Our Blog

Posts for: June, 2016


We’ve been treating one of your decay-prone teeth for some time with one filling after another. Each incident required a little more removal of decayed tooth material until now there isn’t enough structure to support another filling.

We could remove the tooth and replace it with a bridge or a dental implant, both viable restoration options. But keeping the tooth if possible would be more beneficial in the long-run for your gums, bone and remaining teeth. If it still has a healthy and stable root, it’s possible to permanently cover or “cap” the tooth with a life-like crown.

Crowns have been used for decades: the first were mainly composed of metal like gold or silver and later dental porcelain, a ceramic material that could be molded, shaped and oven-fired to resemble a real tooth. The earliest porcelains, though, were brittle, so a hybrid with a metal interior for strength and a fused exterior porcelain layer for appearance came into prominence.

Today, advances in materials have led to all-porcelain crowns strong enough to withstand biting forces. While the metal-porcelain hybrid still account for about 40% of crowns installed annually, the all-porcelain types are steadily growing in popularity.

Regardless of the type, though, the process for fitting any crown is relatively the same. The first step is to reshape the affected tooth so that the future crown will fit over it, followed by an impression mold of the tooth a dental technician will use to form a custom crown. Once the new crown has been prepared, we then permanently bond it to the tooth.

With a crown, you’ll be able to enjoy normal function and have a tooth that looks as healthy and normal as its neighbors. Be aware, though, that your underlying tooth is still subject to decay — so diligent, daily hygiene and regular dental visits are a must. With proper care your newly crowned tooth can continue to serve you and your smile for many years to come.

If you would like more information on dental restoration options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Crowns & Bridgework.”

By Countryside Dental
June 06, 2016
Category: Dental Procedures

If you feel as though your missing tooth or teeth are a permanent fixture in your smile, think again. Fortunately, these dental issues are dental implantseasily repaired with dental implant restoration. Unlike other tooth replacement options, dental implants replace not only the missing tooth, but its root as well. Learn more about dental implant restoration with help from your Chatham, NY dentists Drs. Domenic Riccobono and Vicki Cohn at Countryside Dental.

How does a dental implant work? 
Dental implants use three main parts to replace teeth. Your dentist implants the fixture, a small, cylindrical titanium post, into the jawbone beneath your missing tooth to replace its root. The implant’s prosthetic tooth, usually a porcelain dental crown, replaces the tooth itself. The abutment connects the fixture to the prosthetic tooth, completing the implant.

What can dental implants do for me?

  • Single Tooth Replacement: Single tooth replacement uses a single implant to replace a single tooth. Useful in situations where patients lost one or more teeth randomly rather than in a row, single tooth replacement replaces both the tooth and it's root.
  • Multiple Tooth Replacement: This option uses a dental bridge-like restoration to replace several teeth in a row. Unlike a traditional dental bridge, which uses the surrounding teeth as an anchor, multiple tooth replacement uses one or more implants on either end of the bridge to anchor the restoration into place.
  • Implant-Supported Dentures: Traditional dentures rely on gravity or suction to stay in place. This could lead to the denture moving around or even falling out, causing a potentially embarrassing situation. However, dental implants placed throughout the mouth’s arch give a denture something to latch onto, keeping it in your mouth where it belongs.

How can my Chatham, NY dentist help me overhaul my smile? 
Dental implants are often used in conjunction with other restorative or cosmetic dentistry procedures to give your smile a completely new look. Teeth whitening is one of the easiest ways to make over your smile. However, whitening procedures are not effective on porcelain, meaning you should work with your dentist to match the implant’s tooth with the shade of your whitened teeth. Dental bonding or veneers repair chips or cracks in the teeth, giving your smile the overhaul it needs.

For more information on dental implant restoration, please contact Dr. Domenic Riccobono, DDS and Vicki E. Cohn, DDS at Countryside Dental in Chatham, NY. Call (518) 392-5231 to speak with a friendly and knowledgeable associate about scheduling your consultation for dental implants today!

By Countryside Dental
June 01, 2016
Category: Dental Procedures

As a member of the best-selling pop group Spice Girls, Mel C (AKA Sporty Spice) enjoyed her share of musical superstardom. At the band’s peak in the Nineties, the young singer’s signature look featured baggy sweatpants, an assortment of tattoos, a nose stud and a gold-capped incisor, front and center in her mouth. Today, Melanie Chisholm is still singing — but now she’s a mom, an amateur triathlete… and that gold tooth is just a memory. Not only that, her smile looks more evenly spaced and whiter than it did when she was referred to as the “tomboy” of the group.

What happened? In our view, it all boils down to changing tastes — plus a little bit of help from dental professionals. As the “wannabe” singer proves, there’s no single standard when it comes to making your teeth look their best. Your own look is unique to you — and your smile can reflect that individuality.

For example, crowns (caps) are substantial coverings that may be placed on teeth when they are being restored. They are available in three types: gold, all-porcelain, or porcelain-fused-to-metal. The latter two are tooth-colored, while the gold is — well, shiny like gold bling. Which one is right for you? In many cases, it’s your choice.

Likewise, dental veneers — wafer-thin shells that can correct cosmetic issues by covering the surface of your teeth — can be made in a variety of shades. Their hues may range from natural ivory to Hollywood white, and everything in between. What’s the best color for you? Only you can say.

Some people opt for a “smile makeover” that uses small irregularities in the spacing and color of teeth to create a more “natural” look. Other folks want a perfectly even, brilliant white smile that dazzles the eye. Still others are looking to match or restore the smile they once had — perhaps even re-creating a signature gap between the teeth. As long as there are no other dental issues involved, the choice is yours.

So if you’re unhappy with your smile — or if you feel it doesn’t reflect the person you “wannabe” — why not talk to us about a smile makeover? Just call our office to schedule a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Impact of a Smile Makeover.”