Dr Johnson's Blog

CAUSES OF BAD BREATH

Joseph Coupal - Thursday, January 17, 2013

Bad Breath is a deal breaker. With such a focus on white teeth and a white smile, more and more people are also concerned or worried about bad breath. No one wants to be with someone who has it, and certainly no one wants it themselves. So how do you guard against bad breath?

The Common Causes of Bad Breath

If you suffer from chronic, severe bad breath, or halitosis, identifying the causes of it so you can determine an effective treatment is important.

The following are all causes of bad breath:

  • Tobacco use. If you smoke, quit. Your bad breath may be due to other causes, too, but tobacco use is a guarantee of bad breath. If you are ready to quit, ask your doctor or dentist for advice and support.
  • What you eat, or don't eat. Certain foods, such as garlic, contribute to bad breath, but only temporarily. Once they are absorbed into the bloodstream, the smell is expelled through the breath, but the odors remain until the body processes the food, so there’s no quick fix.
  • Dry mouth. If your mouth is extremely dry, there is not enough saliva to wash away excess food particles and bacteria, which can cause an unpleasant smell if they build up on the teeth.
  • Infections. Bad breath that seems to have no other cause may indicate an infection elsewhere in the body. If you have chronic bad breath and your dentist rules out any oral problems, see your doctor for an evaluation. Bad breath can be a sign of a range of conditions including respiratory tract infections, chronic sinusitis or bronchitis, diabetes, or liver and kidney problems, so it's important not to ignore the problem.

The best way to improve bad breath is to follow a thorough oral care routine including twice-daily teeth brushing and daily flossing to remove the food particles and bacteria that can cause bad breath. Mouthwashes only improve bad breath for the short term. If you have a chronic problem, Dr Johnson at Newton Wellesley Dental Partners can help by deep cleaning your teeth and gums and he may suggest an antimicrobial mouth rinse to help keep bacteria at bay.

For more information, contact Dr. Johnson. And remember, “See a Specialist…the Difference will Make You Smile.“

Oralb.com

NUTRITION PLAYS A ROLE IN MAINTAINING HEALTHY TEETH

Joseph Coupal - Thursday, January 10, 2013

Everyone knows the importance of proper nutrition and a good diet when it comes to maintaining physical health. However, the same level of thinking can also help with our dental health, and having good nutritional and eating habits will contribute to healthy teeth and gums.

According to Dr. Ryne Johnson, prosthodontist with Newton Wellesley Dental Partners, “A good, balanced diet can help to boost and maintain our body’s natural immune system; this can help to reduce the likelihood of developing oral complaints, while also helping to maintain healthy gums and strong teeth“.

What we eat and drink can have an effect our oral health. Sweets, for instance, can stick to our teeth and leave behind sticky deposits which if not removed can lead to tooth decay. As such, it is important to maintain a good dental health regime to remove sticky residues that may be left behind. Fizzy drinks, such as Pepsi cola, can erode tooth enamel, due to the acidic nature of the beverage.

It’s also important to eat regularly, as research has shown that dental health can be affected by how often a person eats. Regular snacking on sweet or starchy foods can increase the activity of bacteria in a person’s mouth; this leads to heightened levels of acid in the mouth, which can erode tooth enamel. The more frequently a person eats, the more bacteria is stimulated, and the more acid is produced. Saliva plays an important part in maintaining our dental health. Saliva can help to neutralize acid caused by eating, so rather than snacking consider combining foods into a larger meal. Saliva is a naturally occurring liquid in the mouth and can wash away food particles which may also be the target of bacteria, as well as helping to replenish teeth with essential nutrients to help withstand acid attacks.

Eating and drinking sensibly, adopting a good dental hygiene regime and making regular appointments with a dentist can all help to ensure that your smile remains healthy and strong, as well as remaining beautiful.

