Dental Care for a Healthy Smile

Poughkeepsie Dental was voted Top Dentist many times by our peers in the Hudson Valley. We believe that this honor is due, in part, to our dedication to continuing education. Dr. Andrew and Dr. Donna Trimboli pursue dentistry with passion, staying current with the latest developments in the field. They offer comprehensive general and preventive, cosmetic, and restorative dental care for smiles in all conditions and patients of all ages.

We’ve integrated technology into our practice to increase accuracy in diagnoses and allow patients to become equal partners in treatment planning. We’ll take pictures of your teeth and gums with an intraoral camera, then display the images on a chairside monitor. Your dentist will review the photos with you, pointing out areas of concern and explaining treatment options. While knowledge empowers us to provide excellent dentistry, it also gives you the information you need to make informed decisions about your oral healthcare.

Services we offer include, but are not limited to:

  Teeth Cleaning

It is suggested that patients be seen for a hygiene care appointment and periodic exam every 6 months or as recommended by your dentist. During the cleaning, plaque and calculus will be removed from your teeth leaving behind a bright and polished smile. X-rays may need to be taken to help detect possible cavities in between teeth that cannot be seen by the naked eye.


  Pinhole Surgical Technique

Learn more here.


  Pediatric Dentistry

Children of all ages are welcome at our practice! A child’s first dental visit should be between 6 and 12 months old. A good rule of thumb is as soon as the first tooth erupts, bring them in. That way, your child can have positive first experiences at a young age and the parent can get valuable advice in helping care for their child’s teeth.


  Periodontal Disease

Many people have this disease and don’t even know it! It is usually characterized by red, swollen and bleeding gums. It is the number one reason for tooth loss. Research has shown links between periodontal disease and medical problems such as strokes, diabetes, cardiovascular disease, and pregnancy risks. Other studies have shown that periodontal disease can shorten life expectancy by 7 to 10 years. Treatment varies according to the severity of the disease. Early stages (gingivitis) can generally be corrected with regular six-month cleanings. More advanced stages usually require numbing and involves cleaning and perhaps local or systemic antibiotics, followed by more frequent follow-up cleanings. Sometimes a laser can be used to help healing and disinfection. More advanced cases involve being referred to a Periodontist (a gum and bone specialist).


  Digital X-Rays

Digital radiography (digital x-ray) is the latest technology used to take dental x-rays. This technique uses an electronic sensor (instead of x-ray film) that captures and stores the digital image on a computer. This image can be instantly viewed and enlarged helping the dentist and dental hygienist detect problems easier. Digital x-rays reduce radiation 80-90% compared to the already low exposure of traditional dental x-rays.

Dental x-rays are essential, preventative, diagnostic tools that provide valuable information not visible during a regular dental exam. Dentists and dental hygienists use this information to safely and accurately detect hidden dental abnormalities and complete an accurate treatment plan. Without x-rays, problem areas may go undetected.


  Implants

Dental implants can be an alternate to replacing one, several or possibly all teeth. In addition, they can also be used to secure partial or full removable dentures.

Traditionally, while considering implant therapy, the amount of jaw bone is accessed viz x-rays, sometimes including a specialized CAT scan for the jaw. A mobile van equipped with the special scan equipment can meet you at your house, office or our office for the scan. It only takes a few minutes. If you have enough bone quantity for the implant placement... great! If not, sometimes a procedure can be done to enhance the bone volume. Alternatively, there are mini implants that can sometimes be used when there isn't enough bone available for the traditional implants.


  Fillings

Dental fillings are necessary when a tooth has a cavity or has a minor chip or fracture. There are several restorative options available and our dentist will discuss these with you to determine what is best for your individual situation.


  Sealants

Placing a thin, tooth colored coating on the chewing surfaces of adult molars and bicuspids in children around the ages of seven through fourteen is an easy and effective process. This proactive treatment "seals" these difficult to clean areas in back teeth making them more resistant to decay.


  Fluoride Treatment

Fluoride is the most effective agent available to help prevent tooth decay. It is a mineral that is naturally present in varying amounts in almost all foods and water supplies. The benefits of fluoride have been well known for over 50 years and are supported by many health and professional organizations.

Fluoride works in two ways:

Topical fluoride strengthens the teeth once they have erupted by seeping into the outer surface of the tooth enamel, making the teeth more resistant to decay. We gain topical fluoride by using fluoride containing dental products such as toothpaste, mouth rinses, and gels. Dentists and dental hygienists generally recommend that children have a professional application of fluoride twice a year during dental check-ups.

Systemic fluoride strengthens the teeth that have erupted as well as those that are developing under the gums. We gain systemic fluoride from most foods and our community water supplies. It is also available as a supplement in drop or gel form and can be prescribed by your dentist or physician. Generally, fluoride drops are recommended for infants, and tablets are best suited for children up through the teen years. It is very important to monitor the amounts of fluoride a child ingests. If too much fluoride is consumed while the teeth are developing, a condition called fluorosis (white spots on the teeth) may result.


  Crowns and Bridges

Crowns are necessary when a tooth is severely damaged or has suffered from advanced decay and cannot be fixed with bonded filling material. Crowns cover the remaining tooth and restore its function, strength, and esthetics. Several crown material options are available and your dentist will discuss these on an individual basis depending on the area of the mouth that needs to be restored. Many times the dark lines associated with older porcelain and metal crowns can be eliminated by remaking the crown using all porcelain. These also transmit and reflect light more naturally.

Bridges can be utilized when tooth loss occurs due to gum disease, decay, or injury. The loss of the tooth can create greater problems for your dental health if it is not corrected. The teeth next to the missing tooth (or teeth) can begin to move and result in pain, discomfort, and can look unsightly. With bridges, your dentist will close any gaps in your mouth. The bridge looks and acts just like natural teeth, is permanently cemented, and helps to maintain the position of the rest of your teeth.


