Porcelain Fillings (Inlays & Onlays) in SoHo, NYC

When a tooth has more damage than a simple filling can handle — but not enough to need a full crown — a porcelain inlay or onlay is often the perfect middle ground. Stronger than a filling, less invasive than a crown, and virtually invisible.

Porcelain fillings (also called inlays and onlays) are custom-made restorations that fit into or over a damaged tooth like a puzzle piece. They’re crafted from high-strength porcelain that’s color-matched to your tooth, and they preserve more of your natural tooth structure than a traditional crown.

We often recommend porcelain inlays and onlays for patients with old silver (amalgam) fillings that are breaking down, or for teeth with larger cavities that would weaken with a standard composite filling.

When a porcelain filling makes sense:

  • A tooth with a large old silver filling that’s cracking
  • A cavity too large for a standard composite filling
  • A cracked tooth that doesn’t need a full crown
  • A back tooth that needs extra strength for chewing
  • Replacement of a failing direct filling

Inlay vs. Onlay — what’s the difference?

  • Inlay — Fits inside the cusps of the tooth (like a filling, but custom-made)
  • Onlay — Covers one or more cusps of the tooth (like a partial crown)

What to expect:

  1. Exam and digital x-rays
  2. Preparation visit — remove decay or old filling, iTero scan
  3. Temporary restoration while your inlay/onlay is crafted
  4. Return visit — final porcelain piece bonded in and polished

Why choose porcelain over composite?

  • Stronger — Porcelain is more durable under chewing pressure
  • Longer-lasting — 15–30+ years with good care
  • More conservative than a crown — Preserves more of your natural tooth
  • Stain-resistant — Doesn’t discolor like composite fillings can
  • Better margins — Custom-crafted fit seals out future decay

FAQ

How is this different from a regular filling? A regular (composite) filling is placed directly into the tooth in one visit. A porcelain inlay or onlay is custom-made in a lab over 1–2 weeks and bonded in on a second visit — giving you a much stronger, longer-lasting restoration.

How much do porcelain fillings cost? Pricing depends on the size and location of the tooth. Most PPO insurance covers a portion, and we’ll give you a written estimate before starting.

Can I replace my old silver fillings with these? Yes — this is one of the most common reasons patients choose porcelain inlays. They’re aesthetically superior and don’t contain mercury.

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