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Medical Forum / General / Dentistry / May 2007inlays
just curious, why would a patient opt for an inlay restoration when a direct compositie restoration is few hundreds cheaper? On Apr 28, 6:13 pm, seagate1...@hotmail.com wrote: > just curious, why would a patient opt for an inlay restoration when a > direct compositie restoration is few hundreds cheaper? Why would anyone drive a Mercede or BMW? when a Ford, Chevey, Honda is so much cheaper? On Apr 29, 12:13 am, seagate1...@hotmail.com wrote: > just curious, why would a patient opt for an inlay restoration when a > direct compositie restoration is few hundreds cheaper? The inlay is designed to restore a large area of damage, like whole cusps broken off or very wide boxes. A direct composite will usually succeed in restoring those areas as well, but it doesn't hold as well as an inlay as time passes by. A good inlay might last for decades with proper care, especially a gold one. So it's a case of weighting pros and cons before making a decision. Regards, George > On Apr 29, 12:13 am, seagate1...@hotmail.com wrote: > [quoted text clipped - 3 lines] > The inlay is designed to restore a large area of damage, like whole > cusps broken off or very wide boxes. But that would be onlays which would restore large preparations. As for inlays, aren't the outlines generally narrower and resemble typical class IIs? If so, I can't find a compelling reason for a client to spend around $500 for an inlay if they can get a regular comp restoration for less than a quarter of the same price. On Apr 29, 1:45 pm, seagate1...@hotmail.com wrote: > > On Apr 29, 12:13 am, seagate1...@hotmail.com wrote: > [quoted text clipped - 9 lines] > client to spend around $500 for an inlay if they can get a regular > comp restoration for less than a quarter of the same price. An onlay implies full cuspal coverage and as a restoration will resemble a crown more than an inlay. Now, if you have a typical class II as you said, it can be restored very well with either an inlay or a direct composite or amalgam. The difference may lie in longevity of the restoration; on average posterior composites last about 6 years if you trust large scale studies or 11 years if you trust small controlled studies, but an inlay could exceed this considerably. So when it comes down to choosing an inlay or composite for your typical small cavity, the patient should think about weight longevity, the condition of his dentition, his oral hygiene and of course his finances. Regards, George On Apr 29, 7:45 am, seagate1...@hotmail.com wrote: > > On Apr 29, 12:13 am, seagate1...@hotmail.com wrote: > [quoted text clipped - 9 lines] > client to spend around $500 for an inlay if they can get a regular > comp restoration for less than a quarter of the same price. I used a model with porcelain inlay/Onlay, and Gold inlay in my office. I take out some flowable composite, and light cure right before the patient then give it to them. Don't make it too thick because you want them to break them. I explain to them composite is chemically bond to the tooth surface, while the class II inlays are resin bonded to seal all the gaps. Then I concluded: 1. Inlay are strong because material 2. Better seal over time with changes in temperature in the harsh oral environment 3. Inlays does not stain like the composite 4. It is a superior product only few can afford and appreciate. It is an long term investment for people who really care for their oral health, and that is what I will do for myself. Now I never do CEREC inlays, only indirect Inlays. Albert Hello Albert. There is a thread titled, "Continuing "NTI & catch/click in TMJ" which was posted for you!! I think you must have missed it! Anyway, some of us chatted away while waiting for you to see it, so there are some silly and unrelated replies in the thread. I thought I better point it out to you. Since you had an interest in this topic, maybe you'll look it again to see this post. Best to you, Webby > In article <1177852397.477767.18...@y80g2000hsf.googlegroups.com>, > [quoted text clipped - 9 lines] > Best to you, > Webby I'll check it out .....Thanks > But that would be onlays which would restore large preparations. As > for inlays, aren't the outlines generally narrower and resemble > typical class IIs? If so, I can't find a compelling reason for a > client to spend around $500 for an inlay if they can get a regular > comp restoration for less than a quarter of the same price. That's why you don't see very many inlays. ;-) Steve > That's why you don't see very many inlays. Agreed. I personally have never done an inlay. Can't really justify the extra cost for a prep that size... unless the patient wants a gold filling, then its got to be an inlay. Just my opinion. If the box is truly really wide leaving thin cusps on either side.....need to think onlay anyways. Onlays...I've done lots of them. I like Albert's comment about Mercedes vs Ford. Its quite appropriate. John > > That's why you don't see very many inlays. > [quoted text clipped - 7 lines] > > John Thanks John........I do have a Ford F150 crewcap......everyone in Texas have one > > That's why you don't see very many inlays. > [quoted text clipped - 7 lines] > > John But ' Mercedes vs Ford ' is not a fair analogy. A Mercedes costs more alright but at least you'll easily notice its high-quality and lavish features. An inlay versus a regular composite restoration is different. A patient won't realize which is more comfortable. Also, from an arm's length, it's sometimes hard to distinguish between a class II composite and a ceramic inlay on a posterior occlusal. On Apr 30, 9:04 pm, seagate1...@hotmail.com wrote: > > > That's why you don't see very many inlays. > [quoted text clipped - 16 lines] > length, it's sometimes hard to distinguish between a class II > composite and a ceramic inlay on a posterior occlusal. In my Humble opinion.......Value is built.....If you don't see the value in inlay......How can you convince your patient? That is why many ask who is buying those new cerec that cost $130K......... On Apr 30, 10:34 pm, "ahuangd...@gmail.com" <ahuangd...@gmail.com> wrote: > On Apr 30, 9:04 pm, seagate1...@hotmail.com wrote: > [quoted text clipped - 10 lines] > value in inlay......How can you convince your patient? That is why > many ask who is buying those new cerec that cost $130K vis a vis, I know inlays are superior, as they are of laboratory quality. The problem is most patients will assume you're trying to sell them inlays for a quick profit. They can see/feel little difference between inlays and regular composite, for which the price differential ( on order of hundreds of dollars ) will appear too big for any justification. It's unlike choosing between a crown and a large restoration, where the patient will realize that a crown will look far better and exist longer than a huge filling, thereby appreciating the cost of a crown. So, like I was asking earlier, why would there be any patients opting for inlays when regular composites are like $65/surface? On Apr 30, 11:11 pm, seagate1...@hotmail.com wrote: > On Apr 30, 10:34 pm, "ahuangd...@gmail.com" <ahuangd...@gmail.com> > wrote: [quoted text clipped - 28 lines] > So, like I was asking earlier, why would there be any patients opting > for inlays when regular composites are like $65/surface? I think it is in the way of presentation...........We do average about 100 units a month, and 10% of those are inlays.30% onlay.....rest is crown and bridges. Inlays are not profitable unless you do mulitiple units on same impression. Our charge for a 1-2 surface inlay is $650, while PFG/all porcelain are $850-$1200. The lab fee for the inlay is higher than a PFG, yet take a lots of time and steps. My partner is a metal free dentist.....His composite start from $120......He can produce more per hour with composite....However We does inlay/onlay because it is superior. When you truely believe it.....Patient knows.......Same thing with Dental implants, root coverage, Anterior Venneer, full mouth rehab......all the big ticket items. Albert |
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