Posts Tagged ‘best dentist’

Can Gum Disease Affect Ovulation?

According to Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners, “Women struggling to get pregnant need to take good care of their gums, a study has found. Bacteria that causes gum infections appears to have a role in making conception take longer”.  According to a recent study, “Women with bacteria that causes gum disease in their saliva, P. Gingivalis, took three times longer to get pregnant than women without. And women with the bug as well as symptoms of periodontitis - disease of the gum and underlying bone - took four times longer”. Researchers believe that infection in the gums and jawbone leads to further inflammation in the body. This inflammation may prevent ovulation or could stop the embryo implanting. Women struggling to get pregnant need to take good care of their gums, a study has found. Researchers think gum disease might be a warning sign of problems elsewhere in the body - particularly type two diabetes and heart disease”. Additionally, post-menopausal women are more likely to die early if they have gum disease according to this study.  Women who lose teeth after the menopause are at a higher risk of an early death, experts have warned. A major study suggests gum disease and tooth loss is a red flag for severe health problems. Study leader Dr Michael LaMonte, of the University at Buffalo in New York, said no matter the cause of the link, more intensive dental screening in old age could help nip problems in the bud. Other possible effects are inflammation interfering with hormone production, as well as contributing to endometriosis, a condition where tissue that normally grows inside the womb grows elsewhere in the body.  Dr Susanna Paju, of the University of Helsinki said: ‘Our study does not answer the question on possible reasons for infertility but it shows that periodontal bacteria may have a systemic effect even in lower amounts, and even before clear clinical signs of gum disease can be seen. Thus, Dr. Johnson suggests that, “results encourage young women of fertile age to take care of their oral health and attend periodontal evaluations regularly”. How the study was carried out: Researchers at the University of Helsinki studied 256 healthy non-pregnant women aged between 19 and 42 who had stopped contraception and were trying to get pregnant. The health of their mouths and gums, as well as their reproductive organs, were examined.  Over 12 months they were observed as to whether they became pregnant or not.  Researchers believe gum infection leads to further inflammation that may prevent ovulation.   Key findings : Gingivalis Bacteria was ‘significantly more frequently detected in the saliva among women who did not become pregnant during the one-year follow-up period than among those who did.’ The research found women who either had P. Gingivalis in their saliva – or antibodies indicating they had been infected by P Gingivalis, were three times less likely to get pregnant, while those with the bacteria and signs of gum disease were four times less likely to get pregnant. The bacteria remained a factor even after other factors that have an effect on getting pregnant such as socioeconomic status, general health and smoking were considered. Original article:  www.dailymail.co.uk/health Artwork:  www.freepik.com  

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Dentistry After Root Canals Impact Tooth Longevity – Newton, Wellesley, MA

“Irynen a recent longitudinal, retrospective analysis, researchers found that what one does AFTER a root canal procedure directly influences the longevity of that tooth” says Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners.  “Teeth with endodontic therapy have been hollowed out and need internal and external protection to prevent fracturing.  This cannot be accomplished with fillings, according to this study” says Dr. Johnson.  “After 30 years of restorative dentistry, I can attest that the best means to improve longevity on a root canaled tooth is with a dental crown”.

Methods

Computerized analysis was performed for all patients who received posterior RCT from 2008 to 2016 in the graduate endodontic department. Data collected included dates of RCT, type of post-endodontic restoration, and time of extraction if extracted. Teeth that received crown after RCT were also divided into 2 groups: receiving crown before 4 months and after 4 months after RCT. Data were analyzed by using Kaplan-Meier log-rank test and Cox regression model (α = 0.05) by using SPPS Statistic 21.

Results

Type of restoration after RCT significantly affected the survival.  Those that received composite/amalgam buildup restorations were 2.29 times more likely to be extracted compared with those that received crown. Time of crown placementproject1 after RCT was also significantly correlated with survival rate. Teeth that received crown 4 months after RCT were almost 3 times more likely to get extracted compared with teeth that received crown within 4 months of RCT.

Thus, according to Boston’s best prosthodontist, “it’s best to protect the tooth as soon as possible to avoid problems”.

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Original article: http://www.ada.org Artwork: www.OswegoSmiles.com

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The Latest on Teeth Whitening

