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Winnipeg North Dental
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Old and new work, side by side

Our Dental Laboratory for River Heights Residents

When a new crown or bridge is going in next to restorations you’ve had for years, it’s natural to wonder which of them it should match. River Heights residents can talk that through with a dentist at our McPhillips Street clinic.

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A mouth with a history

Planning a New Lab-Made Piece Among Older Restorations

Many adults have a mix of natural teeth, fillings and crowns placed at different times. Each may have a slightly different colour, surface and outline. A new restoration has to relate to all of it: the teeth beside it, the bite opposite and the gumline around it.

River Heights is an area of Winnipeg, and patients from there would plan this kind of work at Winnipeg North Dental on McPhillips Street. Your dentist looks at the existing work as part of the picture and explains which reference makes sense for the new piece.

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Organized clinical work area at Winnipeg North Dental
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More than one reference

Neighbouring teeth and older work may not share a single shade, which is worth discussing early.

Shape matters as well

Outline and length are compared with the surrounding teeth, not just colour.

Older work gets a look

Your dentist can tell you how the existing restorations factor into the plan.

What the new piece is measured against

Fitting in with teeth that don’t all match.

A restoration that blends well usually takes its cues from more than one place. Knowing what those are helps you follow the choices being made.

Matching what sits beside it

Shade and surface details are recorded so the new work can sit comfortably next to its neighbours.

  • Colour differences between natural teeth and older crowns.
  • How light reflects off each surrounding surface.
  • The visible length of the teeth on either side.
  • Photographs that capture these details, where taken.

Working with the bite

Older restorations often form part of how your teeth meet, so bite records include them.

  • Where the opposing teeth touch the new piece.
  • How existing crowns move against it when you chew.
  • Contact points with the teeth to each side.
  • Any changes your dentist notices in the older work.

If an adjacent crown or filling no longer suits you, mention it. Whether anything else should be changed is a clinical question your dentist can answer after assessing it.

Matching at every stage

How matching is handled across the appointments.

Blending a new piece with older work isn’t settled in a single moment. It runs through each stage, from planning to the final check.

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  1. 01

    The surrounding work is assessed

    Your dentist examines the tooth to be restored, looks at the restorations around it and explains the options before preparing the area.

  2. 02

    References are captured

    Impressions or scans, bite information and shade details record both your natural teeth and the existing work next to the space.

  3. 03

    Fabrication follows the records

    The prescribed piece is made using that information, so the shade and shape choices noted earlier guide its appearance.

  4. 04

    It’s judged in context

    Your dentist checks how it looks and functions beside the older work, then adjusts it or sends it back for refinement where needed.

Before your planning visit

Take stock of the work around the space.

You don’t need to know the details of every past restoration. A rough sense of what you have, and how you feel about it, gives your dentist a useful starting point.

Records from a previous clinic can sometimes fill in gaps about older work. Ask whether they would be helpful in your case.

Jot down what you know

  • Which teeth around the space you know have crowns or large fillings.
  • Any older work whose colour has bothered you.
  • Teeth you’d like the new piece to resemble most.
  • Whether you’re considering changes to other teeth later on.
Dental treatment room at Winnipeg North Dental
Waiting area at the Winnipeg North Dental clinic

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Your eye counts

Say so if the comparison doesn’t sit right.

You see your smile every day, and you may notice differences your dentist hasn’t heard about. Sharing them helps the work reflect what matters to you.

Point to the teeth

Showing which neighbours you’re comparing against is clearer than describing them.

Look in good light

Shade is judged with the piece in your mouth under suitable lighting, so take a careful look.

Ask for a moment

There’s no need to decide straight away whether the match looks right to you.

Living with the mix

New and older work will age side by side.

Once the piece is in, it becomes part of the same mouth as everything else. Keeping an eye on how they behave together is a sensible habit.

01

Edges and contacts

Food catching between the new piece and an older one is a detail worth raising at a visit.

02

Colour over time

Natural teeth may shift gradually in shade, while restorations tend not to follow along.

03

Chips in any of them

Save fragments from any damaged restoration and avoid gluing them, so the damage can be assessed.

For an urgent problem with any crown, bridge or other restoration, phone the clinic directly rather than using the form.

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Exterior of the Winnipeg North Dental clinic on McPhillips Street

Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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Where the comparison happens

Matching New Work at Our Winnipeg Clinic

River Heights residents attend planning, shade records and fittings at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg. You’ll find a directions link on this page.

The form passes your request to the clinic but doesn’t fix a time. You have an appointment once the clinic has confirmed it with you.

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 our dental laboratory in River Heights.

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I’m in River Heights and need a crown next to an old one. How do I start?

Begin with a phone call to Winnipeg North Dental on (204) 338-3003, or put your question in the request form. The crown would be planned at Unit 5, 2358 McPhillips Street, Winnipeg, MB R2V 4J6.

Should my new crown match my natural teeth or my older crown?

That depends on where it sits and how the surrounding teeth look. Your dentist can explain which reference makes more sense and why, once the area has been examined.

Will my older restorations need replacing at the same time?

Not necessarily. Older work is assessed on its own condition, and your dentist can tell you whether anything else is recommended or whether it can stay as it is.

What if the shade looks different once it’s in?

Shade is checked in your mouth under suitable lighting. When the result doesn’t meet the clinical plan, refinement may be suggested before the piece is accepted.

Why do bite records include teeth that aren’t being treated?

The new piece has to work with the teeth that meet it and the ones beside it. Recording how they come together helps the restoration fit into your existing bite.

Mixing old and new?

Talk through how the new piece should fit in.

If you live in River Heights and have custom work coming up beside older restorations, call or send a request. Someone from the McPhillips Street clinic will get back to you about timing.

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