If you build the edmx file from the database and then the db changes, how do you get the model to pick up the change?
Do you delete the whole model and regenerate or
Are you looking at the designer or code view? You can force the designer to open by right clicking on your EDMX file and selecting Open With -> ADO.NET Entity Data Model Designer
Right click on the designer surface of the EDMX designer and click Update Model From Database...
All entities are refreshed by default, new entities are only added if you select them.
EDIT: If it is not refreshing well.