Dr Johnson's Blog

Losing Teeth in Middle Age Could Raise The Risk of Heart Disease

Joseph Coupal - Tuesday, April 24, 2018

Newton Wellesley Dental Partners, Newton, MAPeople who lose two or more teeth during middle age may be more likely to develop heart disease, scientists have found. Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners recently came across a published study of nearly 61,000 adults aged between 45 and 69 which showed those who lost two or more teeth had a higher chance of developing coronary heart disease than those who didn't lose any teeth. People's risk had still increased after researchers took into account their diet, level of physical activity, body weight, hypertension and other risk factors. The researchers did not suggest how tooth loss and heart disease were linked, but experts have said in the past that bacteria could travel from infections in the mouth into the bloodstream and cause inflammation in blood vessels, which is associated with heart disease.

Coronary heart disease is a common killer and accounts for 22 per cent of all premature deaths, in the US it kills 370,000 people every year. The NHS says most cases are preventable. It is caused by a build-up of fatty deposits in the arteries, which restricts blood flow to the heart and can cause heart attacks. People at higher risk of developing coronary heart disease include smokers and those with high cholesterol, high blood pressure or diabetes.

Links have been made between the condition and dental health in the past; tooth loss is a symptom of poor oral health and, this study suggests, an indicator of a higher risk of heart disease. Anyone who lost two or more teeth - regardless of how many they had at the start - had a 16 per cent higher risk, but the risk among those who had 25-32 teeth was 23 per cent higher than those who did not lose any teeth.

In addition to other established associations between dental health and risk of disease, our findings suggest that middle-aged adults who have lost two or more teeth in the recent past could be at increased risk for cardiovascular disease.

That's regardless of the number of natural teeth a person has as a middle-aged adult, or whether they have traditional risk factors for cardiovascular disease, such as poor diet or high blood pressure.

The relation between dental health such as tooth loss and cardiovascular has been well documented in various research studies. Dr. Johnson recommends an every 3 month dental cleaning for many of his adult patients with early signs of gum disease. "Pro-action is always better than re-action" quips Dr. Johnson. "Why wait for significant dental problems to arise or to risk a cardiovascular incident"?

For more information, contact visit www.NewtonWelleselyDentalPartners.com or contact Dr. Johnson with any questions.

Do You Really Need to Floss?

Joseph Coupal - Tuesday, April 17, 2018

Newton Wellesley Dental Partners, Newton, MAAlongside washing your face before bed and eating your daily greens, flossing twice a day is one of those pieces of health advice that you know you're supposed to be following to a tee. In reality, though? It's not always happening (just me?).

As far as the flossing commandment, however, I can probably count on one hand (maybe even one finger) how many people I know who floss on the reg—which completely goes against what all dentists say.

Then again, the health staple has even come under fire in the past couple of years, with the Associated Press announcing that there's no scientific evidence that you need to be flossing daily. So what gives?

Most dentists say: "Everyone should floss at least once a day. If you don't, you leave food particles between the teeth and under the gums that can cause cavities, gum disease, and bad breath."

The problem lies in your toothbrush, which only reaches roughly 25 to 50 percent of your tooth surfaces. Brushing alone doesn't go between the teeth or under the gum, where food particles get stuck—and that's the area where most adult cavities form.

Your tooth has five surfaces. You can only clean three of them by brushing, so two-fifths aren't getting cleaned unless you floss. That's not a passing grade in anyone's book. Sigh—and no one wants a failing grade in hygiene.

If you avoid the situation and stick to your toothbrush only, you risk developing cavities, gingivitis, and eventually periodontitis—which is a serious gum infection that could destroy the bone that supports your teeth (yikes). And you can lose teeth. But, fear not—I asked about the absolute minimum amount of flossing that you can get away with and still have healthy teeth.

The answer? Once a day.

I suppose. For more information, contact Newton Wellesley Dental Partners.


Repair Missing Teeth for Better Health and More Confidence

Joseph Coupal - Tuesday, April 10, 2018

Newton Wellesley Dental Partners, Newton, MNo one knows better the importance of a beautiful smile than one who struggles with missing, crooked, or gapped teeth. It may affect job security or hiring, you may hesitate to meet people or struggle in new situations. According to Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners, "Your smile is directly related to your self-confidence and success".

