Professional Documents
Culture Documents
Inlay vs Onlay
Inlay
Involves occlusal and/or proximal May replace or hood some cusps Primarily intracoronal elements Can have extracoronal
Onlay
Involves occlusal and proximal Covers all cusps Both intra and extracoronal elements
Dent 538 Dent 538
Advantages
Superior Strength Control of contour and contacts Biocompatibility Low wear No discoloration
Dent 538
Disadvantages
Demanding 2 appointments Gold color unacceptable to many Provisionals
Dent 538
Indications
Large restoration size Diastemata closure RPD abutment
Contraindications
High caries rate
Young patients
Dent 538
Dent 538
Dent 538
Undercut removed
Evaluating undercuts
Dent 538
Dent 538
Dent 538
Dent 538
Occlusal Bevel
30
30
No bevel
Dent 538
Dent 538
Dent 538
Dent 538
Dent 538
Dent 538
Dent 538
Dent 538
Decision to Onlay
Decision to Onlay
Rule of thumb: greater than 1/2 the intercuspal distance
Dent 538
Dent 538
Dent 538
Dent 538
Dent 538
Maxillary Onlay
Managing facial margin for esthetics
Maxillary Onlay
Functional cusp reduction
Multiplanar 1.5 mm reduction From opposing
Dent 538
Dent 538
Maxillary Onlay
Reduce nonfunctional cusp
1.0 mm Consider visibility Consider function
Maxillary Onlay
Functional cusp shoulder
1.2 mm wide (pre-bevel) At level of pulp floor Parallel to buccal wall
Dent 538
Dent 538
Maxillary Onlay
FC 2 plane
Similar to crown Makes room for metal without overcontour Loose some wall height
Maxillary Onlay
Functional cusp bevel
1.0 mm remaining shoulder Continuous with all bevels and flares Smooth - finishing burs
Dent 538
Dent 538
Maxillary Onlay
Proximal flares and bevels
Develop together > 0.5 mm wide Surround corners of box Smooth- finishing burs or hand instruments
Maxillary Onlay
Facial margin
Esthetic considerations Strength considerations
Maxillary Onlay
Best functional lock Shows more margin
Maxillary Onlay
functional lock poor Shows less margin
Dent 538
Dent 538
Maxillary Onlay
Lateral forces not shielded Tooth susceptible to fracture
Least margin show
Maxillary Onlay
Minimizing margin appearance by contouring
Dent 538
Dent 538