Conservative tooth restoration with onlays San Francisco CA

Onlays from San Francisco CA dentist

Dr. Leo Arellano and his skilled team are dedicated to providing the very best that their profession has to offer. The wellbeing of the patient is their top priority in all aspects of the preventive, cosmetic, and restorative services they deliver. Patients in San Francisco and across CA can rely on the doctor and his team to provide effective, conservative solutions to their dental concerns.

An onlay vs. a crown

Although dental crowns are commonly used to treat weakened or damaged teeth, frequently a more conservative option would be effective. Placing a crown requires the reduction of a significant amount of tooth structure. Unnecessarily removing healthy tooth structure is not in the best interests of the patient. In many cases, dental onlays can repair large cavities without the removal healthy portions of the tooth.

Consider the future

For onlays, the restoration is shaped to fit the tooth, but for crowns, the tooth is shaped to fit the restoration, leaving minimal natural structure. If the restoration fails in the future and decay sets in under the crown, there isn’t much tooth structure left to work with. Many times, a root canal treatment would be required because there is no enamel protecting the tooth thereby allowing the decay to spread more quickly under the crown. That would be followed by building up the tooth structure enough to place another crown. In some cases, the tooth isn’t viable enough for a root canal treatment and it has to be extracted. If an onlay fails, the decayed portion can be removed and another onlay placed.

We are here to help Call us at 415-881-4343 or Schedule an Appointment today


The advanced ceramics and adhesives that are available today allow the doctor to create restorations that essentially reconstruct a healthy tooth. The materials bond to the tooth structure, providing strength and sealing out bacteria. The result is teeth that look, act, and feel like natural, untreated teeth, and they will last a very long time with effective oral hygiene and regular visits to the dentist.

Dr. Arellano’s expertise in conservative dentistry protects the future oral health of the people of San Francisco CA. To enjoy optimal oral health with minimal, conservative dental services, call 415-881-4343 and schedule an appointment today.

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Addressing gum recession with gum grafting and the Pinhole® Surgical Technique

new procedure Pinhole Surgical Technique Before and After Paetient Learn More about Pinhole Surgical Technique
Patient Reviews
Image Of Dolores E

I've been going to Dr. Arellano for about 20 years and I continue because of the excellent care and treatment I get with him and his whole office team. He is both professional and personable.
Recently I had a newer technique of gum surgery/grafting at his office called, "Pinhole Surgical Technique of gum grafting." I personally found this to be much easier to handle than the other style of gum grafting that I received years ago for the other side of my mouth. That worked, it was where part of my roof of my mouth was cut and surgically sewn onto the gum. However, I much prefer the pinhole technique. It was actually the easiest dental work I've had (beyond regular cleaning.) It didn't take too long and it didn't feel uncomfortable getting it done. I was swollen, but I think that happens regardless of what kind of gum grafting is done. I needed ibuprofin for a few days, no major pain. It healed well and just felt easy. I am not a fan of having any work done in my mouth because that's me, but this was the easiest work I've ever had done.
So, if you are debating which kind of surgery to do I personally would recommend the pinhole surgery.

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Patient Reviews
Image Of Laura V

We've gone to Dr Arellano for many years and have never been disappointed with any of the work he's done. Recently my husband broke a tooth and Leo got him in and had the tooth repaired within a few short hours. Service like that is very hard to finds these days. His office staff is fantastic. Nice people you are always glad to see. I would highly recommend Dr Arellano to anyone who is searching for an honest, competent, well trained dentist.

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Patient Reviews
Image Of Steve G

I recently had a dental implant procedure performed by Dr. Arellano.
I could not be more pleased with the results. From the initial consultation to insertion of the implants, Dr. Arellano made this entire procedure understandable, easy, & pain-free !!
Highly recommend this professional dentist.

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