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    Inlays and Onlays

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    Elleny Jade Reliquias
    This document discusses inlays and onlays, including their definitions, indications, contraindications, advantages, disadvantages, and procedures. Inlays are restorations shaped to fit inside a prepared cavity without involving tooth cusps, while onlays restore one or more cusps. Procedures involve tooth preparation, impressions, temporization, lab work, and cementation. Various materials used include composite, ceramic, feldspathic porcelain, and glass ceramics. CAD/CAM systems can also fabricate ceramic inlays using optical impressions.

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    Inlays and Onlays

    Uploaded by

    Elleny Jade Reliquias
    193 views24 pages
    This document discusses inlays and onlays, including their definitions, indications, contraindications, advantages, disadvantages, and procedures. Inlays are restorations shaped to fit inside a prepared cavity without involving tooth cusps, while onlays restore one or more cusps. Procedures involve tooth preparation, impressions, temporization, lab work, and cementation. Various materials used include composite, ceramic, feldspathic porcelain, and glass ceramics. CAD/CAM systems can also fabricate ceramic inlays using optical impressions.

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    Notes on Inlays and Onlays

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    This document discusses inlays and onlays, including their definitions, indications, contraindications, advantages, disadvantages, and procedures. Inlays are restorations shaped to fit inside a prepared cavity without involving tooth cusps, while onlays restore one or more cusps. Procedures involve tooth preparation, impressions, temporization, lab work, and cementation. Various materials used include composite, ceramic, feldspathic porcelain, and glass ceramics. CAD/CAM systems can also fabricate ceramic inlays using optical impressions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    193 views24 pages

    Inlays and Onlays

    Uploaded by

    Elleny Jade Reliquias
    This document discusses inlays and onlays, including their definitions, indications, contraindications, advantages, disadvantages, and procedures. Inlays are restorations shaped to fit inside a prepared cavity without involving tooth cusps, while onlays restore one or more cusps. Procedures involve tooth preparation, impressions, temporization, lab work, and cementation. Various materials used include composite, ceramic, feldspathic porcelain, and glass ceramics. CAD/CAM systems can also fabricate ceramic inlays using optical impressions.

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    Inlays are fixed restorations that are shaped to fit inside the cavity preparation without involving the cusps, while onlays restore one or more cusps in addition to the adjoining occlusal surface. They are used to restore damaged posterior teeth.

    Inlays are fixed intracoronal restorations that are luted into prepared cavities, usually on the occlusal surfaces of posterior teeth without involving the cusps. Onlays are fixed restorations that restore one or more cusps and adjoining occlusal surface or the entire occlusal surface, used for restoring more extensively damaged posterior teeth needing wide MOD restoration.

    The procedure involves tooth preparation with rounded line angles and occlusal divergence, impression taking, temporization either directly or indirectly, laboratory procedures, cementation and finishing.

    alapot. aoanan. erfe. galazo.

    INLAYS AND ONLAYS reliquias. rillera. sanchez.


