Posts Tagged ‘boston dentist’

The Affect of Aggressive Brushing

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners came across an interesting article that he wishes to share.
It outlines the long term impact on people who are 'aggressive' brushers. We have been recommending the Braun Oral-B and Sonicare Electric brushes for many years.  We also recommend a visit with the hygienist every three, four or six months for routine cleaning and examination. For additional dental topic discussions, visit: www.NewtonWellesleyDentalPartners.com Here is the URL for the article: http://www.huffingtonpost.com/entry/how-the-traditional-nylon-toothbrush-may-be-causing_us_578fad7ee4b0f529aa07836f?utm_hp_ref=dental-health

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Scuba Divers Have Special Dental Risks

Scuba divers should consult their dentists periodically to prevent a condition known as "diver's mouth syndrome," says Dr. Ryne Johnson, regarded as Boston’s best prosthodontist and managing partner of Newton Wellesley Dental Partners. Diver's mouth syndrome, known technically as barodontalgia, can include gum problems, pain in the jaw joint, or a condition known as "tooth squeeze," in which changing pressure causes pain in the center of a tooth. "Many divers drag the bulky air regulator through the water with their teeth, and this can cause stress or damage to the oral cavity. Divers may bite too hard on the mouthpiece which can lead to pain in the jaw joint and gum lacerations. Complicating this problem is the fact that most standard mouthpieces are too small for most people and only support the very back teeth. Divers really have to work to keep their lips pursed around these small pieces of rubber." But the problem, he says, is easily remedied. "If a diver feels pain or soreness in the jaw, he or she should consult with a dentist," says Dr. Johnson. "A custom-fitted mouthpiece is available in most scuba shops that will support all of the teeth, so these problems can be avoided." Tooth squeeze can occur when a cavity, a deteriorated or broken dental filling, a dental abscess or an incomplete root canal has developed an air space and reacts to the changing pressure once the diver is under water. It can occur both in descent and ascent as can other squeeze problems. "It can be very painful, but the irony is that many divers do not feel it because of the exhilarating experience they feel at being in the water. When divers do feel tooth squeeze, they should schedule a dentist visit to get the appropriate dental care." Dr. Johnson recommends that divers be in good dental health before diving. Be wary of scuba diving if you have recently undergone dental treatments in which there was a tooth extraction or if a tooth contains a temporary filling. "The change in pressure can cause severe pain and cause healing to take much longer," says Dr. Johnson. “Be cautious if you have dentures. "Be sure they are well-fitted; have them relined or remade if necessary.” Go to a dentist where you can be evaluated for joint pain or earaches. "Custom-made mouthpieces are readily available. Yes, they cost more, but you will be amazed at the difference," says Dr. Johnson. "It's worth the cost because the dive will be much more comfortable." It's never too late to improve your dental health. Visit www.NewtonWellesleyDentalPartners.com for more blogs or to contact Dr. Johnson  

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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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Tongue Scraping and Oral Health – Newton, Wellesley, MA

It’s been hammered into our heads to brush twice a day, floss once (though that's up for debate) and maybe rinse with a fluoride mouthwash. Dr. Ryne Johnson, managing partner of Newton Wellesley Dental Partners suggests that,  “in addition to your current dental routine: tongue scraping should be considered”. But is this ayurvedic practice that dates back to ancient India really worth your while? Project1

Dr. Johnson, recommends the practice to all of his patients.  “Most of my clients don't realize the effectiveness of tongue scraping until they actually do it and see all the gunk that comes off their tongue,” he says. “The tongue is the perfect breeding ground for bacteria, but although we take care of our teeth and our gums regularly, we don't pay nearly as much attention to our tongue. The bacteria on your tongue is one of the main causes of bad breath, so scraping it regularly can significantly improve your breath over time".  In fact, a recent study showed about 85 percent of all bad breath cases begin in the mouth and half are caused by bacteria residue on the tongue. Brushing your tongue is "the best way to ensure that your breath stays fresh throughout the day,” Williamson says.

However Kimberly Harms, DDS,  a spokesperson for the American Dental Association, says "your taste buds in the back are made for bacteria to hide." And when your mouth has a lot of bacteria in it, you can taste it. “That sour taste is often due to bacteria," she says.  If you often suffer from dry mouth, this quick health routine can help that, too. “If you’re not producing enough saliva when you chew, you may have digestive issues,” Harms says. “Scraping can help.”

How to do it

“A scraper is an efficient way to remove all that’s coating your tongue,” Harms says. Here are four things to keep in mind as you scrape: 1. Buy a dedicated tongue scraper (they cost as little as $6) that comes in plastic or metal and is usually shaped like the letter U. 2. Always be gentle — scraping your tongue should never hurt. 3. Scrape only five to 10 times, Harms suggests. 4. Don't go too deep. "Since we have a gag reflex, be sure not to put the scraper too far back in your mouth,” she adds.

“It’s a wonderful thing,” Harms says. “We don’t like to praise things without research but tongue scraping makes sense. If you’re successful at brushing twice a day and flossing daily, great. Do that first. Consider tongue scraping a great adjunct to good oral hygiene.”

For additional Blog Topics by Dr. Johnson, click here To contact Dr. Johnson or the office, click here

original article: www.mnn.com/health artwork: www.wisdomsofhealth.com

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