Inlays & Onlays in Winston-Salem, NC

When a tooth is too damaged for a filling — but not damaged enough for a full crown — inlays and onlays offer the perfect middle ground. At Trenton B. Bottoms, DDS, we offer custom inlays and onlays in Winston-Salem to restore strength, function, and appearance while preserving more of your natural tooth.

Using advanced materials and precise techniques, Dr. Bottoms delivers long-lasting restorations that blend beautifully with your smile — all with a conservative mindset that values your long-term oral health.

What Are Inlays and Onlays?

Inlays and onlays are custom-made restorations that fit into or over the chewing surface of a tooth. They’re often called “indirect fillings” because they’re fabricated outside the mouth (typically in a lab or using CEREC technology) and then bonded to the tooth.

• Inlays fit within the grooves of the tooth (between the cusps)
• Onlays extend over one or more cusps of the tooth, covering a larger surface area
  

Both are made from durable ceramic or porcelain and offer a more precise, long-lasting solution than traditional composite fillings.

When Are Inlays or Onlays Recommended?

Dr. Bottoms may recommend an inlay or onlay if you have:

• Moderate tooth decay that’s too large for a filling
  
• A cracked or fractured tooth that doesn’t require a full crown
  
• A large, failing filling that needs replacement
  
• Worn or damaged chewing surfaces
  
• A desire for a more conservative restoration than a crown
  

They’re ideal for patients who want to preserve as much natural tooth as possible — and avoid unnecessary drilling or removal of healthy structure.

Benefits of Inlays & Onlays

• Conservative treatment — preserves more natural enamel than crowns
  
• Superior durability — stronger than composite fillings
  
• Precise fit — crafted for optimal contact, function, and longevity
  
• Natural appearance — blends seamlessly with surrounding teeth
  
• Stain-resistant — especially when using porcelain or ceramic
  
• Protects against further damage or decay
  

If you're looking for a dentist near me who values precision and preservation, inlays and onlays offer a thoughtful solution backed by clinical excellence.

What to Expect from the Procedure

1. Diagnosis & Digital Imaging
   We evaluate your tooth with digital X-rays or CBCT imaging and determine whether an inlay or onlay is best suited for the restoration.
   
2. Tooth Preparation
   Dr. Bottoms gently removes damaged or decayed tissue, preserving as much healthy tooth as possible.
   
3. Impression or Digital Scan
   We take a precise impression or use a digital scanner to capture the shape of your tooth for lab fabrication.
   
4. Temporary Protection (if needed)
   A temporary inlay or onlay may be placed while your permanent restoration is crafted.
   
5. Custom Fabrication & Placement
   Once ready, we bond your inlay or onlay with high-strength resin and polish the surface for a perfect finish and bite alignment.
   

In some cases, we may use CEREC same-day technology to complete the process in one visit.

Inlays vs. Fillings vs. Crowns: What’s the Difference?

• Fillings are molded directly in the mouth and best for small areas.
  
• Inlays/Onlays are stronger, more precise, and used for moderate damage.
  
• Crowns cover the entire tooth and are reserved for more severe cases.
  

Dr. Bottoms will always recommend the most conservative and appropriate option based on the integrity of your tooth and your long-term oral health goals.

Why Choose Dr. Bottoms for Inlays & Onlays?

• Conservative Care Philosophy
  We believe in preserving natural tooth structure whenever possible — inlays and onlays align perfectly with that approach.
  
• Advanced Technology & Techniques
  We use digital scanning, magnification, and high-end materials to ensure a precise, lasting fit.
  
• Aesthetic Focus
  Your restoration won’t just function well — it will look completely natural and blend seamlessly with your smile.
  

Clear Communication
You’ll always know your options, costs, and treatment steps upfront. No surprises, no pressure.