Inlays/Onlays/ Dental Crowns Midtown
New York City
When you are missing more than half a tooth, or the decay has advanced significantly enough to undermine the structural integrity of your tooth, you have more treatment options than traditional crowns or large fillings. Nadler Dentistry offers a full range of custom-crafted inlays and onlays to meet your needs, as well as crowns. What’s the difference between these procedures, and how can you choose the right one?
What Are Dental Inlays?
A dental inlay is similar to a filling – both procedures entail drilling a cavity and filling in the hole – but they differ in the technique and materials used. Drs. Sheldon and Matthew Nadler recommend inlays for patients with larger cavities and more extensive tooth decay. Fillings are meant to patch or rebuild smaller areas of decay in a tooth. However, if the broken or eroded area is too large, a filling could fall off or deteriorate over time.
With an inlay, our dentists fill the space with a single, solid piece, typically made out of a material like lithium disilicate (a special type of porcelain) or even gold. To prevent food and bacteria from entering the space and causing further tooth decay, the inlay must fit precisely into the shape and size of the empty space, which requires a skilled hand.
The primary benefit to an inlay is that they do not contract to the same degree as a filling after being placed, so there is less chance of the restoration failing, or creating a gap between the inlay and the surrounding tooth structure. Inlays also create a more durable chewing surface and are often more reliable over the long term for patients with decaying teeth.
Meet Our Doctors
Drs. Matthew and Sheldon Nadler
Dr. Matthew Nadler and his father, Dr. Sheldon Nadler offer state of the art comprehensive dental care in their friendly, yet professional, midtown New York office, using the most current technology.
Our doctors participate in ongoing continuing education, which provides them with the knowledge to guide you to a healthier lifestyle. You can feel confident that your dental needs will be addressed by knowledgeable dental specialists who are leaders in their respective fields.
Meet Our Doctors
Drs. Sheldon and Matthew Nadler
Dr. Matthew Nadler and his father, Dr. Sheldon Nadler offer state of the art comprehensive dental care in their friendly, yet professional, midtown New York office, using the most current technology.
Our doctors participate in ongoing continuing education, which provides them with the knowledge to guide you to a healthier lifestyle. You can feel confident that your dental needs will be addressed by knowledgeable dental specialists who are leaders in their respective fields.
Inlays vs. Onlays: Understand Your Options
Inlays and onlays are often called “three-quarter crowns” due to their design, which leaves approximately one-half to one-quarter of your natural tooth still exposed. When you still have a reasonable amount of healthy tooth structure and a crown would be a bit too excessive, a three-quarter restoration is the perfect solution.
The most notable benefit of opting for an inlay or onlay as opposed to proceeding with a dental crown is that they allow you to preserve as much of your natural tooth structure as possible. Three-quarter crowns are also less invasive procedures that allow you to complement your remaining healthy enamel.
The primary distinction between an onlay and an inlay is that an onlay can cover an entire cusp of a tooth, whereas an inlay only fills the area between the cusps. Our experts shape the tooth to receive an onlay, and take an impression. Then, our laboratory custom fabricates your onlay, which fits like a puzzle piece into the tooth, providing strength and a tight seal to prevent future decay.
Dental Crowns
Why would you need a crown? Dental crowns are designed to not only improve the appearance of a tooth but to help protect tooth structure from continuing to deteriorate. Teeth take a lot of force. We use them every day, chewing, clenching and grinding. When they become damaged or develop a crack, a crown can restore the structural integrity of the tooth and allow it to function for you effectively.
What to Expect When You Get
Inlays, Onlays, or Crowns
What is involved in these similar dental treatments? The process generally necessitates two appointments, spaced one to two weeks apart, but can be completed in the same day if required.
During your first treatment appointment at Nadler Dentistry, our dentists will numb the tooth and reshape it, carefully removing the decay and providing an ideal fit for the inlay, onlay, or crown. They will also make a physical or digital impression of your teeth, which will provide the “template” to create the customized inlay, onlay, or crown. You will also receive a temporary partial or full crown to serve as a placeholder that helps you avoid sensitivity while the lab is making your crown.
