Dr Johnson's Blog

Breathe New Life into Root Canal-Treated Teeth

Joseph Coupal - Tuesday, July 17, 2018
Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA - Root Canal Treatment

A root canal can be a literal lifesaver for an infected tooth, but the process does involve cutting off the blood supply, robbing that particular tusk of its natural defenses. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "there is a way to fabricate new blood vessels in teeth, which may offer a way for them to regain important functionality".

A root canal is typically called for when tissue inside the tooth, called the pulp, becomes inflamed or infected and causes problems such as decay, cracks or chips. It involves removing this infected tissue and replacing it with a synthetic material encased by a protective crown.

"This process eliminates the tooth's blood and nerve supply, rendering it lifeless and void of any biological response or defense mechanism," says Dr. Johnson. "Without this functionality, adult teeth may be lost much sooner, which can result in much greater concerns, such as the need for dentures or dental implants. Often we are doing implant dentistry on failed root canals".

In coming up with a solution, researchers developed a way to bio-print artificial vascular networks that imitate the body's circulatory system. This involves using a bio-printer to create tiny fibers that serve as a mold, which for the purposes of this research were made from sugar molecules.

This mould was then laid across the root canal of an extracted human tooth and injected with a gel-like material filled with dental pulp cells. After that, the fiber was removed to leave a small channel along the root canal, into which endothelial cells taken from the interior lining of the blood vessels were inserted. After seven days, the researchers report that dentin-producing cells, which is one of the four tissues making up human teeth, started forming near the tooth walls, and that artificial blood vessels began forming inside the tooth.

"This result proves that fabrication of artificial blood vessels can be a highly effective strategy for fully regenerating the function of teeth," says Bertassoni, the lead researcher on the project. "We believe that this finding may change the way that root canal treatments are done in the future.

Although this technique is yet to be available to the public, it may offer an opportunity to save teeth naturally. When considering any of your dental your options, remember that reputation and expertise matter. Dr. Johnson is perennially regarded as one of Boston's best dentists and had been providing outstanding dental care, to people who seek and expect excellence, since 1986. See a specialist...the difference will make you smile.

Source: New Atlas

Cosmetic Dentistry and a Healthy Smile

Joseph Coupal - Tuesday, July 10, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAA smile can change the whole appearance of people and enhances their charming personality. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "Studies have shown that a beautiful smile not only is an indication of overall health but also projects confidence and success. There are many dental procedures that are considered cosmetic in nature but knowing which ones are appropriate for you is critical".

To treat the problems of many individuals who have bad and unhealthy teeth, new techniques in cosmetic dentistry provide avenues to that beautiful smile. In fact, a variety of cosmetic dental procedures enhance your smile while they also provide good and healthy looking teeth. These procedures are porcelain veneers, ceramic crowns, re-contouring, cosmetic bonding and invisible braces.

Bad teeth lead to being self-conscious, people find it embarrassing to have bad teeth. People who are uncomfortable with their teeth are uncomfortable in social gatherings, they don’t want to smile or hide their smiles. This presents a self-consciousness or lack of self-esteem.

For healthy looking teeth, dentists will advise cleaning teeth twice a day; this will also help a person stay away from many diseases. Many people have yellow teeth and this is what makes them uncomfortable. A cosmetic dentist can help them by providing in- office teeth whitening.

There are no limits in cosmetic dentistry and Dr. Johnson has been providing outstanding, integrity-based dentistry since 1986. He sees patients who seek and expect excellence. If you have a smile you that are not comfortable with and you are interested in discussing your different options, contact the cosmetic dentists at Newton Wellesley Dental Partners.

Causes of Sleep Apnea

Joseph Coupal - Tuesday, July 03, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MASnoring used to be more of an annoyance rather than a danger to your physical and oral health.

Now, we understand that there is actually a risk associated with snoring, you could have sleep apnea. Sleep apnea is a potentially harmful sleep disorder during which people stop breathing, periodically, throughout the entire night.

Obstructive sleep apnea (OSA) is the most common type of sleep apnea, and occurs when the muscles in the back of the throat collapse, causing the opening through which air passes to disappear. Certain people are more likely to experience sleep apnea than others. Who are they?

Obesity – this is one of the most indicative risk factor. Obese adults are seven times more likely to develop sleep apnea than their normal-weight adults. Excess weight adds to the pressure on the airway making the diameter of the opening even smaller than it already is.

Neck Circumference – obese people and professional athletes have larger-than-average necks and this can cause sleep apnea.

Age – sleep apnea is more common in older people, although people of any age can develop it. As we age we lose tone and elasticity. With that natural softening of the tissue in the throat, there's higher likelihood of collapse.

Family History – while there is no genetic predisposition to developing sleep apnea, you can inherit certain aspects of your physical makeup that increase sleep apnea risk like a narrow jaw.

