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hey itamp;#39;s dr. Mitchell Josephamp;#39;s practicing cosmetic implant and general dentistry in the town of Palm Beach Florida Iamp;#39;ve been writing the ask the dentist column in the Palm Beach Post accent section since 2004 a common question has been whatamp;#39;s the difference between an inlay and an onlay well we need to include in this discussion a crown because let me explain what all three are a crown is when a tooth is drilled down to what looks like a tree stump and a porcelain cap is made to fit over the whole tooth this is needed when a tooth has a big old restoration like an old filling where most of the tooth has to be trimmed down and therefore has to be completely covered however there are two more conservative ways of filling a tooth an inlay and an onlay and the only difference between the two is an onlay will cover more of the tooth than an inlay but wonamp;#39;t completely cover the tooth so if your dentist is going to drill out an old silver filling and it