Repair & preserve

Crowns, Inlays & Onlays

See how crowns, inlays and onlays differ in coverage, preparation and the tooth structure they preserve.

The difference is how much of the tooth is covered

All three are made separately and then bonded or cemented to the tooth. Before recommending one, your dentist checks for decay, cracks and weakened areas, the amount of strong tooth remaining and your bite. The location and extent of these findings help determine how much coverage is needed.

Inlay: fits within the tooth

An inlay is made separately and secured within the prepared area, between the cusps—the raised chewing points. The illustration also shows how a filling is shaped directly in the tooth.

Illustrated sequences comparing a filling shaped directly in a tooth with an inlay prepared separately, fitted and cemented.
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Onlay: covers one or more cusps

An onlay extends over one or more chewing points to replace or protect weakened parts. It covers part of the tooth rather than surrounding it like a full crown.

Three illustrative views of an onlay: prepared tooth, fitted restoration and cemented restoration covering a chewing cusp.
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Crown: covers the chewing surface and sides

A crown fits over a prepared tooth. It provides broader coverage, but making room requires reshaping the chewing surface and sides. The preparation and final edge depend on the individual tooth.

Illustrated crown sequence showing a weakened tooth, the prepared tooth and the final crown covering it.
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What usually happens

The sequence and number of visits depend on the individual case.

  1. Compare the coverage

    The dentist checks for decay, cracks and weakened areas, assesses the strong tooth remaining and the bite, then discusses whether a filling, inlay, onlay or crown is appropriate.

  2. Prepare and record

    Decay and damaged areas are treated, and the tooth is shaped for the chosen restoration. A scan or impression records the preparation.

  3. Make the restoration

    A laboratory or in-office system makes the restoration. Materials and the need for a temporary depend on the plan.

  4. Fit and secure

    The dentist checks the fit, nearby contacts and bite, then bonds or cements it in place.

Options to discuss

Amount of coverage

Inlays fit within the prepared tooth; onlays cover one or more cusps; crowns cover the chewing surface and sides.

Tooth preservation

Partial coverage can preserve more natural structure when suitable. Leaving a weak area unsupported may not provide adequate protection.

Material and fabrication

Discuss material, bite forces and appearance. A digital workflow or same-day appointment does not by itself determine which coverage is appropriate.

Direct filling

A filling is shaped in the tooth rather than made separately. It remains an option when the remaining tooth can support that repair.

Benefits, limits & trade-offs

These restorations require preparation, and removed tooth structure does not grow back. Sensitivity, fracture, loosening or new decay can occur. More coverage is not automatically better: compare protection with preservation of sound tooth, alongside cost and ongoing care. A crown cannot guarantee that a crack will stop progressing.

Watch & explore further

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Questions for your dentist

Ask your dentist to explain which coverage fits your tooth and why.

  • Is there decay, a crack or another weakened area? Can you show me what needs treatment and how much strong tooth remains?
  • Could an inlay or onlay provide enough protection, or is full crown coverage needed?
  • How much natural tooth would each suitable option remove?
  • Could a direct filling work instead, and how would its benefits and risks compare?
  • Which material and fabrication method suit my bite, and will I need a temporary restoration?
  • How do the costs, maintenance needs and consequences of waiting compare?

Take the next step

Look for offices offering this care

Search for crowns, inlays & onlays in your area, then confirm the service with the office.

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Before you book

  • Confirm that the office offers the specific procedure or technology you want to discuss.
  • Ask who performs the treatment and about their relevant training and experience.
  • Discuss whether it suits your situation, alternatives, the total fee and follow-up care.