applied to the tooth, inlays and onlays are custom-crafted in a lab to achieve a precise fit, much like a puzzle piece. Dr. Fusco’s biomimetic bonding techniques add structural integrity and prevent bacteria from entering the seam.

Dental Inlays

Inlays fit within the indented top surfaces of your tooth, between the points (cusps). Dr. Fusco can use an inlay to replace an old or broken silver amalgam filling.

Dental Onlays

Onlays are designed to restore the chewing surface as well as one or more cusps. 

In general, the solution that allows you to retain the most dental tissue is best. 

The Placement Process

First, Dr. Fusco will examine your tooth and remove any decayed tissue. Next, he will take an impression and send it to the lab to begin the fabrication process. He may place a temporary inlay or onlay over your tooth to protect the surface while you wait. It can take about a week for the lab to finish a custom restoration.

When you return to our office, he will remove the temporary restoration before bonding the permanent inlay or onlay into place. Next, he will polish the area to maintain a balanced and comfortable bite. Some patients require a follow-up visit to make additional adjustments and ensure a balanced bite. 


Inlays and onlays provide many important benefits for the right candidates. For example, if treatment requires removing a certain amount of tissue, a dental filling cannot provide adequate long-term support. In these cases, a crown could provide the necessary support, but may require removing a considerable amount of dental tissue. In general, the solution that allows you to retain the most dental tissue is best. Inlays and onlays can provide a conservative means of restoring a tooth without having to sacrifice function or tissue. Meanwhile, each restoration is carefully crafted to look entirely natural.

During your consultation, Dr. Fusco will carefully assess your tooth to determine which option will provide you with the best long-term benefits.

Conservative Treatment for Stronger Smiles

At our practice, we emphasize conservative, healthy treatment options that also provide excellent aesthetics. If you are suffering from symptoms of tooth decay or other dental health complications, contact our office online or call (516) 766-6767 to speak to a member of our team today.

Joseph P. Fusco, DDS, MAGD

Joseph P. Fusco, DDS, MAGD

Dr. Joseph Fusco and his team of compassionate dental professionals offer the community of Long Island, NY, world-class dental care using the latest technology. Dr. Fusco is a member of several professional organizations, including:
  • The American Academy of Cosmetic Dentistry
  • The Academy of General Dentistry
  • The Academy of Biomimetic Dentistry
  • The Academy of Microscope Enhanced Dentistry

To schedule an appointment, contact us online or call (516) 766-6767 today.

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