Alcohol Use – as a muscle relaxant, alcohol too close to bedtime can lead to episodes of sleep apnea. Alcohol can also lengthen the duration of apnea episodes.

Race - Sleep apnea risk and severity vary by race.

Smoking - smokers are 2.5 times more likely to have sleep apnea nonsmokers. Smoking is an irritant and can cause airway tissue to swell.

Gender - middle-aged men are twice as likely to have sleep apnea than women.

Sleep apnea can be treated with CPAP machines and oral devices. Both have the place, but for patients that are fed up with CPAP there is an alternative to that unattractive tight mask, bulky, and loud machine. Oral devices can treat mild to moderate sleep apnea more comfortably than a CPAP machine.

Oral appliances are placed in the mouth and are worn like an orthodontic appliance or sports mouth protector. No machines and they are virtually unseen. For treatment options for sleep apnea, contact Newton Wellesley Dental Partners.

Dental Implants or Keep the Tooth?

Joseph Coupal - Tuesday, June 26, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAMany people call us when they have tooth problems. When they are advised to have their tooth extracted and replaced with a dental implant they often wonder if this is necessary, or if they should keep their natural original tooth. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "that all depends on the problem. There are scenarios where keeping the tooth some combination of root canal therapy or surgical intervention but in many instances dental implants are a better option".

"Dental implants are great for tooth-replacement or in larger reconstructions to provide support for the definitive dentistry. As far as tooth replacement, you have lots of options, but dental implants best mimic a natural tooth as far as look and functionality. They also help the jawbone and the jawline to maintain its density and volume".

The key word to consider when discussing dental implants is the word replacement, not substitution. Dental implants have a ‘root shape’ and they have been in use for about 30 years. Dr. Johnson is considered a pioneer in the synergistic use of CT scans, CAD CAM and digital laboratory techniques in implant dentistry. Over time he has been developing and perfecting this approach. His first computer-designed implant case was completed in 1988. Using this approach, the case can be studied, designed and placed with incredible precision which impacts the time-line and esthetic outcome.

If you have a tooth that is broken down and cannot be saved or if there are many teeth that need to be addressed, the best choice for replacement is a dental implant. If you had periodontal disease which is compromising your jawbone, then the best avenue would be to extract the teeth, preserve the jaw, and use implants as tooth substitutions. Dental implants can use the remaining jawbone and are healthier and safer than the natural teeth.

If your teeth are salvageable with no further damage to your jaw, teeth and mouth, get the natural teeth fixed. If your teeth and jaw are compromised it would be best to replace those teeth with dental implants.

For more information, contact Newton Wellesley Dental Partners.

A Healthy Smile Will Help You Look Younger

Joseph Coupal - Wednesday, June 20, 2018

Newton Wellesley Dental Partners, Newton, MAEveryone sees physical changes with age. Unfortunately, your teeth are not immune to aging either. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "Age can bring many changes in your smile. While skin experiences a loss of elasticity and collagen, the teeth and gums go through age-related wear and tear, which can accentuate an aged appearance". The signs of an aging smile are tooth color, wear and loss of gum tissue. But age does not have to show in your smile and your smile does not have to show your age. Your smile does not have to make you look older, in fact, it can make you look younger. With the right dental treatments, you can transform your smile and take years off your appearance.

Since 1986 Dr. Johnson has been the 'go-to' dentist for Boston's corporate leaders, sports figures and people who are in front of others. All demand a naturally radiant smile without the appearance of major dental work. He is regarded by many as Boston's Best Prosthodontist and is comfortable working on Boston's most demanding people. His use of surgical, computer and prosthodontic techniques has made him a perennial "Top Dentist" in Boston Magazine's annual issue.

"As we age, teeth begin to wear. Worn teeth can negatively affect fullness in the face; enhancing already sagging facial features and making them appear even more aged. With age, the surfaces of your teeth may shorten from chewing, which can make the face and facial profile appear collapsed. This makes it appear older", says this 56 year old prosthodontist.

Veneers or crowns can be the optimal choice for correcting worn and misshapen teeth. Porcelain veneers or dental crowns can lengthen and whiten your teeth. In cases where the patients’ lower and upper jaws have become too close together due to wear, the bite can be restored to bring back the length and to make the face much fuller and more proportioned.

For a younger looking smile, contact Newton Wellesley Dental Partners.

New Beauty Magazine

Cosmetic Dentistry Options

Joseph Coupal - Tuesday, June 12, 2018

Newton Wellesley Dental PartnersToday there are several different types of cosmetic dental treatments that everyday people can choose from. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "patients can rejuvenate smiles that have been affected by bad dental work, age, accidents, oral health problems and other issues.

