inlay vs fillings

Ask an Upland Dentist: When Is an Inlay Better Than a Filling?

Dealing with a tooth cavity is already a thorn in the side of your cosmetic goals. Feeling unsure whether a dental inlay or traditional filling is the right treatment can add to the frustration. Many patients face this uncertainty, especially when considering factors like comfort, cost, and the procedure’s duration.

But don’t worry—we’ve got you covered in this article.

If you’re caught up in the whirlpool of dental jargon, we’ll clarify the differences between an inlay and a filling. By the end, you’ll have a clear understanding and be confident in choosing the best treatment for your dental health needs.

Inlay vs. Fillings: What’s Their Main Difference?

Both inlays and fillings are effective treatments for addressing tooth cavities. However, they aren’t interchangeable, as they differ in the materials used and the extent of tooth decay they are designed to treat. Both procedures also differ in terms of the steps required to carry them out, carrying their own pros and cons.

Inlays, for instance, are made of ceramic or porcelain, sometimes gold. Dentists often recommend putting an inlay when there’s a significant presence of cavities in areas where most chewing takes place—in the back (posterior) teeth. 

Putting an inlay involves two appointments. First, the dentist prepares the tooth by removing decayed material and taking an impression, which is sent to a lab to create a custom inlay. A temporary filling is placed while the inlay is made. During the second visit, the temporary filling is removed, the inlay is bonded to the tooth, and final adjustments are made for a proper fit and finish.

Pros

  • More durable 
  • Has a 90% survival rate
  • Precisely fit as they are custom-made
  • Blends well with natural teeth
  • More resistant to recurrent decay
  • Has a lower failure rate

Cons

  • More expensive
  • Typically requires at least two dental appointments which can be time-consuming.

Dental fillings, on the other hand, are commonly made from materials such as composite resin, amalgam, or glass ionomer. Dental fillings are typically recommended for patients with minor cavities or areas with less tooth decay, particularly in front (anterior) teeth or areas that don’t experience significant chewing pressure.

Unlike an inlay, a dental filling generally requires just one appointment. First, the dentist prepares the tooth by removing the decayed portion and cleaning the area. Afterward, the chosen filling material is applied, shaped, and polished to fit the tooth seamlessly.

Pros

  • Quick and efficient procedure
    • Typically less expensive than inlays
    • Can be completed in a single visit
    • Preserves more of the original tooth structure
    • Suitable for minor cavities

Cons

  • Less durable compared to inlays
    • May be more susceptible to recurrent decay over time
    • Appearance, especially with amalgam fillings may look less appealing

Suitability of Fillings and Inlays for Different Age Groups

Age plays a significant role in determining which between inlay or filling may be more effective for cavities.

For instance, younger patients typically have fewer dental issues, and their teeth are less likely to have the extensive damage that would require an inlay. In this case, a dental filling is recommended.

Aside from being less invasive and more cost-effective, fillings can be completed in a single visit, which is ideal for individuals seeking quick treatment. Given that younger patients may have smaller budgets or limited dental insurance coverage, fillings offer a more affordable solution without compromising on treatment quality for small cavities.

Inlays, on the other hand, are generally more appropriate for older individuals who may have weakened tooth structures or larger cavities. Like any other human organ, human teeth naturally age over time leading to a greater need for preventive, restorative, and periodontal dental care.

As our teeth often become more fragile and susceptible to fractures, treatments such as inlays provide a long-lasting solution that not only fills the cavity but also strengthens the tooth against future damage. 

Aside from age, the overall condition of a patient’s teeth should be a major consideration when deciding between a filling and an inlay. Younger patients with generally healthy teeth may find that fillings are sufficient to treat smaller cavities while preserving the natural structure of their teeth. 

Conversely, older patients or those with teeth that have been compromised by previous fillings or other dental work may require the additional support that an inlay provides. 

The stronger materials used in inlays, such as ceramic, porcelain, or even gold, offer a more durable solution that can stand up to the daily wear and tear of chewing, particularly in the back teeth (molars).

Fillings or Inlay: Which One to Choose?

Ultimately, the choice between an inlay and a filling depends on various factors, including the extent of decay, the tooth’s location, and the patient’s age and dental condition. 

An inlay is better than a filling when the patient has larger cavities or with weakened tooth structures. On the other hand, filings are typically recommended for smaller cavities and are most suited for younger patients who are looking for a less invasive and cheaper alternative.

Nonetheless, consulting your dentist in Upland California can help determine the best option to ensure long-lasting oral health and function. For your dental concerns, contact our dentist at Upland Dental Practice: 909 920 6000.

Experience top-notch dental care and hassle-free appointments now for a lifetime of smiles.