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Inlays and Onlays

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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Elleny Jade Reliquias
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238 views

Inlays and Onlays

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.

Uploaded by

Elleny Jade Reliquias
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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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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