For more information, visit www.NewtonWellesleyDentalPartners.com and remember to, “See a specialist…The difference will make you smile.“

Excerpts – About.com

BETTER SMILE, BETTER TEETH, MORE CONFIDENCE IN 2013

Joseph Coupal - Thursday, January 03, 2013

Resolve to take care of yourself and your smile this New Year. If you have missing or crooked teeth or just an aging smile, it is time to take care of your mouth , your self esteem and your oral health. But don’t just take our word for it. See what others are saying about Newton Wellesley Dental Partners and about Dr. Johnson in particular. From seniors to radio personalities to actresses, some of their testimonials are below. To see more testimonials, visit www.NewtonWellesleyDentalPartners.org.

Don’t just see any dentist, see a prosthodontist with advanced training and expertise. Remember, “See a Specialist…The Difference will Make You Smile”.

Lou Merloni – Retired Red Sox player, Radio & TV Personality

“As a locally-born and raised, retired Red Sox player, I do many public appearances for the radio station, on TV and at philanthropic events. I entrusted Dr. Johnson to enrich my smile and couldn’t be happier with the results. Dr. Johnson’s work turned out great! I now know what the hands of an Ivy-League catcher can accomplish. His experience, passion and CAD/CAM expertise enable him to be at the top of his profession”.

Michael Andelman – Radio & TV Personality

“I put off seeing a dentist for over 8 years and had dental issues that required immediate attention. I called Dr. Johnson and he made arrangements to see me at 6:45 the next morning. After having the work done, I can tell you that I’ve never had better customer service in any industry…not anything close! It’s the best experience I’ve ever had”.

Dr. Dawn West – Dentist/Clinical Director at a local Dental School

“When it came time for my mother to address her “tired’ smile, i know more than most that she should see a specialist. As a dentist that serves as a clinical director at a local dental university who treats special needs patients, I recognized that skill set of Dr. Johnson was exactly what my mother needed. I knew of his clinical, teaching background and that he has lectured nationally. He has an outstanding reputation for world-class, dental aesthetics and his ceramist has the talent to create beautiful, yet natural results. The outcome is better than we expected and my mother and I couldn’t be happier. Thank you Dr. Johnson”.

Fr. Harvey Egan – Professor Emeritus at Boston College

“I saw Dr. Johnson for a tooth that had gone ballistic. After he took the time to explain all the available options, I followed his recommendations. I think very highly of him. The way he used his high-tech instrumentation and delicate “touch” indicated to me that he is highly skilled. I wish that I had discovered him sooner. Thanks for the excellent Treatment”.

For more information or to book your appointment, contact us at www.NewtonWellesleyDentalPartners.org

RESOLVE TO HAVE BETTER ORAL HEALTH IN 2013

Joseph Coupal - Friday, December 28, 2012

As we enter the new year with so many good intentions, Dr. Ryne Johnson, Prosthodontist at Newton Wellesley Dental Partners suggests that you add one more resolution to your list … improved oral health! Dentists see firsthand the effects lack of regular dental care can have on the overall health and well-being of so many people. If you want to feel good, stay healthy, and look great throughout your life, you might be surprised what a difference a healthy mouth makes.

Brush your teeth and gums. Floss. Improve your diet. Visit your dentist. These simple behaviors work! As Benjamin Franklin stated — “an ounce of prevention is worth a pound of cure.”

Whether you are 8 or 80, your oral health is very important. If cared for properly, your teeth can last a lifetime. Losing your teeth is not inevitable, as it was for many in previous generations. However, your mouth changes as you age, so being vigilant throughout your lifetime and having regular dental check-ups to detect any early signs of dental disease is critical to maintaining a healthy mouth and healthy body. Some 100 million Americans fail to see a dentist each year, even though regular dental exams, combined with good oral hygiene, can prevent most dental diseases.

Today we know there are associations between oral health and overall health and that physicians are beginning to work more closely with dentists to monitor the health of their patients. Dentists are a critical part of a patient’s healthcare team, in that they are often the first ones to detect changes in a patient’s oral condition that can signify overall health problems. People with diabetes, for instance, have a greater chance of developing gum disease, at a rate three to four times higher than people without diabetes. And, untreated, gum disease can lead to a breakdown of gum tissue and bone that may eventually result in teeth becoming loose or falling out. The good news is that your dentist may detect early stages of gum disease during regular exams and treatments are available to help stop the progression.

