generalmente recomendará obturar la cavidad con un empaste “blanco” del color del diente o reforzar el diente con incrustaciones dentales inlay u onlay. PRÓXIMAMENTE LES COMUNICAREMOS DE LAS FECHAS PROGRAMADAS PARA EL CURSO DE INCRUSTACIONES INLAY-ONLAY. Inlay – indirect restoration; occlusal surface excluding cusps Onlay . Full metallic crowns, bridges Inlays, onlays Substructure for Onlays. romeo91 · Incrustaciones inlay, onlay y overlay. RICHARD ALVAREZ SOTO.

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Reducing the patients risk of further disease prior to treatment provides predictable results and helps prevent further restorative procedures.

Incrustaciones by Alfonso Ibarra on Prezi

A functional occlusal bevel should be created on the occlusal loading cusp of molar teeth by holding the bur at a 45 o angle to the occlusal surface. However, using this indirect laboratory method demands more skill and time, and is more destructive as tooth preparation is needed prior to taking an impression. Inlays and Onlays are contraindicated in patients with parafunctional habits and heavy occlusal forces. While inlays might be ten times the price of direct restorations, it is often expected that incrustaxiones are superior in terms of resistance to occlusal forces, protection against recurrent decay, precision of fabrication, olay integrity, proper contouring for gingival tissue health, and ease of cleansing offers.

If a tooth has extensive caries or tooth surface loss which would provide difficulty bonding an inlay or onlay then it might be more appropriate to consider a full coverage extra coronal restoration.

Bonding agents can be applied to dentine before cementation of inlays and onlays.

Firstly, a sub-structure made of alumina powder and modelling fluid is built on the special die. This page was last edited on 24 Decemberat Resin composite is widely used in dentistry as a direct and indirect restorative material.

Ceramic materials began being used in restorative dentistry in the s. The restoration is then light-cured in the tooth before being removed from the tooth to be further light-cured. For tooth preparation, firstly start with occlusal reduction which depending on the restorative material incrustaclones used can range from 0. Int J Comput Dent.

Development of digital impression inkay including Lava Chairside oral scanner by 3M, Sirona’s CEREC and Cadent iTero System could help patients receive treatment if the contraindication is being unable to withstand conventional impressions. This reduces flexure under loading and prevents crack formation. Whereas an onlay will involve one or more cusps being covered. High failure rates were associated with teeth that had previous root canal treatmentand with patients who exhibit para-functional habits such as bruxismor teeth clenching.


It is important to ensure adequate oral hygiene before providing any indirect restoration as failure to manage the caries risk of an individual may result in recurrent caries. After the tooth has been prepared at the first visit a putty and wash impression should be taken of the prepared tooth to be sent to the laboratory for fabrication of the indirect restoration.

The investment material must produce enough expansion to compensate incruxtaciones shrinkage of the metal on solidification and should be slightly porous to allow for dissipation of released gases. Gold restorations have been around for many years onlwy have an excellent track record. In other projects Wikimedia Commons. Metal-ceramic inlays were developed to see if the aesthetic advantages of an all-ceramic inlay restoration could be replicated, whilst improving the strength and stability of the restoration.

There are a few methods of fabricating inlays and onlays, depending on the restorative material used. In such situations, an indirect gold incrustaciiones porcelain inlay restoration may be only.

Ceramic offers a more aesthetically pleasing restoration colour than previous gold and amalgam restorations. This is because conventional ceramics have a higher fracture risk and fractures can propagate easily under cyclical loading causing marginal ridge or bulk fracture. Patients need to be able to cope with dental impressions as these are required for the fabrication of the indirect restoration.

In recent years, newer types of porcelains have been developed that seem to rival the longevity of gold. Retrieved from ” https: This allows for inlays and onlays to be created and fitted all within one appointment.

The metal can be melted using either gas and compressed air, gas and oxygen or electric arc. This is the buccal cusp for mandibular teeth and the palatal cusp for maxillary teeth. Composite inlays and onlays offer great aesthetics, as a combination of different shades and opacities can be used in a layering technique, equalling or surpassing the aesthetically pleasing all-ceramic restoration.

Inlay wax is chosen due to its brittleness — it breaks upon removal from undercut of a cavity, either on the die or in the mouth. The container, or casting cylinder, is then placed in a furnace to burn out the wax and what is left is a hollow shape ready for molten metal to be poured into.


All of the benefits of an inlay are present in the onlay restoration. This method is only applicable to sintered alumina core porcelain.

This property allows gold to be used in thinner cross sections, meaning less tooth tissue needs to be removed during tooth preparation compared to other restorative materials, to achieve the same strength. However, the disadvantage of super curing is that it leaves less reactive resin groups to bond to the cement and therefore the strength of bond will be less.

Inlays and onlays

The International Journal of Prosthodontics. There are no obvious contrast between the two. Composite inlays are cured by polymerisation shrinkage.

Historically inlays and onlays will have been made from gold and this material is still commonly used today. This can protect remaining tooth structure. Compared to ceramic [34] and gold [35] inlays and onlays, composite can provide similar advantages, but a comparison of the longevity of composite is unknown. By using this site, you agree to the Terms of Use and Privacy Policy.

From Wikipedia, the free encyclopedia. Once the wax pattern is constructed the fabrication of this into the final restoration can begin, a method known as the Lost Wax Technique [27] is used.

Onlat decay or fracture incorporate areas of a tooth that make amalgam or composite restorations inadequate, such as cuspal fracture or remaining tooth structure that undermines perimeter walls of a tooth, an onlay might be indicated.

Inlays and onlays – Wikipedia

Luting cements can have a low modulus or a high modulus. A return visit is then required to fit the final prosthesis. This technique is only applicable when composite is used as the restorative material. Preparation of inlays are with close to parallel walls and a key on the occlusal surface- this is sometimes sufficient for retention purposes so adhesive resin luting cements may not be needed.

It can be easily repaired or modified as composite can bond to existing material. Once cast a layer of oxides are present on the surface, these can be removed by placing the restoration in an ultrasonic bath for 10 minutes.