Treatment possibilities are dependent on a variety of factors, including health status, age, and severity and type of cosmetic issues. The cosmetic procedures offered can often be combined with more extensive needs for aesthetic improvement, which allows patients the option of achieving a smile and appearance that suite and pleases them".

Dr. Johnson offers a personal approach to cosmetic dentistry, giving all patients individualized treatment and discussing options that will suit their lifestyle and their budget. He has been regarded as one of Boston's Top Dentists and is considered a pioneer in digital dentistry. If you have aesthetic issues that concern you, there is now a cosmetic dentistry procedure that can meet your needs.

Many complete cosmetic enhancements can be performed in one visit, increasing the convenience for busy people who are trying to achieve that beautiful smile. Cutting-edge equipment and the latest techniques combine to enhance the value of the cosmetic dentistry choices.

Patients may receive recommendations a number of different treatments depending on their cosmetic needs. For example, tooth discoloration can be addressed with in-office teeth whitening treatments or porcelain dental veneers depending on the severity and origin of the problem. With veneers, structural issues, such as cracks, chips and gaps can also be permanently concealed while strengthening teeth.

When patients consider cosmetic treatment you need to weigh your needs against your budget and time constraints by considering both noninvasive and invasive options. For more information, contact Newton Wellesley Dental Partners.

prnewswire.com

How to Choose the Right Dentist

Joseph Coupal - Monday, June 04, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MANo matter what age you are, going to the dentist should be a regular part of your health routine. However, many people put off going to the dentist and many don’t have a regular dentist. According to Dr. Ryne Johnson, prosthodontist and director at Newton Wellesley Dental Partners, "avoiding the dentist can be one of the most costly mistakes one can make".

Putting off regular dental exams is not a good idea. In fact, dental disease does affect your overall health and can ultimately lead to more invasive dental procedures and more expense down the line. You may put it off because you have been going to the wrong dentist for years. Your dentist is like a shoe, they have to be the right fit for you.

You need to feel comfortable with your dentist and your dentist office. Many people have an innate fear of the dentist, but the fact is that taking care of your mouth and teeth is imperative. So you need a dentist who can be informative and relaxing, and in cases of dental anxiety, you need a dental office that can provide sedation dentistry.

Choose a dentist office with the latest in comprehensive dental care with expertise in restorative dentistry, cosmetic dentistry, orthodontics, implant dentistry, general cleanings, and TMJ pain. This way, no matter what comes up you have an office that can handle it all. Most dentists now are using computers in their practice. Radiographs, CT-scans, computer milled crowns and fillings are commonplace. If your dentist is still practicing "old-school", you may be pleasantly surprised by recent advancements.

When searching for a new dentist, here are some suggestions.

It’s not as easy as seeing who is in your insurance provider pool. Ask friends and relatives for their recommendations, read reviews, and pay attention to how you are treated over the phone when you make the appointment. The internet can provide a wealth of information on a provider. During your appointment, be sure that the dentist explains any necessary procedures and why you need those procedures.

For more information on a comprehensive dental office in Newton, Brookline and Wellesley, contact Newton Wellesely Dental Partners.

Excerpts - NWItimes.com

Dental Veneers: Porcelain or Composite

Joseph Coupal - Tuesday, May 15, 2018

Newton Wellesley Dental Partners, Newton, MADental veneers are the solution to many common teeth problems, and they are an option for those looking for a ‘smile make-over’. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "Popularity and demand for this procedure continues to increase as people become more aware of it as an option. Many of my patients look to freshen their smile and veneers are a great way to look and feel younger. Dental veneers are made of either porcelain or composite resin and are able to fix crooked teeth, spaced teeth, chipped or damaged teeth and stained teeth".

Dental veneers: Composite vs. porcelain veneers

Dental veneers are a thin material bonded to teeth, creating a natural look. Veneers are also a popular choice for those looking to avoid braces. But what is the decision between porcelain and composite resin veneers?

Porcelain dental veneers: The advantages and disadvantages

Porcelain dental veneers are custom made for your teeth and are well known for their natural appearance. The pros include:

  • Porcelain veneers are extremely durable and can last for up to 15 years if taken care of properly.
  • Porcelain’s translucent properties create a very natural look.
  • Resistant to stains caused by food, drink and cigarettes.
  • Applying veneers is a small procedure requiring minimal drilling.

Some of the disadvantages are:

  • Porcelain veneers require two visits to the dentist.
  • They are more expensive than composite resin veneers.
  • Porcelain veneers can’t be repaired and must be replaced if damaged.

The pros and cons of composite resin dental veneers

Composite resin dental veneers are bonded to the teeth with resin cement, which is an extremely quick and easy procedure. The other advantages include:

  • The process requires only one visit to the dentist.
  • Composite veneers are less expensive than porcelain veneers.
  • They are easy and affordable to repair.
  • Composite resin veneers are versatile and easy to remove, replace and repair.