Make a resolution today to adopt healthy oral care habits at home and seek regular dental care. You can help your teeth last a lifetime and have a smile you’ll be proud of. For more information, visit NewtonWellesleyDentalPartners.com and remember to, “See a specialist…the difference will make you smile”.

Austin Daily Herald

DENTAL IMPLANTS VS CROWNS: A GROWING OPTION

Joseph Coupal - Wednesday, December 19, 2012

“Implants for replacing lost teeth have come a long way since I began my dental practice in 1986”, according to Dr. Ryne Johnson, prosthodontist with Newton Wellesley Dental Partners. “Better materials, computer diagnostic procedures, CAD/CAM technology and professional experience result in far fewer problems than occurred in the early years of implants”.

Critical to their success, however, is proper selection of both patients and practitioners — and, after the implant, a commitment to good oral hygiene. Dental implants must be treated like natural teeth: kept clean and free of plaque through proper brushing, flossing and periodic professional cleanings.

“Bridges are not the standard of care anymore,” For most people who lose teeth, implants are the treatment of choice” according to Dr. Johnson. “Implants do not decay, and adjacent healthy teeth do not require crowns to support them. And because it is easy to clean and floss between implants, the gum tissue and underlying bone are more likely to remain healthy”.

With a bridge, if one of the supporting crowned teeth breaks or develops decay or nerve damage, the bridge and its three or more crowns must be removed and replaced.

Implants can replace individual lost teeth or many teeth in a row. For those who have lost most of their teeth, implants can be used to anchor a full or partial denture. About half a million implants are placed each year in this country.

On average, the total cost of a dental implant to replace a single tooth is $5,000 to $7,000 (more if other procedures are required), or about one-third more than the cost of a bridge. But while bridges have an average life span of 10 years, an implant can last a lifetime.

Not a Quick Procedure

The basic technique involves surgically inserting a titanium screw — the implant — into the supporting bone, which can be done under local anesthesia in less than an hour, and attaching a small fake tooth called an abutment, followed by a crown. The resulting tooth looks and feels like a natural one.

Although there is an increasing trend toward ‘immediate loading” where computer design is implemented and dentistry is immediately placed on the, the conventional approach can be a lengthy one. Unlike a bridge, which can be completed in a few weeks, implants usually take about eight weeks for the screw to become firmly attached to bone before the final crown can be placed. “A patient’s health, not age, determines suitability for an implant,” Dr. Johnson reports. “I just did implants for a 88-year-old who needed them to support and ill-fitting denture. “If cases are chosen well, implants are very successful — 96 to 97 percent successful. And they rarely fail down the road.”

A most important element is having enough bone in the jaw to support the implant, although in some cases bone cells removed during drilling for the implant or taken from elsewhere in the

In some cases when a tooth must be pulled, an implant can be placed right after the extraction, with the advantage of limiting bone loss in the area. When bone is not being stimulated, it tends to break down. I consider myself lucky that although I’ve had this troublesome bridge for many decades, my underlying bone has remained healthy enough to support an implant.

Choosing a Doctor

Just as any physician can legally perform surgery, any dentist can legally do implants. Be sure to choose someone thoroughly trained in the technique. Taking a weekend course in implantology is rarely adequate. There are risks involved in placing implants, including damage to a nerve or sinus cavity, which are magnified when the practitioner lacks adequate training.

Dental Implants were once done mainly by oral and maxillofacial surgeons, most of whom operated independently of dentists. Now at least as many implants are placed by periodontists who are schooled in the technique and who coordinate their work closely with the patient’s dentist. Ideally, the periodontist should be board-certified.

Just as you might ask for referrals for a prospective attorney or financial planner, consider asking to speak with other patients of the practitioner before deciding to proceed with an implant. Though every case is different, at the least you can determine how well you are likely to be cared for.

For more information visit, www.NewtonWellesleyDentalPartners.org and remember to, “See a specialist…the difference will make you smile”.

