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Most dentists strive to protect as much of your natural tooth structure as they can. There are some very good reasons for this, including preservation of the underlying bone of your jaw. In a case where the damage to a tooth is too severe for a filling, Dr. Hadgis may choose to use a porcelain onlay to protect your tooth while keeping as much of your natural tooth intact as possible.
The difference between a porcelain crown and a porcelain onlay is largely a matter of degrees. A crown covers your entire tooth, all the way to the gumline. An onlay, as pictured to the right, is designed to cover only the portion of the tooth that is damaged. An onlay is considered a more conservative treatment than a crown, in that is preserves more of the natural tooth structure. With a crown, the natural tooth must be prepared for the crown to fit over it, which can at times involve removing healthy portions of the natural tooth.
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Dr. Tammy Tran is an Orange County pediatric dentist and an Orange County emergency dentist.