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners was recently interviewed for a national magazine that was developing a synopsis of cosmetic dental procedures.  According to Dr. Johnson, “Tooth whitening has become one of the most frequently requested dental procedures in his office. The public has come to demand whiter, more perfect smiles and in response many choices for tooth whitening have been made available. These include home-based products such as toothpastes, gels, and films, as well as in-office based systems where products containing highly concentrated bleaching agents are applied under professional supervision". The profession and public have been aware of certain risks related to tooth whitening such as increased tooth sensitivity and gingival irritation. New research has shown that there are other risks such as tooth surface roughening and softening, increased potential for demineralization, degradation of dental restorations, and unacceptable color change of dental restorations. The new research is also focused on optimizing whitening procedures to reduce tooth sensitivity and to increase the persistence of the whitening.   Types of Teeth Whitening Systems Whitening systems can be variously categorized. The following approach is in accordance with the American Academy of Cosmetic Dentistry. Whitening Toothpastesproject1 Whitening toothpastes typically contain higher amounts of abrasives and detergents than standard toothpastes, to remove tougher stains. Whitening toothpastes do not contain bleach (sodium hypochlorite) but some contain low concentrations of carbamide peroxide or hydrogen peroxide that help lighten tooth color. Whitening toothpastes typically can lighten tooth color by about one or two shades. OTC Whitening Strips and Gels Whitening strips were introduced into the market in the late 1980’s. They deliver a thin layer of peroxide gel on plastic strips shaped to fit onto the buccal surfaces of the teeth. There are a variety of white strip products on the market with varying instructions. A typical set of instructions are to apply the strips twice daily for 30 minutes for 14 days. project2Tooth lightening can be seen in several days and this method can lighten the teeth by 1 or 2 shades. There are some newer whitening strip products that require only one 30-minute application per day that have the same whitening end point as the two-a-day products. Whitening gels are peroxide-based gels applied with a small brush directly to the surface of the teeth. Manufacturer’s instructions are usually twice a day applications for 14 days. Like the whitening strips, the teeth can usually be lightened by 1 or 2 shades. Whitening Rinses Whitening rinses contain oxygen sources such as hydrogen peroxide to react with the chromogens.project3 Manufacturer’s instructions are for twice a day rinsing for 60 seconds each. It takes up to 3 months to see a 1 or 2 shade improvement in tooth color. Tray-Based Tooth Whiteners Tray-based tooth whitening systems are available both professionally and OTC. This method involves use of a fitted tray containing carbamide peroxide-bleaching gel worn fproject4or 2 to 4 hours a day or overnight. Usually by following the manufacturer instructions tooth whitening is noticeable in a few days, lightening the teeth by 1 or 2 shades. In-Office Whitening Quicker tooth lightening can be achieved through in-office whitening because the products deliver higher concentrations of peroxide than OTC. Consequently, gingival tissues are usually protected before the agent is applied. Some products claim to increase the oxidation of chromogens by exposure to heat or an intense blue light with a wave length between 480 nm and 520 nm to activate the product while on the tooth, causing the chemical reactions to proceed faster. Some professionals use laser systems to increase the rate of the chemical reactions. This use of lasers is considered to be an ‘off-label’ use of laser systems in dentistry by the US Food and Drug Administration. In a systematic review by Buchalla and Attin no added benefit from light-activated systems was found and thus the American Dental Association does not endorse such whitening systems.project5 Tooth lightening results are seen after one 30- to 60-minute treatment. More dramatic results can be obtained with several applications. Risks associated with Tooth Whitening Risks commonly reported with tooth whitening include increased tooth sensitivity and mild gingival irritation. The degree of these side effects is directly related to the concentration of the peroxide bleach component, duration of the treatment, and the non-bleach composition of the product used. Tooth sensitivity usually occurs at the time of treatment and can last several days; gingival irritation begins within a day of the treatment and can also last several days. There are additional risks that have been reported from in vitro studies which include tooth erosion, tooth mineral degradation, increased susceptibility to demineralization, and pulpal damage.4 The ultimate endpoint for tooth whitening is dependent upon the tooth itself, with common wisdom telling us that all treatment regimens will eventually arrive at the same whitening endpoint. This is not exactly true as some very aggressive regimens can damage the tooth through dehydration and demineralization such that the tooth temporarily appears whiter.   Dr. Ryne Johnson, who first lectured on tooth whitening procedures in 1989, has helped thousands of patients achieve a more beautiful smile, often incorporating this proven technique. For other blogs on important dental topics, click here To contact Dr. Johnson, click here. Original article:  https://www.ncbi.nlm.nih.gov Artwork: www.dentalguideaustralia.com , www.askthedentist.com , www.webmd.com , www.parasomnia.tk , www.denmat.com  

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8 Dirty Bathroom Mistakes You’re Probably Making – Newton, Wellesley, MA

8 Dirty Bathroom Mistakes your probably making

By now, you're probably on autopilot when it comes to your bathroom routine. But are your ingrained habits the cleanest ones? Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners want to make sure you're not making these mistakes:

1. You don't shut the toilet lid when you flush In a Scrubbing Bubbles survey, 60 per cent of respondents indicated that they skip this important hygienic habit. And this is a big deal: If you leave the lid up when you flush, germy water particles (and whatever else is in the toilet) project1can spray across the room — up to six feet away from the toilet. This fact was first discussed in a 1975 study completed by germ expert Dr. Charles Gerba, and has been proven time and again. He and his team found that bacteria can linger in the air long enough to settle in a filthy film all around the room — so make sure everyone in your household is onboard with a lid-down flushing protocol.

