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Winnipeg North Dental
A dentist showing a small ceramic inlay beside a detailed tooth model
Next door to other dental work

Inlays & Onlays for St. James Residents

A tooth does not work alone. For St. James residents whose damaged molar is flanked by a crown, a bridge or a large filling, our Winnipeg clinic can look at how the pieces fit together.

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Teeth have neighbours

A New Restoration Has to Get Along With What Is Already There

By the time many adults hear the word onlay, the area around that tooth already holds some history. There may be a crown on one side, a bridge on the other, or a filling that was placed years ago. It is natural to wonder whether all of that complicates things.

It does matter, mainly because a custom restoration is recorded and shaped to meet the teeth beside it and opposite it. The contacts and your bite are part of the design. If you live in St. James, an area of Winnipeg, you can have the whole neighbourhood of teeth reviewed at Winnipeg North Dental on McPhillips Street.

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Side contacts

The piece is designed to meet the tooth beside it, whether that tooth is natural or restored.

Opposing teeth

Your bite is captured so the new surface can be planned against whatever it closes on.

The wider picture

You can ask whether the surrounding dental work needs any attention of its own.

Fitting into a crowded area

What each design has to work with.

Whatever is beside it, a tooth considered for partial coverage should still have enough sound structure of its own. These are the two forms it might take.

An inlay between restored teeth

This suits damage in the central chewing area with suitable structure around it. Where the repair reaches the side of the tooth, the shape of the contact needs particular care.

  • Recorded along with its neighbouring contacts.
  • Leaves the cusps uncovered.
  • Offers controlled shape where a direct repair would be extensive.

An onlay beside a crown or bridge

Weakened cusps can be covered while the remainder of the tooth stays as it is. The surface of the piece is planned around how your teeth come together.

  • Extends over selected cusps.
  • Needs a bite that can be managed by the design.
  • Sits alongside, and does not replace, the adjacent work.

If the neighbouring work is itself failing, the discussion may become broader than a single tooth. Only an examination can show whether that is so in your case.

One tooth at a time

How the process takes account of the teeth around it.

The usual stages apply, whatever is beside the tooth. The difference lies in how closely the surrounding teeth are considered at each point.

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  1. 01

    Reviewing the area

    Beyond the tooth itself, attention is given to how it meets its neighbours and the teeth opposite, along with cracks, decay and root health.

  2. 02

    Clearing the damage

    Local anesthetic is normally given before the affected material is removed and a clean, supportable shape is formed.

  3. 03

    Recording the contacts

    Your scan or impression takes in the prepared tooth, adjoining surfaces and your bite. The shade is chosen with the surrounding teeth in view.

  4. 04

    Confirming the fit

    Before bonding and polishing, the piece is checked against both the adjoining teeth and your bite. You may have a temporary until then.

Your dental history

Tell us what else is in that part of your mouth.

You do not need exact dates or technical names. Even a loose account of past work around the tooth gives the dentist useful context for the examination.

If a neighbouring crown or bridge feels loose, or anything in the area has become painful, call the clinic so that it can be addressed by phone first.

Pass along

  • Crowns, bridges, implants or large fillings near the tooth, as far as you remember.
  • Whether anything in that area has ever been redone.
  • Any place where food gets caught or floss will not pass.
  • Your medications and health conditions, kept up to date.
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Consultation desk with a keyboard, leather headrest chair and a tall snake plant by the window

A blue treatment chair and a consultation desk.

Protecting what you have

It is fine to feel protective of earlier work.

You have already put time and money into those other teeth, and you may worry about disturbing them. Ask how the treatment is expected to affect them, and say what you would like to avoid.

Raise your concerns

If an earlier repair left you with a bad memory, it is useful for the dentist to hear about it.

Numbing for preparation

Local anesthetic is generally used, and it may also numb the teeth around the one being treated.

A little sensitivity

It may take a while for the treated tooth to settle, though any sensitivity should keep improving.

Caring for the whole row

Each restoration adds another edge to clean.

With several pieces of dental work side by side, there are more places where restoration meets tooth. These junctions deserve your attention at home and at each examination.

01

Clean between them

Take extra care with the spaces where the new piece meets its neighbour, as well as its other margins.

02

Notice your bite

When your teeth seem to close differently or feel high on one side, it is time to call us.

03

Keep up your exams

Reviews give the dentist a chance to check the new restoration along with your older work.

No restoration has a set lifespan, and neighbouring work ages at its own rate. Bite, grinding and hygiene all influence how the area holds up.

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Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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A review of the area

See a Dentist About It on McPhillips Street

Patients from St. James have this assessment at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg. The directions link will show you the way from your starting point.

Mention the surrounding work in your message, if you know about it. The form only starts the process, and the office replies to arrange the time.

Questions about coverage?

Talk with our team before your visit or learn about CDCP.

A little clarity before your visit

Your questions, answered.

Helpful details about inlays & onlays in St. James.

Ask our team
Can an onlay be placed right next to a crown?

A crown beside the tooth does not rule one out by itself. The dentist looks at the damaged tooth, the contact between them and how your bite works.

Does the material need to match the crown beside it?

Not necessarily. Material and shade are planned for the tooth being restored, so ask how the two would look together and why a material is being suggested.

Will the work affect my bridge?

Ask this before starting, as the answer depends on how your bridge is positioned. The dentist can explain what is expected once the area has been examined.

What if the old filling next door needs replacing too?

The examination may show that, and you can then talk over whether to treat them together or separately. Each tooth’s needs are considered on their own merits.

Why does the contact between teeth matter so much?

A well-shaped contact helps the restored tooth work with its neighbour. That is why it is recorded and then checked when the finished piece is tried.

I live in St. James and my past work was done elsewhere. Can it still be reviewed?

You are welcome to request an assessment here or at (204) 338-3003. It would take place at Unit 5, 2358 McPhillips Street, Winnipeg, MB R2V 4J6, and the office will confirm when.

Look at the whole group

Have the tooth and its neighbours reviewed.

Your online request opens the conversation about a visit to our Winnipeg clinic, and the office writes or calls back. Anything urgent should go straight to the phone.

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