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The OPTISMILE Podcast 19 - Beyond Fillings and Crowns: The Magic of Inlays and Overlays


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Introduction (0:09 - 1:08)

  • Host: Eon Engelbrecht welcomes listeners to "Save Your Money, Save Your Teeth," the podcast offering dental care advice from Dr. Clifford Yudelman.
  • Topic: Today focuses on dental inlays and overlays, exploring their differences from traditional fillings and crowns.


What are Dental Inlays and Overlays? (1:09 - 2:16)

  • Dr. Yudelman Explains that inlays and overlays (also called onlays) are alternatives to traditional fillings and crowns for larger cavities.
  • Differences: Inlays fit within the cusps of the teeth, while overlays cover one or more cusps. They are custom-made, providing superior strength, durability, and aesthetics.


When to Consider Inlays or Overlays (2:21 - 6:16)

  • Criteria: Suitable for extensive tooth damage that is too severe for fillings but not severe enough for crowns.
  • Preference: Dr. Yudelman prefers inlays and onlays over crowns to preserve more of the natural tooth structure.
  • Procedure: Detailed explanation of when inlays or overlays are recommended, emphasising the conservation of tooth structure and natural aesthetics.


Steps Involved in Getting Inlays or Overlays (6:17 - 6:26)

  • Diagnosis: Examination, photos, and x-rays determine if an inlay or overlay is needed.
  • Process: Use of digital impressions and CAD-CAM technology to create and fit the inlay or overlay in one visit, avoiding temporary fillings and multiple appointments.


Preservation of Tooth Structure and Overall Dental Health (6:27 - 7:08)

  • Minimal Removal: Conservative approach in removing only necessary tooth material.
  • Strengthening: Inlays and overlays fit precisely and tightly, reducing the risk of further decay and maintaining tooth integrity.


Materials Used for Inlays and Overlays (7:21 - 8:55)

  • Traditional vs. Modern: Transition from gold to modern materials like Emax (lithium disilicate) and LISI, which are strong, durable, and aesthetically pleasing.
  • Biocompatibility: These materials bond well with the tooth and are biocompatible, with no adverse reactions.


Advanced Technology in Inlay and Overlay Treatments (9:17 - 10:25)

  • Digital Impressions: Precise digital scanners replace traditional methods, reducing human error and improving accuracy.
  • Efficiency: Same-day procedures with CAD-CAM technology enhance patient comfort and convenience.


Aesthetics and Functionality Enhancement (10:35 - 11:53)

  • Natural Look: Inlays and overlays blend seamlessly with natural teeth, avoiding the dark appearance of amalgam fillings.
  • Durability: They restore tooth functionality and can last 10 to 20 years, boosting patient confidence.


Difference Between Inlays and Crowns (12:01 - 13:37)

  • Coverage: Inlays and onlays fit into the tooth, whereas crowns cover the entire tooth.
  • Invasiveness: Inlays and onlays are less invasive, preserving more tooth structure than crowns.
  • Recommendation: Dr. Yudelman prefers inlays and onlays over crowns for molars, advising patients to discuss alternatives with their dentist.


Longevity and Durability of Inlays and Overlays (13:53 - 15:24)

  • High-Quality Materials: Emax and other materials have a long lifespan, often over 10 years.
  • Maintenance: The importance of oral hygiene and regular dental check-ups is to ensure the longevity of the restorations.


Recovery Process (15:32 - 17:20)

  • Immediate Functionality: Patients can eat and chew normally after the procedure, with possible mild sensitivity initially.
  • Bite Adjustment: Follow-up visits ensure proper bite alignment and comfort.
  • Care Tips: Regular flossing and dental check-ups help maintain the restorations.


Cost and Value (17:27 - 18:46)

  • Expense: Inlays and overlays are costly due to the advanced technology and materials.
  • Prevention: Emphasis on preventive care to avoid the need for expensive dental procedures.


Conclusion (18:48 - 19:17)

  • Advice: Consult your dental professional for tailored advice and maintain good oral hygiene to save money and avoid extensive dental work.
  • Subscription Reminder: Encouragement to subscribe for more dental health discussions.


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Disclaimer: The content provided in this podcast, "Save Your Money Save Your Teeth" on Medical Mondays, is for informational and educational purposes only. It is not intended to serve as dental or medical advice. The insights and opinions expressed by Dr. Clifford Yudelman and any guests are designed to foster a better understanding of dental health, preventive measures, and general well-being, but should not be interpreted as professional dental or medical recommendations. Dr. Clifford Yudelman does not diagnose, treat, or offer prevention strategies for any health conditions directly through this podcast. This platform is not a substitute for the personalized care and advice provided by a licensed dental or healthcare professional. We strongly encourage our listeners to consult with their own dental care providers to address individual dental health needs and concerns. The information shared here aims to empower listeners with knowledge about dental health but must not be used as a basis for making health-related decisions without professional guidance. Your dental care provider is the best source of advice about your dental and overall health. Please always seek the advice of your dentist or other qualified health professionals regarding any questions or concerns about your dental health.

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