Gold Inlays & Onlays

Belgrade Family Dental
Dental Crowns

Gold Inlays & Onlays

When a tooth has a cavity or damage too extensive for a filling but not severe enough to need a crown, gold inlays and onlays offer a middle-ground solution. These custom restorations repair the damaged portion of your tooth while leaving healthy structure intact. At Belgrade Family Dental, Dr. Jennifer Lehnhardt and our team use gold inlays and onlays for patients who want restorations that combine exceptional durability with a precise fit.

Gold has been used in dentistry for over a century because it holds up better than almost any other material. While tooth-colored options are popular for visible teeth, gold remains the gold standard for longevity and function on back teeth.

How Inlays and Onlays Differ from Fillings and Crowns

Understanding where these restorations fit in the spectrum of dental treatments helps clarify when they make sense. A filling works for small to moderate cavities, where the dentist removes decay and fills the space with composite resin or amalgam. When damage extends further or affects the cusps (the raised points on your tooth’s chewing surface), a filling won’t provide enough support.

A crown covers the entire visible portion of the tooth and requires removing more healthy structure to make room for it. Inlays and onlays sit between these options. An inlay fits within the cusps of the tooth, similar to a filling but made in a lab for superior fit and strength. An onlay extends over one or more cusps, providing coverage where needed without removing as much tooth structure as a crown requires.

Why Choose Gold for Your Restoration

Gold offers advantages that other materials can’t match. It wears at about the same rate as natural tooth enamel, which means it won’t damage opposing teeth when you chew. This compatibility makes gold particularly suitable for people who grind their teeth or have a heavy bite.

The material is incredibly durable and resists fracturing even under significant pressure. Gold inlays and onlays in Belgrade often last 20 to 30 years or longer with proper care, outlasting most other restoration types. The metal doesn’t corrode or deteriorate in the wet environment of your mouth, and it rarely causes allergic reactions or sensitivity issues.

Gold also allows for an extremely precise fit. Dentists can work it to exact specifications, creating margins that seal tightly against your tooth. This tight seal helps prevent decay from developing underneath the restoration, a problem that sometimes occurs with less precisely fitting options.

The Process of Getting Gold Restorations

Your first appointment involves preparing the tooth and taking impressions. After numbing the area, your dentist removes decay or damaged tooth structure, then shapes the remaining tooth to accept the restoration. Unlike a filling that gets placed immediately, gold work requires fabrication in a dental lab.

Impressions of your prepared tooth go to a lab where skilled technicians create your custom inlay or onlay. This process takes about two weeks, during which you’ll have a temporary restoration to protect the tooth. The lab crafts the gold piece to fit your tooth precisely and match your bite exactly.

At your second appointment, the temporary comes off and your dentist checks the fit of the new restoration. The gold piece should slip into place with a snug fit that requires no forcing. Once satisfied with the fit and your bite, the dentist bonds the restoration permanently using dental cement. Some minor adjustments to the biting surface might be needed to ensure your teeth come together comfortably.

Caring for Gold Inlays and Onlays

Maintenance is straightforward. Brush and floss normally, paying attention to the margins where the restoration meets your natural tooth. Gold itself doesn’t decay, but the tooth structure around it still needs protection from cavities. Regular dental cleanings help keep the area healthy and allow your dentist to check that the restoration remains properly sealed.

Avoid using your teeth as tools to open packages or crack nuts, which can damage any restoration. If you grind your teeth at night, a nightguard protects both your gold work and your natural teeth from excessive wear.

Appearance and Aesthetic Considerations

Gold is visible when you open your mouth, which matters to some people and doesn’t bother others. For back molars that aren’t prominent when you smile or talk, the appearance rarely becomes an issue. Some people actually appreciate the distinctive look of gold dental work.

If aesthetics are your primary concern and the tooth shows when you smile, tooth-colored materials like porcelain make more sense. However, if durability and longevity matter most—especially for teeth that take heavy chewing forces—gold delivers unmatched performance.

Discover Long-Lasting Gold Inlays & Onlays in Belgrade

If you need a restoration that will stand the test of time, gold inlays and onlays might be the solution you’re looking for. Contact Belgrade Family Dental to discuss whether these durable restorations fit your dental needs and discover how they can protect your smile for decades.

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Jerry A
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very professional and on time, thanks
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Barbara F
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The staff were extremely efficient and courteous. The environment was welcoming and i felt relaxed throughout my visit. Dr. Lehnhardt reviewed my x-rays with me, asked for my concerns and is very pleasant.
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Mary G
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My dental hygienist was friendly, kind and very efficient. My check up was a great experience.
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Madeleine B
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I am at the dental office very often! The staff all know me by name😂 Dr Jen is by far my most favourite dentist! She is exceptional and extremely detailed in her work. I go where she goes ! Thank you Belgrade dental 🦷
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Charlene O
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Kallie is great. She does a perfect job.
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