  Endodontic Therapy (Root Canals)

Root canal therapy is needed when a cavity has reached the pulp of a tooth causing an infection of the nerve or when severe trauma has affected the tooth. Regular checkups with your dentist help to avoid and prevent the need for endodontic therapy. But once the pulp has become infected, it must be treated to avoid further issues since it cannot heal by itself. Some signs that a pulp is infected include sensitivity to hot or cold foods or liquids, pain, swelling, or even a bad taste in the mouth. For some patients no symptoms are obvious and they are unaware a problem even exists until they are seen by their dentist for an exam.

When endodontic therapy is performed, your dentist will clean out the infected pulp and disinfect the canals of the tooth. Once the area has been disinfected, the canals of the tooth are filled with a special material to prevent from further infections and help in the healing of the tooth. Sometimes a core build-up, bonded post, and crown are necessary for restoring a tooth to function.


  Dentures & Partial Dentures

A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.

There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.

Traditional partial dentures have a metal framework to which the teeth are attached. There is anew light weight nylon based partial denture that can eliminate the heavier metal based denture.

If you have existing dentures that have become looser, they can be made more secure by refitting (relining) the denture or by connecting the denture to implants.

Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.


  Porcelain & No-Prep Veneers

Are you tired of looking in the mirror and seeing flawed teeth? Achieve your dream smile with porcelain veneers or no-prep Lumineers or DURAthins from Poughkeepsie Dental. We use quality labs and the finest materials available to create veneers that deliver natural-looking, knockout smiles!

Porcelain Veneers

Custom veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile. Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.


  Teeth Whitening

Soon after starting treatment at our office for teeth whitening, you will start to see a whiter and brighter smile. With our whitening services, the effects of coffee, smoking, tea, and other causes for tooth discoloration, will slowly disappear, leaving a beautiful white smile. Schedule an appointment for a consultation with our dentist to see if you're a candidate for teeth whitening.


  Sleep Apnea

Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep. The breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Ongoing disrupted breathing causes an imbalance between the carbon dioxide and oxygen levels in the bloodstream, as not enough carbon dioxide is exiting and not enough oxygen is entering the body.

What are the reasons for treating sleep apnea?

It is very important to seek medical attention if sleep apnea is suspected. A sufferer can completely stop breathing numerous times per hour, and this can quickly turn into a deadly situation. Obstructive sleep apnea occurs when the soft tissue lying at the back of the patient’s throat collapses into the airway. The tongue then falls towards the back of the throat which tightens the blockage and prevents oxygen from entering the lungs.

The problem worsens when the chest region, diaphragm, and abdomen fight for air. The efforts they make to obtain vital oxygen only cause a further tightening of the blockage. The patient must arouse from deep sleep to tense the tongue and remove the soft tissue from the airway.

Because sleep apnea causes carbon dioxide levels to skyrocket in the blood and oxygen levels to decrease, the heart has to pump harder and faster to compensate for the lack of oxygen. Sleep apnea has been linked to a series of serious heart-related conditions, and should be investigated by the dentist at the earliest opportunity.

How do the dentists at Poughkeepsie Dental diagnose and treat snoring and sleep apnea?

Dr. Andrew and Dr. Donna Trimboli are trained to identify the symptoms of sleep apnea. If your dentist suspects that you suffer from this potentially dangerous condition, you’ll be referred to a sleep doctor for a medical diagnosis. Then, we’ll work with your physician to prescribe appropriate, non-surgical treatment.

You may be one of the millions of patients across the globe who experience relief with a comfortable, easy-to-use snoreguard. This custom-made oral appliance encourages proper positioning of the tongue and jaw to open air passageways and eliminate apnea episodes and snoring. Your custom-made snoreguard can restore peaceful, healthy slumber – for you and everyone in your household!


  TMJ Therapy

Your temporomandibular joints (TMJ) reside in front of your ears and play a crucial role in healthy, pain-free jaw motion. When impacted by stress, a misaligned bite, trauma, or a variety of other factors, these joints can malfunction and cause discomfort that disrupts your daily activities. Our dentists treat TMJ-related pain with non-invasive therapies that restore comfortable jaw motion and healthy oral function.

TMJ Symptoms

Studies indicate that 10 million Americans experience TMJ distress at any given time. The symptoms range in severity and can include:

  • A jaw that clicks or pops
  • Inability to fully open or close your mouth
  • Chronic headaches, including migraines
  • Chronic earaches
  • Tingling in the hands and fingers
  • Unexplained facial, neck, jaw, or shoulder pain

Diagnosis and Treatment

As our patient, you’ll receive a comprehensive assessment of your TMJ function. Our dentists are highly trained and experienced in diagnosing and treating TMJ disorder, and they offer non-surgical therapies to eliminate pain and renew healthy function.

Often, an easy-to-wear nightguard provides relief by easing wear and tear on stressed jaw muscles. Your dentist may recommend building up the surface of back teeth with durable composite resin to restore optimal bite alignment and alleviate your symptoms. We’ll tailor your treatment to your unique needs for a positive outcome and lasting results.


  Dental Emergencies

Dental emergencies can be very frightening and often painful. Prompt treatment is generally required to alleviate pain and ensure the patient's oral and overall health. If you're dealing with a dental emergency, call us immediately at 845-462-1542 and we will schedule you in as soon as possible.


  Dental Materials

A word about the materials used in our dental restorative services – there are different quality of metals and materials that can be used. The quality of material can make a big difference on how a restoration fits your tooth and how long it will last. At Poughkeepsie Dental, we only use the highest quality of materials to ensure the best fit possible. In addition, all labs we use are based in the U.S.A.

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