Metal-Free Inlays & Onlays
Conservative ceramic puzzle-piece restorations that rebuild damaged tooth cusps without full crowns.
What This Treatment Involves
When a cavity or fracture is too large for a regular filling but does not require cutting the whole tooth for a crown, an inlay or onlay provides a precision ceramic restoration bonded firmly into place.
General 3-Stage Restorative Care Overview
Discussion of medical history, oral health, and necessary 2D/3D diagnostic imaging.
Collaborative selection of biocompatible materials, conservative techniques, and care steps.
Placement of the restoration and periodic review to ensure long-term stability and comfort.
When Considered & What Evaluation Involves
Evaluating whether remaining cusp thickness is adequate to support chewing forces without a full 360-degree crown preparation.
Considerations & Clinical Context
Careful bonding technique and isolation are required. If a tooth is heavily fractured below the gumline, a crown may be needed instead.
Our Approach at the Practice
Preserves healthy tooth walls that traditional crowns would grind away.
Questions to Ask at Your Visit
- What is the difference between an inlay and an onlay?
- Why choose an onlay over a crown?
At a Glance
- Category
- Holistic Dental
- Clinical Focus
- Conservative ceramic puzzle-piece restorations that rebuild damaged tooth cusps without full crowns.
- Primary Patient Needs
- Tooth RepairMaterial Options
Discuss This Treatment
During your visit, discuss your concerns, relevant health history, and the options that may be appropriate for you. Any examination or imaging depends on your individual needs.
Practice Philosophy
Conservative tooth preparation, biocompatible materials, and clear patient communication form the basis of care at Dr. Piela Holistic Dentistry.
Related Clinical Services

Biomimetic Dentistry
Restorations designed to imitate natural tooth structure, flexibility, and strength while preserving maximum healthy enamel.
Learn moreSafe Mercury / Silver Amalgam Filling Removal
Evaluation of existing silver-colored fillings and discussion of replacement when appropriate, with training by Dr. Hal Huggins and IAOMT.
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Zirconia & Ceramic Crowns
High-strength, metal-free ceramic crown options crafted for durable tooth restoration and natural aesthetics.
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