You can usually expect your follow-up appointment to be much quicker than the initial appointment. Drs. Matthew and Sheldon Nadler will remove the temporary inlay, onlay, or crown and fit the new, custom-made one onto your damaged tooth. Once they have ensured the crown fits properly and looks natural, they will cement it into place. After it’s set, our dentists will re-check the fit and adjust as necessary.
Get Started Today
with Nadler Dentistry
Schedule a personalized consultation to meet with the skilled team at Nadler Dentistry and learn how they can create a customized smile to last a lifetime.
The team is always available to talk with you and address any concerns. We are excited to welcome you to our Midtown Manhattan office!
Get Started Today
with Nadler Dentistry
Schedule a personalized consultation to meet with the skilled team at Nadler Dentistry and learn how they can create a customized smile to last a lifetime.
The team is always available to talk with you and address any concerns. We are excited to welcome you to our Midtown Manhattan office!
Why You Should Address
Decayed or Broken Teeth
When a tooth problem arises, the best course of action is to solve it before it spreads and worsens. When detected early, cavities can be treated with fillings. Don’t be tempted to ignore a cavity if it doesn’t hurt. Cavities will only grow, causing further destruction of the tooth and a need for more complicated, extensive and costly treatments. If a tooth is fractured and can be restored with a crown, doing so early may prevent the need for root canal treatment or extraction. Procrastinating treatment when dealing with your health is never a good idea and can be both financially costly as well as costly to your overall wellbeing.
Deciding Which Treatment Is Best for You
When it comes to your teeth, you want to ensure you are getting the best care. That’s why Nadler Dentistry weighs several factors when it comes to creating a treatment plan for you, including your aesthetic goals, the extent of the damage, and your overall oral health. Once our experts explain the options available to you and the benefits of each, they will answer any questions you may have about these procedures.
Don’t jeopardize the smile Mother Nature gave you. Call our Midtown Manhattan office at (212) 757-3745 to get your specific questions answered. After evaluating you, our dentists will use their extensive training and experience to determine whether you are a better candidate for an inlay, an onlay, or a full crown.
FAQS on Dental Crowns
Dr Nadler is a great choice for your crowns because he has a great eye for detail, blending function and beauty. Creating a crown with a seamless fit ensuring a long lasting result is only half the job. The other half is an esthetic match in color, contour, and surface texture. If you are looking for a doctor whom you can trust to deliver function and beauty, then you need look no further than Doctor Nadler.
Here and Nadler dentistry we hold ourselves to a higher standard of care. Our aesthetic crowns are handmade and individualized to your specific needs. A crown procedure typically takes two visits. The first visit is typically between 60 and 90 minutes. At this appointment patients are typically anesthetized with a specially formulated topical followed by a localized anesthetic. Then the tooth is treated and made ready to receive the crown, a digital recording of the tooth is taken and then a provisional crown is inserted. Patients usually are totally comfortable during and after the procedure. The second visit is simple, the provisional is removed and the final crown is tried in, if the fit and aesthetics meet our rigorous standards then the crown is fused to the remaining tooth providing beauty and function.
A dental crown is a prosthetic tooth that provides stability to the remaining tooth structure. It covers the tooth 360 degrees. There are several different reasons for needing a crown or crowns and not all of them are due to cavities are broken teeth. Some are cosmetic in origin and some are functional.
A patient should not make his/her own diagnosis. If you broke your arm you wouldn’t also make the decision that you need surgery. All of the information should be gathered together and explained to you. If a crown is necessary, it will be made clear to you with photographs and x rays. If a crown is not necessary, there are other treatments to properly protect teeth that are less invasive in nature. Your treatment should be a collaborative effort between you and your treating doctor.
With research and technological advancements crown materials have come a long way. From gold to Porcelain fused to metal to all ceramics and zirconia, there are endless choices. The two most popular material choices today are lithium disilicate and zirconia. Both materials do not contain metal in its traditional sense of word and can be aesthetic.
Natural teeth can chip and porcelain teeth can chip. Certain porcelain materials are more durable than others. With that said with proper care and a properly developed occlusion (your bite and the way the teeth slide over each other) crowns can be very durable and last for years even decades.
This is a tough question to answer. There are many factors and many reasons why a crown might not be successful. Crowns can fail from bruxisim, trauma, cavities, and aesthetic reasons. However, when properly taken care of crowns can easily last more than a decade, even two or three decades.