Missing teeth not only affects your smile and self-esteem, they can have a far reaching domino effect on your bite and overall oral health. Healthy teeth can do more than give you an attractive smile; they can protect you from more serious health problems. Dental implants provide a permanent solution to missing teeth. Porcelain dental veneers can fix gapped, crooked or smaller teeth. Both options give you an attractive and confident smile.

A missing tooth usually causes other teeth to shift into the missing space. This miss-aligns your upper and lower jaws causing teeth to space out, crowd, flare out, or chip due to uneven forces when the teeth come together. Tooth movement can also lead to root damage and extreme wear and tear on your gum line and jawbone. Gaps in teeth are also the perfect place for food and plaque to collect which leads to tooth decay.

Dental Implants are the next best thing to a natural tooth. Dental Implants are a substitute for the missing tooth’s root so they are perfect for replacing missing adult teeth. Dr. Johnson has been performing implant prosthodontics since 1988 and is regarded as a pioneer in the synergistic use of CAD/CAM and CT scans in dental implant reconstructions. They are a permanent, comfortable solution that resemble your natural looking teeth. With dental implants, your teeth will never feel unnatural; but you will see the difference in your smile. Today, implants provide you with quick, comfortable, affordable, and attractive permanent teeth that will improve your health and your self-confidence.

While it is important to have your missing teeth repaired for aesthetic reasons, it is also very important to have them repaired for health reasons, contact Newton Wellesley Dental Partners for more information or for a consultation.

Considering Cosmetic Dentistry? Choose a Prosthodontist

Joseph Coupal - Tuesday, April 03, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAThinking about dental veneers, or invisible braces or just improving your smile? Learn the real truth about most cosmetic dentists and you may think again.

  • There's been a significant rise in people seeking cosmetic dentistry
  • There's also been a surge in number of cases of negligence or disappointed outcomes
  • Under-qualified practitioners are trying to cash in
  • Many dentists claim to be "cosmetic dentists" without any additional credentialing, experience or expertise

When you are seeking a cosmetic dental procedure, do your homework. Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners recommends that, "you double check and make sure your dentist is qualified". In fact, seek the services of a prothodontist. Prosthodontists have 3 more years of training and expertise than a general dentist. And anyone can call themselves a cosmetic dentist.

In the past five years there has been a significant increase in the number of people seeking cosmetic dentistry - and a similar surge in the number of cases of negligence as under-qualified practitioners cash in.

There is a huge rise in cases involving cosmetic dentistry because so many people want to emulate that Hollywood smile that dentists now see cosmetic dentistry as a lucrative sideline.

There are no controls - any qualified dentist can set themselves up as a cosmetic dentist without further specialist training.

Dr. Johnson wants you to be an educated patient. He will educate you on the procedures that are right for you, and he encourages you to get several opinions. But most of all, he is interested in having you find the best and most qualified dentist to meet your needs and for you to be satisfied with your beautiful, new, pain-free smile.

For more information on cosmetic dentistry or the difference a prosthodontist can make, contact Newton Wellesley Dental Partners.

Excerpts – DailyMail

How To Eat Your Way To Whiter Teeth

Joseph Coupal - Tuesday, March 27, 2018

Newton Wellesley Dental Partners, Newton, MAAre you whitening your teeth while looking for a snack to get through those hunger pangs?   Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners  wants people to know that there are better options when it comes to your teeth's appearance. 

Below are the best treats that'll enhance the natural white undertones of your teeth, and help drive away the stains we're all guilty of building up over the years. Unless you were blessed with the world's most perfect set of teeth or you have seen a good dentist to create that radiant smile, a couple of shades whiter will make you look healthier and more-youthful.

While there are toothpastes that claim to give you a whiter smile in 'just one use (but not really), and there's always the option of getting professional teeth whitening by a dental professional, chances are you don't have the money or the patience to get that gleaming tooth look.

However, Dr. Johnson is here to tell you that there are foods we guarantee you're already eating that are scientifically proven to give you whiter teeth as you chow down on them. Yes, you have our permission to fist pump.

So, put down that coffee (or glass of red wine, depending on your beverage preference and where you are in the world at this point in time), and grab yourself one of these foods to gnaw on instead...


