Inlays and Onlays
Sioux Falls, SD


Inlays and Onlays
Sioux Falls, SD

Inlays and Onlays

An inlay is a restorative filling made of composite resin, porcelain, or gold that is used inside the indented top surfaces of a damaged or decayed tooth.


An onlay is when that same filling extends to one of the outside edges, or the cusp, of the tooth. If you put your finger into your mouth between your back teeth and gently bite down, the pointy surfaces you are feeling are the cusps of those teeth. A dental crown is a version of an onlay that covers the entire surface of the tooth.


Compassionate, efficient, and effective is how to describe the entire team at Karmazin Dental. The skills of each team member are unparalleled in the area. We live and breathe a collaborative approach in developing your personal oral health plan. You will not find a more technologically advanced practice that offers a more relaxing and comfortable setting. Your smile is our priority because we all strongly believe that your smile is a foundational gateway to your personality. It can drive your level of self-esteem and self-confidence. Call, text, or email us for an appointment for an evaluation on the benefits of an inlay or onlay for you. Our number is 605-323-1320 and you can find the entire team at Karmazin Dental, 5701 S. Remington Pl, Sioux Fall, SD 57108, where we have plenty of free parking.


After tooth decay or damage occurs, your tooth or teeth should be repaired and restored. There are a few different options for restoration, such as fillings and crowns, but a couple of options that people do not consider are inlays and onlays. These procedures involve the bonding of a restoration to a tooth in a way that strengthens the tooth, instead of weakening it like several other restoration options.


What we know, is that our patients FEEL our passion.  They feel that we are their biggest cheerleaders.  They feel that we want the best for them.   They do NOT feel judged.  We want to give every patient the opportunity to say YES to the best dental care.


What Exactly are Dental Inlays?

Dental inlays are dental prosthetics, often made with ceramic or porcelain, that are shaped to fit within the grooves of the biting surface of a damaged tooth. These are excellent when there has not been as much loss to a tooth’s surface.


When are Inlays Used?

Inlays help restore the strength of your tooth, allowing you to bite down and chew like you did before there was damage to the tooth. The functional strength, along with their cosmetic appearance, make them an excellent restoration option for a damaged tooth.

Why Use an Inlay Instead of Filling?

While metal fillings are a restoration option, you might prefer an inlay for a variety of reasons. Some of these reasons include:


  • The ability of the inlay to visually match the tooth it is being placed on, as well as your surrounding teeth.
  • The inlay will strengthen the tooth, instead of weakening it like a metal filling does.
  • The contour inlays provide for healthy gums.
  • The durability and life expectancy of inlays.

Speak with Karmazin Dental about whether inlays or metal fillings are the right option for your needs.


karmazin is

It's a Team Thing. Here at Karmazin Dental, we invest heavily in recruitment of  “A+” team members.  Everyone on Team Karmazin has unparallel talent and an ongoing commitment to continuing education.  No matter who you see at your appointment, you can be assured that you will be met with a wealth of experience and knowledge not to mention, unequaled customer service.


karmazin is

Not Insurance Driven. The restrictions and limitations that dental insurance puts on its members and Dentists is continuously changing and it is not always for the betterment of the patient.   Our focus at Karmazin Dental is to provide patients with the best course of treatment for them, period.  For patients without dental insurance, we offer and in house membership plan, which gives the power BACK to our patients.  By removing the restrictions of what insurance says they will or will not cover, patients get to spend their money the way they want.


Our philosophy is

Growth: Always in ALL – Ways

Gratitude: Our patients provide EVERYTHING

Relentless: Clinical Excellence & continuing OUR education

Never Settle: Provide excellence but have the humility to know we will never get there. There is always something more to do, learn and improve upon.

20/20: Complete transparency with our patients and our team.

Integrity to the Core: Do what we say and say what we think.

What Exactly are Onlays?

When more tooth structure is lost, onlays will be a better option than inlays. An onlay will cover one or more cusps of the tooth, making it larger than an inlay.


When Would You Need an Onlay?

Just like with inlays, onlays are very well-fitted, and can withstand a lot of pressure. This makes them perfect for biting and chewing. Like inlays, onlays are also used to treat damage or decay that has occurred.


Why Choose an Onlay Instead of a Crown?

You may be wondering why you should not simply choose a crown or filling. One reason for deciding to go with an onlay instead of a crown is cost. They are usually less expensive than dental crowns. Another reason is the fit of an onlay. Onlays fit extremely well, allowing you to keep the area cleaner, and avoiding future decay. Onlays also allow Karmazin Dental to save more of the natural tooth, which is preferential.


It is important to note that onlays are not always a better option than crowns. They are usually used to replace a portion of the tooth that is less than 50%. If the area of the tooth that is damaged or decayed exceeds 50%, then a crown most likely will be a better option.

The Inlay Procedure

Before an inlay is placed, the decayed portion of the tooth must be removed. During this process, the area will be numbed to avoid discomfort. Once the decay is removed, an impression will be made of your teeth that will be sent to a dental lab to have the prosthetic created. The dental lab will fabricate a perfect prosthetic using the impression and will return it to Karmazin Dental. While this process is being completed, a temporary restoration might be placed if necessary.


When the inlay is ready, the temporary restoration will be removed, and the inlay will be fitted. If the inlay fits properly, the restoration is bonded in place and the treatment is completed.


The Onlay Procedure

The procedure for an onlay is nearly identical to the process of having an inlay placed.


As with an inlay, Karmazin Dental will remove any decay from the affected tooth. We will then assess the extent of the damage and see if an onlay or a crown would be a better option for restoration. Once we have decided, an impression will be made and sent to a lab for the onlay to be created.


Once the onlay is returned, we will confirm the fit. If it fits properly, we will finish the placement process by bonding the only in place.



Karmazin Dental LOVES continuing education.  This means we invest a SIGNIFICANT amount of time and money to learning from the BEST in the country.  This ignites our passion and allows us to bring advanced knowledge back to our patients.  WE invest heavily in technology.  This technology aids us in proper diagnosis and helps us to make the best decisions on our patients’ behalf.

We Love Creating Beautiful Smiles

The entire team at Karmazin Dental share the exceptional passion radiating from Drs. Molly and Corey Karmazin. Each member of the team works diligently to provide modern dental technology, loving care, and time conscious service. You will find five unique qualities that each team member shares. We believe in and practice team ethics and we collectively make every day and every appointment fun. The unbridled desire for continuing education brings to you a higher level of expertise and skills. You will leave with a smile after experiencing our patience and positive attitudes. We share the simple goal of making your smile the invaluable asset it should be. Please call, text, or email to make your appointment for an evaluation of the benefits of an inlay or onlay placed for you.


Our number is 605-323-1320 and we have plenty of convenient parking at our office, 5701 S. Remington Pl, Sioux Falls, SD 57108. At Karmazin Dental we want to achieve perfection with every procedure, but we will accept excellence.