Complex Case 5: Saving Severely Damaged Molars: Advanced Root Canal Treatments and Ultra-Conservative Zirconia Inlays/Onlays 

This year, I have restored numerous molar teeth that were considered beyond saving—cases where most would have opted for extraction or full crowns. By combining high-level skills, cutting-edge diagnostic tools, and the most advanced restorative materials including high-quality composites and zirconia inlays/onlays, I preserved natural tooth structure and delivered lasting function and aesthetics. Each restoration was documented and shared on my YouTube channel, Passion Dentistry, reaching millions and providing valuable dental education worldwide. These cases demonstrate that with the right expertise and technology, even the most challenging teeth can be successfully restored. Browse the gallery below to see before-and-after photos, and feel free to watch the full procedures online for deeper insight.

Molar tooth before treatment showing a large cavity/caries.
Zirconia inlay crafted for the tooth (front view).
Back side view of the zirconia inlay.
Cementing the inlay after cavity cleaning and root canal treatment.
Final restoration result after inlay placement.
Close-up view of the restored molar tooth showcasing the inlay.

Conservative Tooth Restoration with Inlays: Preserving Your Natural Smile

When a tooth is damaged by decay or injury, restoring it while preserving as much natural tooth structure as possible is essential. Inlays are a conservative restoration option designed to fit precisely inside the cavity, strengthening the tooth without removing healthy areas.

The process begins by carefully cleaning the decay and preparing the tooth, sometimes including root canal treatment if needed. Then, a custom-made inlay—often crafted from durable, tooth-colored materials like zirconia—is bonded securely to the tooth. This approach restores function and aesthetics while maintaining tooth integrity.

Inlays offer a long-lasting, minimally invasive solution that helps protect your natural teeth and promotes oral health. If you have concerns about tooth damage, ask your dentist about conservative restoration options like inlays.

About the Author:
This case was managed and documented by Dr. Rouf ul Aziz, Passion Dentistry. All images and content belong to me and my clinic—unauthorized use or reproduction is not permitted.
At Passion Dentistry, we are dedicated to providing high-quality, ethical dental care and sharing knowledge for educational purposes only.
For more information, visit https://www.passiondentistry.com or contact us directly.