Thanks to their crisp skin and firm inner texture, biting into an apple helps to remove any plaque build up on your teeth. Try eating one after lunch if you don't fancy brushing your teeth in the office loos (shudders).


Now that you've picked yourself up off the floor, we're happy to deliver the best news ever. A protein in milk used in hard cheeses has been shown to reduce the loss of tooth enamel, which you need to keep your teeth looking their gleamiest.


It doesn't take a genius to know that chewing on lightly abrasive, hard nuts will help rub off plaque and wear any stains off the surface of your teeth.


Dental professionals recommend munching on pears because their subtle acids help break down staining bacteria colonies in your mouth and on your teeth.


Cucumbers are a good source of fibre for gums and teeth alike​, and their crunchy consistency helps remove sugar and chemical debris from the hardest to reach places in your teeth. Maybe just lay off the hummus...

Greek Yogurt

Dairy products are teeth superfoods. Their high calcium content strengthens teeth, making enamel healthier and whiter. Excellent news for all you 'breakfast people' out there...


Unlike other berries, strawbs act as a natural astringent that helps to remove surface discolouration from the enamel of your teeth. What better excuse do you need to indulge in champagne and strawberries this eve?!


Just like the apple, crunchy carrots help rub away unsightly stains from your teeth. We knew Bugs Bunny was onto something.

Banana Peels

Bananas contain minerals and vitamins, such as potassium and magnesium, which help whiten teeth. However, don't throw away the skin once your done - take the inside of a banana peel and gently massage your teeth with it for a speedy surface-level cleanse.​

So, next time you find yourself without a toothbrush, you'll know what to do...  If not, a speedy way to make your teeth look way whiter is through in office teeth whitening procedure. Contact Newton Wellesley Dental Partners for more information.


Let Your Smile Make the Right First Impression

Joseph Coupal - Wednesday, March 21, 2018

Newton Wellesley Dental Patners, Newton, MASpring is a season of renewal. Maybe this is the time change your life. Maybe look for a new job, a new love, a new look? Start with a new smile. According to Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners, "positive impressions often come down to the power of an attractive smile. So, when it comes to that desired job interview, candidates should flash those pearly whites to make a positive impression".

A study says that 48% of adults think a smile is the most memorable feature after they meet someone for the first time. This is even more powerful than the spoken word which raked in 25% of respondents. The way someone dresses pulled in 9% and the way someone smells got 8% of respondents.

It’s pretty close across generations since 52% of adults older than 50 and 45% of the 18-49 demographic are most likely to remember a smile after they’re introduced to someone for the first time.

That said, it’s not just any smile that gets remembered. It has to be attractive in order to be equated with a positive first impression. So, how does one define an appealing smile?

Well, the same survey revealed that some Americans view people differently if they have crooked or stained teeth. That’s viewed as less attractive, according to 37% of respondents. In fact, 25% of survey participants indicated people were viewed as less confident than people with “perfect” teeth.

Other than the tip to smile at a networking event, job interview, and anything related to first impressions, smile online as well for your professional headshot for all of your social media profiles.

To put your best smile forward this Spring, contact Newton Wellesley Dental Patners.


Why Choose a Prosthodontist for Dental Implants?

Joseph Coupal - Wednesday, March 14, 2018

Newton Wellesley Dental Partners, Newton, MASo you're ready to do some dental implants. If so, do your homework and choose a prosthodontist. Unlike a general dentist, a prosthodontist specializes in smile reconstructions and has three years of additional education and additional expertise above and beyond dental school. They are the 'architects' and 'finished carpenters' of quality-focused dental care.

A prosthodontist, like Dr. Ryne Johnson of Newton Wellesley Dental Partners, will often use CT sans and computer diagnostics to understand the bone-topography how dental implants will impact your smile. They know how to balance your bite, and ensure that your normal speech pattern is not affected once the dental implants have been placed.

Prosthodontists will also customize your dental implants to fit your individual needs...a custom approach is ALWAYS better. Many dentists tout some expertise from a conference or correspondence course but prosthodontists are the REAL DEAL! The result will be the most attractive, natural looking and appropriate mouth restoration for you.

Dr. Johnson has been performing dental reconstructions, using implants since 1988, and has lectured on this topic throughout the country. That experience means that he can handle the complicated cases in addition to the cosmetically-demanding situations. Why settle for less?