Composite resin veneers have some disadvantages too:

  • They can stain over time
  • They are less durable than porcelain veneers.
  • Composite veneers are widely considered to have a less natural look than porcelain veneers.

Not all teeth are suitable for dental veneers, so consult Dr. Ryne Johnson at Newton Wellesley Dental Partners with any questions or concerns. We will also help you to make a decision between porcelain and composite veneers. Contact us at www.NewtonWellesleyDentalPartners.com

News Fix

Choose the Right Dentist...See a Specialist

Joseph Coupal - Wednesday, May 09, 2018

Newton Wellesley Dental Partners, Newton, MANo matter what age you are, going to the dentist can cause some level of anxiety. Whether you suffer from fear of the dentist, fear of the unknown, or if you struggle with sitting in the dental chair for a long time; there can be all kinds of reasons that keep you from making a dental appointment. According to Dr. Ryne Johnson, prosthodotist and director of Newton Wellesley Dental Partners, "putting off regular dental exams is not a good idea. Pro action is always better than reaction and dental disease does affect your overall health. Often, procrastination will ultimately lead to more invasive dental procedures and more expense down the line".

But, you may be hesitant to go to the dentist. It could be because you have been going to the wrong dentist for years. Your dentist is like a shoe, they have to be the right fit for you, or the experience can be ‘uncomfortable’ or the results can "look like dentistry". Many people do not realize that dentistry has specialists just like medicine. There are children-dentists, orthodontists, gum-specialists, root canal specialists, oral surgeons and a little known specialty called PROSTHODONTICS. A prosthodontist is a specialist who has advanced training in teeth & mouth restorations. Many procedures involve crowns, bridges, TMJ therapy and implant work. They receive three years of additional training and knowledge in restorative and implant dentistry.

Choose a dentist office who has an advanced degree. One with the latest in comprehensive dental care, with expertise in restorative dentistry, cosmetic dentistry, orthodontics, sedation dentistry and TMJ pain. Now, no matter what comes down the line, you have an office that can handle it all in Newton Wellesley Dental Partners.

When searching for a new dentist, here are some suggestions. Ask friends and relatives for their recommendations, check credentials, seek experience and reputation, read reviews, and pay attention to how you are treated over the phone when you make the appointment. During your appointment, be sure that the dentist explains any necessary procedures, risks and options and why you need those procedures. Is the office doing digital dentistry and is the office up to date? The decisions you make will influence your outcome, your smile and the longevity of your dental health!

Remember...See a specialist, the difference will make you smile.

For more information on a comprehensive dental office in the Newton area, contact Newton Wellesley Dental Partners.

Excerpts - NWItimes.com

Bad Breath: How to Get Rid of It

Joseph Coupal - Thursday, May 03, 2018

Newton Wellesley Dental Partners, Newton, MAHalitosis is the technical name for bad breath. Halitosis is the third-most-frequent reason for going to the dentist, behind tooth decay and periodontal disease. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "The intensity of bad breath changes during the day, because of eating certain foods, obesity, smoking, and alcohol consumption. Bad breath may be transient or persistent. Transient bad breath disappears after eating, brushing, flossing, or rinsing with mouthwash".

Persistent or chronic bad breath is a more serious condition, affecting 25% of the population in varying degrees. At Newton Wellesley Dental Partners, we have some tips for you to rid yourself of bad breath.

Tongue scraping- Bacteria collects on the tissue of your tongue and causes a bad odor. To avoid this, brush your tongue while brushing your teeth with your tooth brush or a tongue scraper.

Regular flossing- Bacteria can colonize in the gums between the teeth and if not removed at least once per day, an unpleasant odor can result. The solution: Floss at least once per day!

Regular hygiene visits- The hygienist uses special instruments to remove plaque and calculus leaving your teeth biologically sound. A toothbrush and floss alone, no matter how frequently used, cannot reach areas that the dental hygienist can. It’s important to attend regular dental hygiene visits to stop periodontal disease from developing.

Regular Dental Exams- Tooth decay is also a form of disease. Bacteria cause the tooth to erode which releases a foul odor. To detect any untreated decay it’s important to come in for a dental exam at least twice per year.

Regular use of alcohol-free mouthwash- Mouthwash helps lower the level of bacteria that causes bad breath. We recommend using alcohol-free mouthwash to prevent from dry-mouth.

Chewing sugar-free gum with xylitol- Chewing gum helps loosen soft depositing that may accumulate on your teeth after eating and in between brushing.

The right toothbrush- An electric toothbrush is far superior in removing the bacterial layer than a manual toothbrush. Use an electric toothbrush and make sure to replace the head every 3 months.

For more information on getting rid of bad breath, contact Newton Wellesley Dental Partners in Newton.