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when the biting surface of a back tooth needs a restoration the best choice is often an inlay or onlay made of resin the resin material is a mixture of acrylic resin and microscopic particles that is shaped and cured for strength we may recommend an inlay or an onlay depending on how much tooth structure has been lost an inlay fits within the grooves of a tooths biting surface like a filling while an onlay also covers one or more cusps of the tooth both kinds of restorations are precision crafted in a dental laboratory so it may take two or more appointments to restore your tooth with a resin inlay or onlay on your first visit we numb the area to make you comfortable we may also use a rubber dam to protect your mouth while we work then we remove any decay and shape the tooth with a hand piece next well take an impression of your teeth the lab uses the impression to make a model of your mouth theyll use the model to create a final restoration that precisely fits your tooth and bite i