Tips for Choosing a Prosthodontist

  • Prosthodontists have more years of education than general dentists, be sure they are "board eligible or certified".
  • Ask to see records of specialty training the prosthodontist has recently completed.
  • For the best results, choose a prosthodontist whose office uses 3D imaging (CT scans & CAD/CAM).
  • As a specialized dental field, prosthodontics is always advancing. Talk to your prosthodontist about the most cutting-edge treatments and how they can be used to give you the best smile possible.
  • Choose a prosthodontist who compassionately and carefully listens to your needs.

When considering dental implants, do your research and choose the treatment plan and prosthodontist that you are most comfortable with. Your smile is worth it! Contact Dr. Johnson at Newton Wellesley Dental Partners for more information.

A Perfect Smile Through Cosmetic Dentistry

Joseph Coupal - Wednesday, March 07, 2018

Newton Wellesley Dental Partners, Newton, MAWith magazines, billboards, and television, perfect, white smiles are all around us. As a result, cosmetic dental procedures are becoming more and more popular every year. Dr. Ryne Johnson, managing partner of Newton Wellesley Dental Partners has been called Boston's best prosthodontist for his utilization of digital dentistry to achieve outstanding cosmetic outcomes for his patients.

Beautiful teeth aren't just for celebrities anymore. Cosmetic dentistry is no longer a luxury, but a viable and reasonable option for anyone wanting to improve their smile. There are a number of reasons a patient might opt for cosmetic dentistry.

From traumatic injuries to permanent stains to missing or gapped teeth, cosmetic dentistry can help even the toughest cases. You don't have to wish for the perfect smile any longer. Dr. Ryne Johnson can transform your teeth and give you the smile you've always wanted.

Newton Wellesley Dental Partners offers any array of cosmetic dentistry services, from bonding and contouring to dental veneers and teeth whitening. Always dreamed of a dazzling smile? Tired of noticing coffee stains on your teeth? You don't have to put up with stained or yelllowing teeth any longer. More than ever it is very important to have dazzling white teeth and a beautiful smile. Teeth whitening and bleaching have become very popular options for patients over the last few years. It's a simple procedure that over time whitens and brightens your teeth. Patients have been immensely happy with the results.

If you're tired of having crooked teeth but don't want to spend a couple years wearing braces, then look no further than dental veneers. A cosmetic option that has grown in popularity, dental veneers are thin shells that are permanently adhered to the front of your teeth, producing a flawless, straight smile. Patients have been extremely satisfied with dental veneers. The procedure is simple and painless, and often requires little to no anesthesia. This is the perfect solution for adult patients who want to improve the appearance of their teeth but don’t want braces or invasive dental procedures.

For more information on cosmetic dentistry, contact Newton Wellesley Dental Partners.


Options for Fixing a Chipped Tooth

Joseph Coupal - Thursday, February 22, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MATeeth are the hardest tissue in the body, but they can chip, crack (fracture) or break. Treatment for a broken or chipped tooth will depend on how severely it is damaged. Here are some ways Dr. Ryne Johnson may repair your broken or chipped tooth.

Dental Filling or Bonding

If you have chipped off just a small piece of tooth enamel, Dr. Ryne Johnson may repair the damage with a filling. Bonding is a simple procedure that typically does not require numbing the tooth. To bond a tooth, the dentist first etches its surface with a liquid or gel to roughen it and make the bonding material adhere to it. Next, the dentist applies an adhesive material to the tooth followed by a tooth colored resin. After shaping the bonding material to look like a natural tooth, the dentist uses a light to harden the material.

Dental Cap or Crown

If a large piece of tooth breaks off or the tooth has a lot of decay, you may need a crown to replace the missing tooth structure. Permanent crowns can be made from metal, porcelain fused to metal, all resin, or all ceramic. Different types have different benefits. Typically crown procedures take two visits. At the first appointment the dentist will remove part of the remaining tooth in order to cover it with a crown, or tooth-shaped cap. Impressions will be taken and you will go home with a temporary crown. At the second visit, the temporary crown is removed and permanent crown is bonded into place.

Dental Veneers

If a front tooth is broken or chipped, a dental veneer can make it look whole and healthy again. A dental veneer is a thin shell of tooth-colored porcelain or resin composite material that covers the whole front of the tooth (much like a false nail covers a fingernail) with a thicker section to replace the broken part of the tooth.

