Smile Restoration with Porcelain Crowns, Inlays, and Onlays

At McDougal and Richards Dentistry, our Richardson dental team emphasizes preventive care in order to diagnose and treat tooth decay and other oral health concerns in their earliest stages. When patients experience decay, we recommend the restoration option that preserves the most natural dental structure while providing durable, long-lasting repair. The first option is typically tooth-colored, composite resin fillings. These fillings require little or no tooth preparation, and restore damaged teeth to the proper size and shape. For patients who have sustained damage that cannot be effectively treated with fillings, porcelain inlays, onlays, and crowns provide additional structure and stability while preserving remaining dental structure.

The Smile Restoration Process

Each of these treatments is completed with hand crafted porcelain restorations created by Kent Stuart, the master technician in our on-site ceramics laboratory. Because our porcelain restorations are manufactured in-house, patients receive completed restorations more quickly, and adjustments can be made immediately to ensure the perfect fit. Once the custom restoration is completed, it is cemented into place on the prepared tooth for beautiful results that protect remaining dental structure from further decay or damage and resist stains and discoloration leaving patients with beautifully renewed smiles that look and feel 100% natural.

Dental Inlays

Inlays are used to repair damage or decay in the center of teeth between the cusps (raised portions of a tooth’s biting surface). Inlays are often a good solution for decay or cracks in teeth too deep to be repaired with a composite resin filling, but that have not yet reached the central, pulp layer of the tooth. When damage is deep in dental structure, composite resin may not be strong enough to hold the tooth together making a porcelain inlay the right solution.

Dental Onlays

Onlays are used when decay, chips, cracks, or other damage affects more than one surface of the tooth, but is not severe enough to require dental crown restoration. Onlays are often beneficial in repairing damaged teeth that were previously repaired with fillings. Amalgam fillings especially tend to break away from teeth over time, and an onlay may be a better option than removing additional dental structure to place a crown.

Porcelain Crowns

When teeth have sustained significant damage, a dental crown can be used to preserve the remaining visible portion of the tooth and the underlying root structure. A crown completely covers the part of the tooth that remains protecting it from further damage. Crowns are also used to support a tooth following root canal therapy, and to replace one or more teeth as part of dental implant or crown and bridge tooth replacement.

Caring for Your Smile after Restoration

Following smile restoration, patients may experience some swelling, discomfort, and sensitivity to temperature fluctuation for the first 48 hours. Patients are encouraged to use ice at 20 minute intervals (20 minutes on/20 minutes off) for the first 24 hours, and take over the counter pain relievers as necessary. If pain or sensitivity continues for more than a few days following restoration, or extreme swelling or bleeding occurs, patients are encouraged to contact McDougal and Richardson Dentistry right away to schedule a follow-up appointment.