Inlays and Onlays

Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay.

Some minor discomfort in the area is possible following the crown or onlay. Sometimes, depending on circumstances, the tooth and surrounding tissues may remain sore for a few weeks post treatment. The three most common reasons for pain are: Sore jaw joint from having your mouth open for a prolonged time.

Inlays and onlays are precise restorations crafted in a dental lab to fix compromised tooth structure. Inlays sit within the grooves of a tooth when damage hasn’t impacted the chewing surface. Onlays cover one or more cusps when the damage is more extensive. They’re ideal when a tooth needs reinforcement but doesn’t require a full crown. Patients who want a durable, conservative treatment often choose inlays or onlays because they provide a stronger alternative to standard fillings while saving more of the natural tooth.

The process usually takes place in two visits. First, your dentist will remove decay or old fillings and shape the tooth to accept the restoration. An impression is then taken, and a temporary restoration is placed while your custom inlay or onlay is crafted. When it’s ready, you’ll return for a second appointment to bond it securely. 

Most patients experience minimal discomfort. You might feel some sensitivity in the days following treatment, which typically subsides on its own. Any soreness may stem from keeping your mouth open during the visit or the bonding process, but mild over-the-counter pain relief can help if needed. Local anesthesia is used during the procedure itself, so you should remain comfortable throughout your appointment.

These restorations conserve as much healthy tooth structure as possible, preserving strength and function. They blend seamlessly with your natural tooth, resist staining better than traditional fillings, and can more effectively support chewing forces. Inlays and onlays are a smart, long-lasting choice when permanent damage isn’t extensive. They also provide a highly customized fit, reducing the risk of bacteria seeping around the edges, which helps protect against future decay.

With diligent oral care—including daily brushing, flossing, and routine dental check-ups—these restorations often endure for many years. Their lifespan varies depending on material, placement, and bite forces, but well-maintained inlays and onlays are known for their impressive durability. Choosing high-quality ceramic or composite materials and avoiding damaging habits like chewing ice or opening packages with your teeth can further extend their longevity.

Before treatment, continue your usual oral hygiene routine. Let your dentist know about any medical conditions or medications you’re taking. On the day of the procedure, avoid eating excessively before your visit—this can make the process more comfortable and efficient. 

After the inlay or onlay is placed, you’ll return to normal function quickly. The restoration will feel natural when you chew and mimic the look of your real tooth. You may notice slight sensitivity for a day or two, but it usually resolves quickly. Following your dentist’s after-care instructions, such as avoiding sticky foods for the first 24 hours, will help the bond settle properly and keep the tooth comfortable.

If you’re in Surrey, BC, our team of dentists at Surrey Place Dental delivers refined, patient-focused care for inlays and onlays. Their attention to detail, lab-supported precision, and gentle approach make them a reliable choice for restoring strength and appearance to damaged teeth.