"Clinical Versatility of Posterior Conservative Indirect Restorations- A Case Series”

Abstract

Molars in both the maxillary and mandibular arches are frequently subjected to heavy masticatory forces, making them more susceptible to cusp fractures—especially of the functional cusps, which bear the greatest load. In cases where these load-bearing areas are compromised, conventional direct restorations like amalgam or composite may prove inadequate. In such cases, dental inlays are valuable in preserving teeth damaged by extensive caries or mechanical preparation. Inlays are custom-crafted in the laboratory using materials like metal, composite resin, or ceramic & are then precisely bonded to the prepared tooth to restore its natural form, strength, and function. Present case series describe 3 cases of metal, composite & zirconia inlays respectively, patients presented with chief complaints of food lodgement & sensitivity to cold. The radiographic finding showed defect extended till dentin with no pulpal involvement. Diagnosis of reversible pulpitis and asymptomatic apical periodontitis was made. Treatment plan of metal, composite and zirconia inlays in 3 different cases was planned based on preferred esthetic needs and occlusion of the patients. This case series presents the use of inlays as a minimally invasive, indirect posterior restorations, highlighting their effectiveness in achieving long-lasting, well-fitting, and functional outcomes.