To prepare your tooth, your dentist will remove from about 0.3 to 1.2 millimeters of enamel from its surface. Next the dentist will make an impression of the tooth to be sent to a dental laboratory, which will make the veneer. When the veneer is ready, usually a week or two later, you'll need to go back to the dentist to have it placed. To place the veneer, your dentist will first etch the surface of the tooth with a liquid to roughen it. The dentist then applies a special cement to the veneer and places the veneer on the prepared tooth. Once the veneer is in position, your dentist will use a special light to activate chemicals in the cement to make it harden quickly.

For more information on repairing chipped teeth, contact Newton Wellesley Dental Partners.



Joseph Coupal - Tuesday, January 23, 2018

You’ll often hear a plethora of questions at your next dental checkup, like: do you have any toothaches, or pain when you chew? Do you floss every day?

Dr. Ryne Johnson, prosthodontist at Newton Wellesley Dental Partners says that, “there may be another line of questions coming: those about your sex life. Questions about oral sex may be the key to prevention of oropharyngeal cancers of the throat, tonsils and back of the tongue, which can be caused by human papillomavirus (HPV) spread through oral sex”. But lots of dentists are falling short on the practice, a new study in the Journal of the American Dental Association suggests.

That’s what researchers discovered after holding four focus groups with dentists at a regional dental conference. While most dentists screened for oropharyngeal cancers, many fell short on actually talking to their patients about the cancer. In fact, most only talk about the cancer when they see a patient who already has symptoms of it, like a painless lump in the neck or a sore throat that doesn’t go away, according to the statement. That means lots of patients are missing out on important conversations about risk factors and prevention methods.

Barriers against asking these questions include a lack of privacy in most dental offices, plus a fear of embarrassing the patient when bringing up a pretty sensitive topic. “Given the alarming increase of HPV-attributable oropharyngeal cancers, dentists and dental hygienists may be key agents for promoting HPV prevention,” study author Ellen Daly, Ph.D., said in the statement. “However, there’s a serious need for better training and education in the dental community.”

And that’s especially true since HPV-fueled throat cancer is a growing problem: Before 1990, only 21% of Oropharyngeal cancers included the presence of HPV. After 2000, that number grew to nearly two out of every three samples, according to a meta-analysis from the University of Wisconsin School of Medicine and Public Health. HPV can be passed from one person to another during skin-to-skin contact. One way HPV is spread is through sexual activity, including vaginal and anal intercourse and even oral sex.

Most people with HPV infections of the mouth and throat have no symptoms, and only a very small percentage develop oropharyngeal cancer. Oral HPV infection is more common in men than in women. In some studies, the risk of oral HPV infection was linked to certain sexual activities, such as open mouth kissing and oral-genital contact (oral sex). Smoking also increases the risk of oral HPV infection . At this time the US Food and Drug Administration has not approved a test for HPV infection of the mouth and throat.

The number of oropharyngeal cancers linked to HPV has risen dramatically over the past few decades. HPV DNA (a sign of HPV infection) is now found in about 2 out of 3 oropharyngeal cancers and in a much smaller fraction of oral cavity cancers. The reason for the rising rate of HPV-linked cancers is unclear, although some think that it could be because of changes in sexual practices in recent decades, in particular an increase in oral sex.

The researchers believe the study highlights the importance of using the dental visit as a way to educate patients about their own risk factors, what symptoms they should watch for, and what they can do to protect themselves. They hope the results encourage dentists to enhance their own communication efforts with their patients about the disease, which may play a role in reducing their risk.

So don’t be surprised if your next visit includes some questions about your oral sex life. If your dentist doesn’t bring it up, know the symptoms—mentioned above—yourself. And if you experience them, see your dentist or your doctor, stat. As for avoiding it in the first place? The HPV vaccine, which can prevent against cancer-causing strains, is usually given during adolescence, but the Centers for Disease Control and Prevention recommends it through age 26 for men if they meet certain criteria. Using condoms and dental dams correctly can also lower your risk.

For additional blogs by Dr. Johnson, visit: www.NewtonWellesleyDentalPartners.org or if you’d like to contact Dr. Johnson directly, CLICK HERE.

Original article: http://www.msn.com/en-us/health/medical
Artwork: iStock