Dental crowns can be performed by most dentists. The basics of a crown are taught in dental school. However, when dealing with the bite, aesthetics and precision the quality of a dental crown ranges tremendously from doctor to doctor.
You should find a dentist who you trust and it doesn’t hurt to ask a friend who they use. My patients usually find me because their friends tell them “you have to see my dentist, the work is seamless and painless”. You can certainly ask your doctors or dental specialists who they would go see if they needed a crown. The bottom line is you need someone skilled, educated and detail oriented to get the highest quality of work.
There are many factors at play here. Each doctor has a different level of clinical knowledge and clinical skill. The more a knowledge a dentist has and can apply to your treatment the higher the value being delivered to the patient. A crown is not just a crown and no two crowns are exactly the same. Such factors to be taken into consideration are the bite, habits, remaining tooth structure, is the patient prone to tooth decay, aesthetic requirements, and several others. When searching for the right dentist to take care of you and your dental needs you should not compare crown fees and expect to be receiving identical care. The short answer is some dentists are less expensive because they do not offer the same value, whether that be clinical knowledge or clinical skill.
A crown fee in my office can range depending on the complexity of the case, but you can expect a crown fee to start at $2,850 and may vary depending on your needs. This typically would be a two visit procedure a provisional crown as comfortable as your natural teeth and a final aesthetic crown harmony with your smile.
People often think that they are paying for a piece of porcelain, when in fact they mostly paying for the doctor’s knowledge and clinical skills. While the lab fee for a crown can vary from $50 to $1,500 per tooth, most of the fee typically has to do with the doctor’s level of clinical expertise ensuring that not only does the crown fit and look beautiful, but that it will be long lasting and comfortable.
This is an impossible question to answer without doing a comprehensive examination of the patient and getting a better understanding of the patient’s current situation and clinical needs.
When multiple crowns need to be done, they absolutely can be completed at different times and it is often preferably to do so to ensure patient comfort.
Patient’s often get confused between the two. The procedure from the patient’s perspective can feel exactly the same. The tooth is shaped an impression taken and then the crown or veneer is adhered to the tooth. The difference lies in the amount of tooth structure removed and often the reason for treatment. While both crowns and veneers can be done to improve aesthetics veneer treatments are almost always less invasive leaving more of your natural tooth unaltered. When providing treatment it is our philosophy at Nadler dentistry to be as conservative as possible while still delivering the desired result. Veneers tend to be more aesthetic in nature as they are usually thinner compared to crowns allowing the natural tooth to influence color and light reflection when done correctly.
You absolutely can get a crown and veneer at the same time, however not on the same tooth. When treating front teeth, there often are some teeth that are severely broken down or have existing crowns. When doing a smile enhancement or makeover the teeth with existing crowns and severely broken down teeth usually need crowns while the teeth with solid foundations usually are veneered. This mixed treatment allows for more conservative treatments while achieving a highly cosmetic result.
There is very little preparation for the patient. There is absolutely no need to be anxious. When you have confidence and trust in your doctor, take comfort in that he or she will provide the appropriate treatment for you. You should make sure that you have eaten something prior to your appointment as you will likely be numb for the procedure and therefore unable to eat solid foods for a few hours
On the day of your procedure you should expect to be numb and to spend about 90 minutes in our office.
There is hardly any recovery from having a crown done. Mostly waiting on the anesthetic to wear off. I little soreness sometimes happens, but it is rarely more than that.
The number of visits will depend on the clinical situation. Whether or not there is gum recontouring and the aesthetic and functional demands of the treatment. The most common number of visits in our office to complete a crown is 2 visits.
If you have questions, but are not ready for treatment then we urge you to schedule an appointment for either a consultation or a comprehensive examination. Every patient is unique and the complexity of treatment will vary depending on your needs. You will be educated on your oral health and what options are available to you. From there you will have all the information to consider prior to committing to treatment. It is our job to present you with the information regarding your oral health as well as your treatment options, but in the end the decision on which direction to move forward is in your hands.
The first step is to schedule a short consultation or comprehensive examination at Nadler Dentistry where your unique situation will be evaluated and the appropriate treatment options reviewed and discussed with you. We never provide treatment based on another doctor or patient’s diagnosis. All of the information must be reviewed prior to treatment.