Inlays & Onlays in Sunnyvale, CA
Partial restorations for teeth that require more than a filling but less than a crown.

A Durable, Conservative Option for Tooth Restoration
When a tooth is too damaged for a simple filling but doesn’t require a full dental crown, inlays and onlays offer a reliable middle ground. At Harmony Smile Dental, we use these custom restorations to rebuild the strength and structure of compromised teeth without removing excessive healthy enamel.
Led by Dr. Ryan Zhao, our team combines advanced restorative techniques with digital precision to deliver long-lasting inlays and onlays that look and feel natural. Whether you're dealing with decay, a fractured tooth, or an old failing filling, we’ll help you find the right solution to restore function and protect your smile.
What Are Inlays and Onlays?
Inlays and onlays are indirect restorations, meaning they are custom-crafted outside the mouth (usually in a lab) and then permanently bonded to the tooth. They are made from durable, tooth-colored materials such as porcelain or composite resin, offering strength and aesthetics.
- Inlays fit within the cusps (or biting surfaces) of a tooth—typically used for smaller areas of decay or damage.
- Onlays extends over one or more cusps and are used when more substantial restoration is needed but a full crown isn't warranted.
Unlike standard dental fillings, these restorations are precisely shaped to fit your tooth and restore your bite alignment with minimal alteration to the natural structure.
Benefits of Choosing Inlays and Onlays
- Stronger than traditional fillings – Ideal for moderate damage or wear
- Preserve more natural tooth structure than full crowns
- Custom-fit for optimal comfort and function
- Resistant to stains and fracture
- Blend seamlessly with your natural teeth
Many patients who initially think they need a crown are pleasantly surprised to learn that an onlay provides a more conservative—and often longer-lasting—alternative.
When Is an Inlay or Onlay Recommended?
Dr. Zhao may recommend an inlay or onlay if:
- You have a large cavity that’s too extensive for a filling
- Your tooth has been weakened by wear, fracture, or repeated dental work
- You want a stronger, longer-lasting option than a filling
- Your bite needs to be precisely restored to prevent further damage
These restorations are especially common on molars and premolars, where chewing pressure is greatest.
What to Expect During Treatment
Initial Visit – Evaluation & Impressions
We begin by thoroughly evaluating your tooth using digital imaging tools. If an inlay or onlay is appropriate, Dr. Zhao will gently remove damaged or decayed areas, clean the tooth, and take a digital impression with our iTero scanner. A temporary restoration will be placed while your final piece is crafted.
Second Visit – Placement & Bonding
Once the custom inlay or onlay is ready, we remove the temporary, confirm the fit, and bond the final restoration to your tooth. The result is a natural-looking, precisely contoured surface that supports long-term bite strength.
Long-Term Care for Inlays & Onlays
Inlays and onlays are incredibly durable but still require proper maintenance. Here's how to protect your restoration:
- Brush and floss thoroughly each day
- Avoid chewing hard objects like ice or pens
- Maintain regular dental cleanings and exams
- Wear a night guard if you grind your teeth
With consistent care, these restorations can last 10 years or more.
Frequently Asked Questions
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Are inlays and onlays better than fillings?
They’re more durable and longer-lasting, especially for back teeth where chewing forces are stronger. They also offer a tighter seal against future decay.
Is the procedure painful?
No. Local anesthetic ensures you're comfortable throughout the process. Most patients experience minimal to no discomfort afterward.
How do I know if I need an inlay or a crown?
That depends on how much tooth structure remains. Inlays are more conservative, while crowns cover the entire tooth. Dr. Zhao will evaluate your needs during your exam.
Can inlays or onlays be placed on front teeth?
They're typically used on molars or premolars due to their structure, but other aesthetic treatments—like veneers or bonding—may be recommended for front teeth.
Do insurance plans cover inlays or onlays?
Most PPO plans provide partial coverage. We’ll review your benefits and help you understand your options before starting treatment.
Restore Your Smile with Precision and Care
If you’re experiencing sensitivity, discomfort while chewing, or notice visible wear in your teeth, you may benefit from an inlay or onlay. Harmony Smile Dental is here to help you protect your smile with conservative, long-lasting care in a supportive setting.
Request an appointment, reach out online, or call our Sunnyvale practice at (408) 738-1000 to schedule your consultation.
