This review of ceramic inlays in posterior teeth includes a review of the history of ceramic
restorations, followed by common indications and contraindications for their use. A discussion on
the potential for tooth wear is followed by a review of recommended preparation design
considerations, fabrication methods, and material choices. Despite the improved materials available
for fabrication of porcelain inlays, fracture remains a primary mode of inlay failure. Therefore, a
brief discussion on strengthening methods for ceramics is included. The review concludes with a
section on luting considerations, and offers the clinician specific recommendations for luting
procedures. In conclusion, inlay success rates and longevity, as reported in the literature, are
summarized.