Most talk about these restorations centres on large molars. If the tooth giving you trouble is a smaller premolar, River Heights residents can ask at our Winnipeg clinic whether partial coverage could fit it.
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Premolars sit between the canines and the molars. They have cusps and a chewing surface like the larger teeth behind them, which means a custom inlay or onlay is one of the options a dentist can weigh when one of them is damaged.
Size alone does not settle the question. Whether a premolar qualifies depends on its cracks, the walls left after decay is removed, the bite and the root. For people living in River Heights, a part of Winnipeg, that judgement is made by a dentist at Winnipeg North Dental on McPhillips Street.
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A premolar has cusps that can be left alone or covered, just as on a molar.
The design follows the shape and structure of your premolar, not a standard size.
A filling or a crown may suit a small tooth better, and that is part of the assessment.
Because premolars are narrower, the balance between damaged and sound tooth can look different from a molar. The dentist judges that balance once the damage is visible.
When damage stays within the central groove and the cusps on either side are sturdy, an inlay can restore that area alone.
If one of the cusps has been undermined or cracked, an onlay can cover it and still leave the other natural surfaces of the tooth in place.
Premolars are often visible when you smile. If appearance matters, ask about shade selection and how the material would look next to your other teeth.
A premolar goes through much the same sequence as a molar would. If the piece is fabricated between appointments, the premolar may wear a temporary for that stretch.
Request your visitBefore suggesting anything, the dentist studies this smaller tooth for cracks and decay, checks how thick its walls are, and looks at its root and where it meets the tooth opposite.
With freezing in place, the decayed or broken part of the premolar is cleared away and what is left is formed into a base the custom piece can rest on.
Your premolar’s prepared shape, its two neighbours and the way your jaws close are captured digitally or with impression material, and a colour is matched.
On the premolar, the finished piece is tested for seating and for how your teeth close on it, refined if necessary, then attached with adhesive and smoothed.
Small observations help the dentist narrow down the problem. You do not need to know the name of the tooth, only roughly where it is.
Sharp pain, swelling or a premolar that has broken badly calls for a phone call to the clinic, not a form.
A treatment chair and the reception desk.
Premolars are numbed for preparation in the same way as larger teeth. If yours feels a little touchy once the freezing has gone, that is common and tends to calm down.
The tooth is numbed so that removing damaged material is more comfortable.
Temporary material is weaker than the final restoration, so follow the instructions you are given.
Some tenderness is common after the work and is expected to fade gradually.
Living with it
Bonding gives the restoration a secure hold, but the natural tooth around it still needs attention. Clean along the margins and avoid treating the tooth as a tool.
Brushing and cleaning between teeth should reach the junction where restoration and enamel meet.
Opening packages or biting thread with the premolar puts stress on the restoration and the tooth.
A premolar that hits first when you close, stays touchy, wobbles at the restoration or feels jagged should be reported by phone.
Nobody can put a number of years on a premolar restoration. Its service life rests on how much tooth is left, the quality of preparation and bonding, a dry working field, bite forces, grinding, your cleaning and whether decay returns.
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Winnipeg North Dental
Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6Get directions (opens in a new tab)Assessment and treatment of a River Heights resident’s premolar take place at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg. Follow the directions link under the address for the way there.
Your request is a starting point rather than a booking. Clinic staff get back to you with a time, and symptoms that feel urgent are a reason to phone.
Questions about coverage?
Talk with our team before your visit or learn about CDCP.
Helpful details about inlays & onlays in River Heights.
Ask our teamPremolars can be considered, since they are back teeth with cusps. Whether a particular one suits depends on how much sound structure it has left.
Not necessarily. The dentist looks at the walls and cusps that remain after damage is removed and decides whether a partial design can be supported.
Premolars can be visible, so shade is chosen during the recording step. Ask how the planned material would look beside your neighbouring teeth.
Sometimes it would. A direct filling suits smaller repairs, while a custom piece may be considered when the damaged area is larger.
Root health is one of the factors assessed. Ask the dentist whether a root-treated premolar in your case would be better served by partial or full coverage.
A dentist at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg, MB R2V 4J6. Request a visit here or call (204) 338-3003, and the office will confirm a time.
Read about treatments that may be compared with partial coverage during your assessment.
Restore cavities, chips and worn areas with tooth-coloured dental fillings in Winnipeg. Learn when repair is needed and what happens during treatment.
Explore serviceExplore tooth-coloured restorations in Winnipeg for repairing decay, chips, wear or failing fillings with materials selected to blend with nearby enamel.
Explore serviceLearn how custom dental crowns in Winnipeg protect cracked, worn or root canal-treated teeth while restoring comfortable function, shape and appearance.
Explore serviceHave an urgent concern? Call (204) 338-3003 to discuss availability.
Find out what fits
Tell us which premolar is bothering you in a request for our Winnipeg clinic, and someone from the office will follow up. A sudden ache is better phoned in.
Patient testimonials
Winnipeg North Dental
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