Dr Johnson's Blog

POT MOUTH? – WELLESLEY, NEWTON, MA

Joseph Coupal - Wednesday, April 26, 2017

We recently had a college student return from college in Colorado who came to the office for a general visit. Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners reports that, “Upon reviewing his medical history before a routine cleaning appointment, “John” admitted to “smoking a lot of pot” during his four years away. There was a raised, white area along the cheek”.

Like Colorado, Massachusetts has recently adopted policies that allow for recreational use of Marijuana. There are dispensaries being planned around the state and a likely increase in recreational use of Pot is certainly coming.

Ganja, Hash, Weed, Mary Jane are but a few of the more common names for cannabis which is a plant-derived drug. Commonly abused, about 2.5% of the world’s population uses cannabis. It can be used in several preparations, with dried leaves and flower (marijuana) that are smokes being the most common. Other methods include smoking via water pipe or vaporizer, adding marijuana to food and consuming it, and using concentrated liquid forms.

Dry mouth is a common problem experienced for one to six hours after using cannabis, as well as an increased appetite. Both lead to becoming more vulnerable to an oral attack from foods and sweet drinks. Thermal injury to the tissues is seen in an additional effect by other opportunistic infectious agents.

And our college student? Because it is virtually impossible to distinguish between these benign entities and carcinoma, biopsy is essential. If dysplasia is demonstrated, consider such lesions premalignant. They have the propensity to transform into carcinoma in situ or invasive squamous cell carcinoma. Thus, such leukoplakic growths must be excised completely and the region observed closely for recurrence. … a biopsy report of hyper-keratosis.

Lessen learned!

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Artwork: www.researchgate.net
Original article: Dr. Gerald Fine

EARLIER DEATH IN OLDER WOMEN RELATED TO GUM DISEASE? -WELLESLEY, NEWTON, MA

Joseph Coupal - Tuesday, April 04, 2017

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners found an article that resonates with his patient base which he wants to share: Research published in the Journal of the American Heart Association suggests that, “gum disease and tooth loss are connected to a higher risk of early death in women past the age of menopause.” Michael J. LaMonte, lead author of the study and a research associate professor at the University at Buffalo in New York, notes that the findings only suggest an association between oral health and premature death. CNN adds, “The research does not show gum disease or tooth loss cause early death.” However, according to Dr. Johnson, “there are many published findings that correlate gum disease with many medical entities like cardiac issues, pancreatic cancer and poor diets”.

For the study, HealthDay (3/29/17, Preidt) reports that investigators “tracked data on more than 57,000 women aged 55 and older.” The researchers found that “a history of gum disease was associated with a 12 percent higher risk of death from any cause.” In addition, researchers found that loss of natural teeth was associated with “a 17 percent increased risk of death from any cause.” Dr. Johnson recommends a 4x/year regimen with a talented hygienist for many of his periodontally compromised patients. He adds, “it is clearly the best ‘bang for your buck’ in dentistry and can save you many thousands of dollars over one’s lifetime”.

MouthHealthy.org provides oral health information for adults over 40 and adults over 60. MouthHealthy.org also provides additional information for patients on gum disease.

For additional blogs by Dr. Johnson or to contact him directly, visit: www.NewtonWellesleyDentalPartners.com

Original article in CNN.com

Artwork: www.healthline.com