2. You store your toothbrush in the medicine cabinet You might think this a clever way to keep toilet bacteria from reaching your brush, but you could be trading one ill-advised move for another. Trapped in a cabinet or container, your brush may not be able to dry between uses, creating a welcome environment for bacteria. The American Dental Association recommends storing toothbrushes in an upright position, and not touching other brushes, to mitigate the risk of cross-contamination. And shut that toilet lid!

3. You leave your makeup and brushes out on the counter Anything you apply to your face should be kept out of the path of toilet germs, too. Plus, if you store your makeup in your bathroom, the room's moisture can make it even more susceptible to bacteria growth. Keep beauty supplies out of grime's way in drawers or boxes, and clean brushes and replace makeup as necessary.

4. You use your loofah for way too long Bacteria just loves breeding on these fluffy mesh shower staples, which are designed to hold-in soap and water to help you lather up. Toss them every three to four weeks.

5. You let your towels dry on hooks Washing your bath towels after every three uses is a good rule of thumb, but only if you hang them spread out to dry on a towel bar. If you hang them on hooks, moisture (and any excess soap that's collected) can stay trapped between the folds, which could lead to mildew and bacteria growth.

6. You never run the fan If you haven't already figured out, bathroom moisture can cause a host of yucky issues, so turn on the fan (or open a window) while you shower and for 15 to 20 minutes afterward.

7. You never clean the shower curtain The Scrubbing Bubbles survey also revealed that 42 per cent of their respondents neglect this unassuming item. Feeling lazy about scrubbing residue away? Good news: You can often toss shower curtains in the washing machine. To keep mildew at bay for longer, pull the curtain across your tub (not scrunched to one side) between showers so it can air dry thoroughly.

8. You use your mobile phone in the bathroom If you catch-up on Instagram or go a few rounds in Candy Crush while sitting on the toilet, consider this: Anything you take into the bathroom can get contaminated with lingering germs or faecal matter (16 per cent of mobile phones have it, according to a 2011 study). And even if you wash your hands after every bathroom break, we're guessing you don't also disinfect your phone...and then you put it to your face when you take a call later on. Yes, this is most definitely why you should avoid using your phone in the bathroom.

For additional blogs by Dr. Johnson, click here To contact Dr. Johnson or the Newton Wellesley Dental Partners directly, click here

Original article:  www.housebeautiful.co.uk Artwork:  www.plus.google.com

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Combating Bad Breath – Newton, Wellesley, MA

Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners, reveals best way to combat bad breath - and most people are reaching for the wrong thing.  If you think mouthwash and sprays do the trick, think again - there are other measures you need to take.project1

Unless you exist on a diet of mouthwash and chewing gum (which, by the way, we do NOT recommend), there have probably been occasions when your breath has not been as minty fresh as it could be.  Perhaps it was that ill-advised last cup of coffee . Or maybe you were a little liberal when cooking with the garlic - and who could blame you?  The point is, at some point most of us have suffered bad breath paranoia.

But if your halitosis is a bit more of a persistent issue, then that can be problematic - and reaching for that mouthwash isn't a long term solution.   There are, however, a few simple changes that you can make.  According to Dr. Johnson, “this is the most effective way to incorporate good oral hygiene into everyday life, and beat that bad breath.

1. Don't just brush your teeth - brush your tongue tooproject2

We're all familiar with the importance of brushing our teeth, but if you suffer from bad breath, your tongue may be contributing to this.  "Bacteria accumulates in the back surface of your tongue and can also cause a strong odor."

2. Be sure to drink a lot of waterproject3

"When your mouth becomes more dry you have less saliva and when you have less saliva food and bacteria tends to sit in your mouth for a much longer period of time.  Staying hydrated can help with all that smelly bacteria.  "But also remember there are other things beyond just being thirsty which can make your mouth dry.  "For example, coffee, alcohol, smoking and even some medication can cause a dry mouth."

3. ALWAYS brush your teeth after eatingproject4

If you think your twice daily regime is cutting it, then think again.  "If food remains on your teeth because you don't brush and you don't floss, that food just sits in your mouth and is degraded by bacteria and you can just IMAGINE the odor that gives off.  This especially applies before you go to bed.  "When food just sits in your mouth in the morning, your bad breath will be far stronger than you imagined."

And... "If you find your breath is strong no matter what you do, if you find you're constantly having to use mouth wash which really just camouflages bad odor you may have something else going on than poor hygiene..  "In that instance it's really important to see your dentist." 14-10-ryne-acp-headshot-2 Often, bleeding gums and bad breath can be an indicator of periodontal disease that can ultimately lead to tooth loss.

For additional blogs by Dr. Johnson, click here To contact the office or Dr. Johnson, click here Original article: http://www.mirror.co.uk/lifestyle/health

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NEWTON WELLESLEYOrthopedic Associates iconDENTAL PARTNERS
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