WEBVTT 00:00:02.625 --> 00:00:04.750 If you have experienced tooth decay, 00:00:04.750 --> 00:00:06.083 your dentist might consider 00:00:06.083 --> 00:00:06.958 using indirect 00:00:06.958 --> 00:00:08.541 fillings, including inlays 00:00:08.541 --> 00:00:10.958 and onlays to restore your smile. 00:00:10.958 --> 00:00:13.416 Indirect fillings are sturdy restorations 00:00:13.416 --> 00:00:14.458 that are often used 00:00:14.458 --> 00:00:15.708 when a tooth cannot support 00:00:15.708 --> 00:00:16.791 traditional fillings, 00:00:16.791 --> 00:00:19.791 such as in instances of extensive decay. 00:00:20.250 --> 00:00:22.000 They can also be used to replace 00:00:22.000 --> 00:00:24.291 failed traditional fillings. 00:00:24.291 --> 00:00:25.708 Cavities often develop 00:00:25.708 --> 00:00:26.875 in the ridges of a person's 00:00:26.875 --> 00:00:28.500 molars or premolars. 00:00:28.500 --> 00:00:30.458 Because of their rugged textures, 00:00:30.458 --> 00:00:31.708 these areas of teeth 00:00:31.708 --> 00:00:33.083 are often more difficult to 00:00:33.083 --> 00:00:33.708 clean, 00:00:33.708 --> 00:00:34.708 and food particles 00:00:34.708 --> 00:00:36.833 can easily become lodged. 00:00:36.833 --> 00:00:37.708 This contributes 00:00:37.708 --> 00:00:39.041 to the development of plaque 00:00:39.041 --> 00:00:39.958 and eventually 00:00:39.958 --> 00:00:42.000 the growth of large cavities. 00:00:42.000 --> 00:00:42.916 Extensive tooth 00:00:42.916 --> 00:00:44.083 decay can compromise 00:00:44.083 --> 00:00:46.041 the integrity of tooth structure, 00:00:46.041 --> 00:00:47.416 making traditional fillings 00:00:47.416 --> 00:00:49.583 an ineffective treatment option. 00:00:49.583 --> 00:00:50.708 In these cases, 00:00:50.708 --> 00:00:53.375 your dentist may use indirect fillings. 00:00:53.375 --> 00:00:55.041 Placing an inlay or onlay 00:00:55.041 --> 00:00:57.208 typically requires two appointments. 00:00:57.208 --> 00:00:58.666 During the first appointment, 00:00:58.666 --> 00:01:00.958 decay or the old filling are removed 00:01:00.958 --> 00:01:02.625 from the affected tooth, 00:01:02.625 --> 00:01:04.875 then an impression is taken of the area. 00:01:04.875 --> 00:01:06.083 This impression will be 00:01:06.083 --> 00:01:07.291 sent to the dental lab 00:01:07.291 --> 00:01:09.625 where the restoration will be fabricated. 00:01:09.625 --> 00:01:10.750 Your dentist will place 00:01:10.750 --> 00:01:11.750 a temporary filling 00:01:11.750 --> 00:01:12.750 to protect your tooth 00:01:12.750 --> 00:01:14.166 in the meantime. 00:01:14.166 --> 00:01:15.750 you should take care to not bite 00:01:15.750 --> 00:01:18.125 or too excessively top for crunchy food 00:01:18.125 --> 00:01:20.333 while this temporary filling is in place, 00:01:20.333 --> 00:01:22.708 as they can break or fall out. 00:01:22.708 --> 00:01:24.083 During your second appointment, 00:01:24.083 --> 00:01:26.125 the temporary filling will be removed 00:01:26.125 --> 00:01:28.208 and any final preparations to the tooth 00:01:28.208 --> 00:01:29.250 will be made. 00:01:29.250 --> 00:01:30.333 Your dentist will check 00:01:30.333 --> 00:01:32.125 to make sure the new restoration 00:01:32.125 --> 00:01:33.166 fits properly, 00:01:33.166 --> 00:01:35.875 and then permanently cement it in place. 00:01:35.875 --> 00:01:37.375 There are two types of indirect 00:01:37.375 --> 00:01:39.916 fillings: inlays and Onlays. 00:01:39.916 --> 00:01:41.125 Inlays are similar 00:01:41.125 --> 00:01:43.500 to traditional fillings, but are larger. 00:01:43.500 --> 00:01:44.666 They lie entirely 00:01:44.666 --> 00:01:45.625 within the cusps 00:01:45.625 --> 00:01:47.000 or bumps of the chewing 00:01:47.000 --> 00:01:48.500 surface of a tooth. 00:01:48.500 --> 00:01:51.083 On lays are larger than inlays and fully 00:01:51.083 --> 00:01:52.833 cover one or more cusps. 00:01:52.833 --> 00:01:53.458 Onlays 00:01:53.458 --> 00:01:54.541 are sometimes referred 00:01:54.541 --> 00:01:56.625 to as partial crowns. 00:01:56.625 --> 00:01:58.375 Inlays and onlays are typically made 00:01:58.375 --> 00:02:00.875 of porcelain, composite resin or gold. 00:02:00.875 --> 00:02:02.750 Porcelain and composite inlays 00:02:02.750 --> 00:02:03.500 and onlays 00:02:03.500 --> 00:02:04.916 can be made to precisely 00:02:04.916 --> 00:02:06.916 match your natural tooth color. 00:02:06.916 --> 00:02:08.541 Regardless of material, 00:02:08.541 --> 00:02:10.625 all inlays and onlays are stronger 00:02:10.625 --> 00:02:11.750 and far more durable 00:02:11.750 --> 00:02:13.166 than traditional fillings, 00:02:13.166 --> 00:02:15.083 lasting up to 30 years. 00:02:15.083 --> 00:02:16.875 They also weaken tooth structure 00:02:16.875 --> 00:02:18.958 less than traditional fillings. 00:02:18.958 --> 00:02:20.000 You should experience 00:02:20.000 --> 00:02:21.833 very little residual discomfort 00:02:21.833 --> 00:02:24.500 after your inlay, or onlay is placed, 00:02:24.500 --> 00:02:25.833 although your tooth may feel 00:02:25.833 --> 00:02:28.375 more sensitive than normal for a time. 00:02:28.375 --> 00:02:29.250 Avoid hot, 00:02:29.250 --> 00:02:30.833 cold, or spicy foods 00:02:30.833 --> 00:02:32.208 and drinks for a few days 00:02:32.208 --> 00:02:34.375 if you do experience sensitivity. 00:02:34.375 --> 00:02:35.541 If necessary, 00:02:35.541 --> 00:02:36.791 you can take over-the-counter 00:02:36.791 --> 00:02:38.125 pain medication to manage 00:02:38.125 --> 00:02:39.833 any initial discomfort. 00:02:39.833 --> 00:02:41.000 Contact your dentist 00:02:41.000 --> 00:02:41.541 if you notice 00:02:41.541 --> 00:02:42.791 any changes in your bite 00:02:42.791 --> 00:02:45.625 or discomfort persists or worsens. 00:02:45.625 --> 00:02:46.791 If you would like to learn more 00:02:46.791 --> 00:02:48.500 about inlays and onlays 00:02:48.500 --> 00:02:49.166 and find out 00:02:49.166 --> 00:02:50.541 if they are the right restoration 00:02:50.541 --> 00:02:51.958 option for your smile, 00:02:51.958 --> 00:02:53.625 please contact your dentist today.