When do I need an inlay ?
When a piece of tooth is lost due to caries, or other reasons, the tooth should be rebuilt. This has the purpose of preventing further tooth damage.
What types of care are available after caries removal ?
Depending on the extent of the damage after removal of the carious area, different materials are available for restoration.
The classic composit fillings in the anterior and posterior region are popular but often limited in quality. Advantage: They can be placed quickly in one session, are white and are the method of choice, especially for small fillings or the reconstruction of individual parts of the tooth.
In the case of major damage to posterior teeth, where larger areas of the tooth or even cusps have broken away, gold or ceramic inlays offer the possibility of restoring the tooth to its original functionality. This is done by making tooth models (via intraoralscan) and manufacturing a replacement of the tooth part in the laboratory, which is made for the respective situation and inserted in a 2nd session. The fit is much more accurate than with fillings made directly in the mouth (amalgam, composit).
The advantage of ceramic or gold inlays is the better marginal density and thus durability than conventional fillings such as plastic or amalgam. Because the missing tooth piece is individually manufactured in the laboratory and adapted to the prepared tooth, there is a much smaller gap between the inlay and the tooth, which is perfectly filled by the special cements for gold or ceramic inlays. The problem of shrinkage or change of material properties and thus gap formation at the edge of fillings is thus reduced to a minimum.
What's the difference between gold and ceramic fillings?
Gold = metal colors, only one color possible
Ceramic = tooth colored, is matched to the color of the adjacent teeth
In addition to the color, the material properties also play a decisive role, of course. Ceramic has the aesthetic advantage of disappearing into the surrounding structure, but is somewhat more brittle and has the reputation of breaking more easily. Gold, on the other hand, has the advantage of being softer due to its metal properties and is therefore perceived as more pleasant. However, gold inlays are far more visible.
What is the best choice for each patient is always best found out during a personal consultation.