DENTAL VENEERS ARE A VERY POPULAR COSMETIC DENTISTRY PROCEDURE

Joseph Coupal - Friday, December 14, 2012

Today, dental technology provides better and safer paths oral health care. While many cosmetic dentistry procedures work very well, according to Dr. Ryne Johnson of Newton Wellesley Dental Partners, “porcelain veneers stand out to be one of the very best”. Dental veneers are fitted over the front of each tooth and are used to hide minor dental damages, yielding a perfect and natural appearing smile. However, the skills and experience of the cosmetic dentist (and laboratory technician) has a huge impact on the outcome and can be the difference between natural radiance and the appearance of mediocre dental work.

The benefits of porcelain veneers are many and they are highly recommended for people searching for a safe and successful smile makeover. Porcelain veneers are among the most wanted services at Newton Wellesley Dental Partners because they maintain the integrity of the underlying tooth, making them safer and more suitable to a natural looking and feeling smile.

Veneers are a thin shell of porcelain that is fitted to teeth to further enhance its shape and shade. They normally cover just the front area of the existing tooth. Veneers can be utilized to close spaces between teeth, extend small or deformed pieces, mask discolored or dark teeth. When teeth are fragmented or begin to wear, veneers can serve as a good protection from damage and later on refurbish their original appearance.

Cosmetic veneers are one of the most popular forms of cosmetic dentistry, as they are natural looking and can be permanently placed within two to three visits.

For more information on dental veneers, contact Dr. Johnson at Newton Wellesley Dental Partners or visit www.NewtonWellesleyDentalPartners.org. Remember to, “See a specialist…the difference will make you smile”.

Virtual Strategy Magazine

COSMETIC DENTISTRY PROCEDURES

Joseph Coupal - Tuesday, December 11, 2012

Some may argue that cosmetic dentistry procedures are expensive, but according to Dr. Ryne Johnson, prosthodontist at Newton Wellesley Dental Partners, “what you gain from restorative or cosmetic dental care will pay you back in self-confidence and self-assurance”. Studies have shown that people with attractive smiles are more successful in society and business. Cosmetic dentistry procedures help you in aesthetics, function and health. Don’t forget, you will look younger too.

Cosmetic dentistry procedures:

Braces – are generally used to straighten your teeth. You have options between metal or porcelain brackets and Invisalign clear aligners, depending on your dental situation. The fees for orthodontics will vary depending on a variety of factors: the type of braces you need to wear, your geographic location, the material they are made of and the dental office you choose.

Dental implants – another extremely popular cosmetic dental procedure which helps you enhancing your smile and health. There are many types of dental implants available. Advancements in computer assisted diagnostics and placement now allow for teeth to be worn the same day implants are placed.

Dental veneers – veneers are thin sheets of porcelain placed over the surface of our natural tooth to hide imperfections, badly stained or slightly misaligned teeth. Veneers, if done properly, should appear imperceptible while being very conservative in the amount of tooth that is reduced/removed.

Complete smile makeover – when this type of treatment is needed, a variety of specialists undertake several cosmetic dental procedures to enhance the smile of the patient. The complete smile makeover can involve gum therapy, dental implants, veneers, dental bridges or crowns and even jaw reconstruction surgery.

Teeth whitening – in-office teeth whitening (and take home hits) is done for those who have stained teeth or for those whose teeth has darkened from age. For a whiter, brighter, yet natural smile, teeth whitening is a very popular procedure.

For more information on cosmetic dentistry, visit www.NewtonWellesleyDentalPartners.com. Remember to, “See a specialist…the difference will make you smile”.

WHITE WINE CAN STAIN TEETH TOO

Joseph Coupal - Thursday, November 29, 2012

It is the holiday season, and we all want our smile to look its best. We all know that red wine can stain your teeth but switching to white during the holidays might not be a perfect alternative. According to Dr. Ryne Johnson, prosthodontist at Newton Wellesley Dental Partners, “white wine isn’t a ‘stain-free’ option. Even though white wine lacks red pigment, it creates a situation that allows other dark beverages and foods to stain your teeth”.

The problem is acid. The acid in white wine etches the tooth enamel, giving the surface rough spots, pits and grooves that are the perfect places for pigments from other stain-making foods and beverages to seep in.

