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inlay is an indirect intracoronal restoration which is fabricated extraorally and cemented in the prepared tooth inlay is designed to restore occlusal and proximal surfaces of posterior teeth without involving the cusps an onlay is a combination of intracoronal and extracoronal cast restoration which covers one or more gusts now by looking at the definition the fundamental difference between inlays and onlys is that inlays do not involve the costs whereas onlys involve one or more cusps