    tolledo.
    INLAYS
    - fixed intracoronal shaped to the
    form of the prepared cavity which is
    then luted to the teeth
    - usually found on the occlusal
    surfaces of posterior teeth
    WITHOUT THE INVOLVEMENT OF
    CUSPS
    ONLAYS
    - fixed restoration that restores
    one or more cusps and adjoining
    occlusal surface or the entire
    occlusal surface
    - used for restoring more
    extensively damaged posterior
    teeth needing wide MOD
    restoration
    INDICATIONS
    1. Esthetics
    2. Large defects of previous restorations
    3. Economic factors
    CONTRAINDICATIONS
    1. Heavy occlusal forces
    2. Inability to maintain a dry field
    3. Deep subgingival preparation
    ADVANTAGES
    1. Improved physical properties
    2. Variety of material and techniques
    3. Wear resistance
    4. Reduced polymerization shrinkage
    ADVANTAGES
    5. Ability to strengthen remaining tooth structure
    6. More precise control of contours and contacts
    7. Biocompatibility and good tissue response
    8. Increased auxillary support
    DISADVANTAGES
    1. Increased cost and time
    2. Technique sensitivity
    3. Brittleness of ceramic
    4. Wear of opposing dentition and restoration
    DISADVANTAGES
    5. Resin-to-resin difficulties
    6. Short clinical track record
    7. Low potential for repair
    8. Difficult try-in and delivery
    PROCEDURE
    Step 1: TOOTH PREPARATION:
    CERAMIC AND COMPOSITE
    All margins should have a 90- degree butt-joint
    cavosurface angle
    All line and point angles, internal and external,
    should be rounded
    Occlusal divergence on the facial and lingual walls.
     Greater than 2° to 5° per wall
    PROCEDURE
    Step 1: TOOTH PREPARATION:
    Occlusal Step
    Isthmus
    Pulpal floor
    Facial, lingual, and gingival margins of the
    proximal boxes should be extended to clear the
    adjacent tooth by at least 0.5 mm
    Gingival margin should be extended as minimally as
    possible
    PROCEDURE
    Step 1: TOOTH PREPARATION:
    CAST AND GOLD
    OCCLUSAL OUTLINE:
    DEPTH: 1.8mm
    PROXIMAL BOX: follows curvature of original tooth
    surface
    AXIOGINGIVAL GROOVE: 0.2mm deep
    BEVELS
    PROCEDURE
    Step 2: IMPRESSION
    1. Tray selection
    2. Retraction cord placement for preparation with
    subgingival extension
    3. Impression taking

    CAD/CAM dental system


    • Can have impression by mechanical scanning of poured cast
    or take an impression by optical scanning directly into the oral
    cavity
    PROCEDURE
    Step 3: TEMPORIZATION:
    DIRECT
    After preparation and impression-
    making, wedges should be placed interproximally.
    Place desensitizing agent and dry, place the
    temporary material and ask the patient to occlude his
    teeth.
    When the material is set, remove excess and polish.
    PROCEDURE
    Step 3: TEMPORIZATION:
    INDIRECT
    1. Remove gingival sulcus and recorded soft tissue areas
    2. Trial insertion of pre op impression to the cast
    3. Draw margins
    4. Apply sepmed
    5. Application of temporary reostorative material
    6. Insert the pre op impression to the cast
    7. Wait for the impression to set and trim and polish the
    formed temporary resto
    PROCEDURE
    Step 4: LAB PROCEDURE
    Step 5: INSTALLATION
    1. Cementation
    2. Finishing
    TYPES
    1. LAB PROCESSED COMPOSITE INLAY AND ONLAY
    - physical properties are improved if it is free of voids
    and the resin matrix is maximally polymerized
    - More resistant to occlusal wear than direct composites
    - Less wear resistant than ceramic restoration
    TYPES
     ADVANTAGES:
     Easily adjusted
     Low wear of opposing dentition
     Good esthetics
     Potential for repair
     INDICATIONS
     Maximum wear resistance is desired from composite restoration
     Achievement of proper contours and contacts would be difficult
     A ceramic restoration is not indicated because of concerns of wear
    to opposing dentition
    TYPES
    2. CERAMIC INLAY AND ONLAY
    - Physical and mechanical properties are close to enamel
    than composites
    - Excellent resistance
    - A coefficient and thermal expansion
    TYPES
    3. FELDSPATHIC PORCELAINE INLAY AND ONLAY
    - Partially crystalline minerals (feldspar, silica, aluminum)
    dispersed in glass matrix
    - Technique sensitive material that easily fractures
    especially during try-in
    - Even after cementation, the incidence of fracture is high
    TYPES
    4. HOT PRESSED GLASS CERAMICS
    - 1968
    - Dicor (1984) glass ceramic material
    - Stronger
    - High melting point than non-crystalline glass
    - Variable coefficients of thermal expansion
    TYPES
    • MAJOR DISADVANTAGE:
    •Translucency
    • ADVANTAGE
    •Similarity to traditional wax-up processes
    •Excellent marginal fit
    •Relatively high strength
    •Surface and occlusal hardness similar to those of enamel
    TYPES
    2. CAD/CAM
    - Fabricates ceramic inlays in minutes
    - Device Used: CEREC system
    - Uses “OPTICAL IMPRESSION”
    END

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