Kellie

Placing an onlay or crown will require the same amount of occlusal reduction (clearance/space on the chewing surface of your teeth). So in regard to your underlying problem (lack of available clearance) they both pose the same difficulty. (An inlay wouldn't provide the solution you're after.)

As discussed in the comments above, some types of onlays/crowns can be very thin, thus reducing the space requirement that your dentist is battling.

We'd assume that your dentist has already considered this option but doesn't consider it acceptable for your situation (heavy bruxing being the conflict). However, if it hasn't been discussed with you there's no harm in asking about it.

Managing your sensitivity during your orthodontic treatment will be a challenge. If your treatment is performed via a system like Invisalign (plastic aligners that fit over your teeth), they would offer protection similar as your mouth guard.

Clearly Invisalign isn't appropriate for all types of cases. But, once again, you might ask if that's an option.

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