If you drink a glass of white wine while socializing with friends your teeth are saturated with acid for approximately 30 minutes after you finish that drink. Acid can do a great deal of damage to tooth enamel in that length of time.

But don’t worry, a little planning can help off-set the damage. Increased saliva production can also derail an acid attack. Saliva contains minerals and fluoride; it neutralizes acid and helps heal the tooth surface. Dr. Johnson recommends, “chewing gum made with xylitol or eating non acidic foods which stimulates saliva flow. So, pair that wine with some cheese between sips”.

A little extra planning can help you maintain your white healthy smile for the holidays. If you are already dealing with stains and want to discuss options to correct your smile, visit Dr. Johnson at Newton Wellesley Dental Partners. He’ll educate you about teeth whitening and the range of products that will keep your teeth their dazzling best. Present a copy of this blog and receive 75%-off tooth whitening procedures (in-office & take home kit).

Remember to, “See a specialist…the difference will make you smile”.

A REVOLUTION IN DENTAL IMPLANT THERAPY

Joseph Coupal - Wednesday, November 21, 2012

A revolution in Dental Implant Therapy is occurring in the area’s finest practices! According to Dr. Ryne Johnson of Newton Wellesley Dental Partners, he is, “transforming lives through computer, surgical and prosthetic symbiosis”. What does this mean and what can Dr. Johnson do for you?

Since the 1980s, Dr. Johnson has been using computer integrated techniques in his dental implants. Many have referred to Dr. Johnson as a pioneer in this area but recent advancements in dental-focused, 3 dimensional CAT-scans and a revolutionary development in implant design now enables the team at Newton Wellesley Dental Partners to pre-design the case on the computer, pre-fabricate the dentistry and place implants with such precision that the prosthesis (teeth) can be put to use the same day that implants are placed.

In the past, an implant was placed and ‘left asleep’ in the bone for 3-6 months (depending on bone density and other variables). Once the bone cells had grown onto the implant, impressions would be made and the dentistry would be fabricated at the lab.

Now, through the integration of 3D, CT-scans, digital impression taking, in the office, and the new surface design of the implants, this can all be done in ONE DAY.

Visit www.NewtonWellesleyDentalPartners.com for more information. Look for Dr. Johnson’s ad in Boston Magazine and remember to, “See a specialist…the difference will make you smile”.

TMJ DISORDER

Joseph Coupal - Friday, November 16, 2012

“Temporomandibular joint” or TMJ is actually the hinge joint connecting the lower jaw to the skull’s temporal bone.

The temporal bone is located in front of each ear. The ligaments, muscles and joints on each side of your jaw are attached to the jaw joint. They let you open and close your mouth and allow you to chew, swallow and talk.

It works wonderfully, when it works, but it can be thrown off by a number of problems.

Some disorders of the TMJ are osteoarthritis and rheumatoid arthritis, grinding teeth, dislocation, misalignment of jaw or teeth, or injury. Stress can cause muscles of the jaw or face to tighten or teeth to clench.

Your face, jaw joint, neck, shoulders, around the ear, or in the ear may be tender or sore when you chew or speak, or when opening your mouth wide.

You may not be able to open your mouth as widely as you could before. Your jaw may get stuck either open or closed.

You may have clicking, grating or popping sounds which may or may not be painful when moving your jaws.

Chewing may be painful or may feel “off”. You may have swelling on one side of the face or the other, or both sides.

Pain from temporomandibular disorders can be temporary for some people or it may last for years. Women are more likely to get TMD than men are. It is most likely to hit between age 20 and 40.

Dr. Johnson can perform an examination in the case of TMD and help you solve your dental problems that cause these aches and pains. Use of a bite plate or a night guard, custom designed by the dentist may lessen teeth grinding and clenching.

If you are suffering from TMD:

It can be helpful to eat softer foods. Don’t bite your nails or chew gum. Pain may be eased by using heat packs. Some people find relief through meditation, biofeedback or other types of relaxation techniques to reduce jaw tension. Also recommended, strengthening your jaw muscles through exercise.

For an appointment contact Newton Wellesley Dental Partners.

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