Posts Tagged ‘Dr. Johnson’

Earlier Death In Older Women Related to Gum Disease? -Wellesley, Newton, MA

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

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Geriatric Dental Issues – Newton, Wellesley, MA

There’s a commonly understood recipe for living a healthy life as we get older, and it goes something like this: Exercise, eat healthy food in moderation, don’t smoke, get plenty of sleep, maintain a good social network and engage in mentally challenging activities.

Yet, according to Dr. Ryne Johnson, prosthodontist  and managing partner at Newton Wellesley Dental Partners, “there’s another, largely overlooked, ingredient: oral health care”. Because our bodies become more vulnerable as we age, decay, infections and bacteria that occur in teeth, gums and mouth can grow into serious problems that impact overall health. Plus, there are issues seniors have that exacerbate problems and inhibit a senior’s ability to brush, floss or visit the dentist. Medications can create dry mouth. Arthritis limits dexterity and creates transportation and mobility issues. And a lack of dental insurance can halt regular dentist visits.

“Many of older adults are getting used to living in pain,” says Johnson. “They have active infections that have been going on for five, 10, 15 years. Poor oral hygiene is particularly harmful to seniors”.

Poor oral hygiene can increase risks for diabetes, pneumonia, infections elsewhere in the body and strokes, he says. Also, mouth cancers — which can be discovered through regular dental checkups — can go undetected. Many seniors wish they had access to better dental care. But often, after retirement, they lose dental insurance and can’t afford new coverage. Medicare, for instance, doesn’t cover most dental work. In 2012, a survey indicated that being able to afford dental care was the No. 1 health issue for seniors, even more than general medical care (38 percent to 30 percent).

Among the primary oral-health issues older men and women face are:

Dry mouth: Having a drier mouth can be part of the aging & geriatric  process. But older people tend to be on more medications, and hundreds of those medications inhibit production of saliva, which protects against tooth decay and controls bacteria. “That creates an environment that is very acidic, because the saliva is not there anymore,” says Johnson, “That leads to more tooth decay, gum disease and an increase in bacteria”. Some studies have shown gum disease can lead to heart disease. And an increase in bacteria has been linked to a higher risk of pneumonia (with bacteria breathed into the lungs) and diabetes. It’s important for seniors to drink more water to battle dry mouth. Also, seniors should provide their dentist a list of medications they are taking.

Oral cancer: Rates increase with age, so if seniors skip regular dental checkups, they run the risk of cancers going undetected early. And even seniors who have no natural teeth and use a full set of dentures should continue regular checkups for mouth cancer.

Caregivers: it’s important for the people who care for seniors to help them with brushing and flossing, and to make certain they see a dentist regularly.  “Very often, I have a family member telling me, ‘My mom or dad was scrupulous with their health and took excellent care of their teeth, and now they’re in horrible condition,’” says Johson. “A lot of decay, a lot of periodontal illness because they just lost the capacity to take care of themselves. It takes some active intervention on the part of their families or others.”

"The importance of education can’t be overstated. The baby boomers’ tsunami wave is coming,” says Johnson. “This is a problem that is upon us, whether we want it or not. We have to continue improving the educational process to avoid potential problems.”

The Centers for Disease Control offers a checklist for seniors to maintain good oral health that includes: • Drink fluoridated water and use fluoride toothpaste to protect against tooth decay. • Brush and floss regularly to reduce dental plaque and prevent periodontal disease. • See your dentist regularly, even if you wear dentures and have no natural teeth. • Avoid tobacco and limit alcohol to lower risk of oral and throat cancers. • Caregivers should provide daily oral hygiene for seniors unable to take care of themselves. • If medications produce a dry mouth, ask your doctor if there are alternate medications that can be substituted. If not, drink plenty of water or chew sugarless gum to keep your mouth moist.

For additional information on this topic visit the American Dental Association: www.mouthhealthy.org/en/adults-over-60.  For additional blogs by Dr. Johnson or to contact the office, visit: www.NewtonWellesleyDentalPartners.com

Original article: San Diego Union-Tribune Artwork: yourdentalpartners.com

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Dental Implants (Knock Offs & Their Risk) – Wellesley, Newton, MA

Squeezed between billboards promoting “Free Donuts” and “855-Car-Hit-U”,  I recently spotted an ad for $400 dental implants.  Radio also has numerous promotions for “teeth-in-a-day”. According to Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners, “This makes for a market that creates confusion for the public. There really is a huge difference between quality and cheap”!

There are dozens of dental implant companies that sell implants in the USA. However many of these companies are copies or “clones” of other successful implants.  Since these smaller companies do very little research or development, they are usually 1-2 generations of implant design behind the major companies.  In the many implant complication cases referred to us, we have seen a higher rate of problems in the “clone” implants…even though they look very similar to the major implant brands.

An additional concern is that as smaller implant companies come and go there is a risk of not being able to get parts compatible with these numerous implants to make the crowns or bridges that attach to them.  I would not put a clone implant into a family member’s mouth (not even my mother-in-law!). Innovative companies that approach implant dentistry responsibly with research and education provide quality and service are doing very well, while implant companies that compete only on price are not a good fit for any practice.

Would you want a discounted hip or knee implant? How would you feel if your dentist was charging you the regular price and giving you a cheap implant knockoff?  Do you even ask or know? The consumer needs to know that all implants are not created equal, and they should ask what brand is being used at a particular office.

Here are some implant companies that Dr. Johnson has worked with over his 29 years of clinical practice and have a good track record and lots of data: Biomet 3i, Zimmer Dental, Straumann, Keystone,  Astratech and Nobel Biocare.

  For more information on Dr. Johnson, click here To arrange a consultation or contact the office, click here For additional blogs by Dr. Johnson, click here

Original publication by Dr. Mitchell Josephs on LinkedIn Artwork: www.oralanswers.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”.

For more blogs by Dr. Johnson, Click Here To contact Dr. Johnson or the office, Click Here

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

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Digital Dentistry Impacts Hollywood – Newton, Wellesley, MA

Digital models of humans can be uncannily accurate these days, but there's at least one area where they fall short: teeth. Unless you're willing to scan the inside of someone's mouth, you aren't going to get a very faithful representation of someone's pearly whites.ryneDr. Ryne Johnson, a prosthodontist and managing partner of Newton Wellesley Dental Partners has been considered a pioneer in the use of CAD/CAM technology in dental restorations. He notes that, “Disney Research and ETH Zurich have just developed a technique to digitally recreate teeth beyond the gum line using little more than source data and everyday imagery. The team used 86 3D scans to create a model for an "average" set of teeth, and wrote an algorithm that adapts that model based on what it sees in the contours of teeth in photos and videos.  Unlike the $40,000 CAD/CAM unit that’s used in my office, this new approach allows sufficient accuracy to be captured from regular digital photographs”.

The technology doesn't require any special capture equipment outside of the initial scans (the camera on your phone will do). Also, you don't have to purposefully bare your teeth: it can work with the incomplete information from a smile or grimace. A movie crew could generate models based on a brief, natural motion capture session.project1

This being Disney, the most obvious use is for digital actor models in animated movies and video games. You could see uncannily realistic characters whose details pass muster even in close-up shots. However, there are plenty of medical uses as well. The scientists see dentists using the tech to previsualize a patient's mouth before they sit in the operating chair, and it's easy to imagine this leading to more authentic-looking dentures. As silly as the notion of accurately rendered teeth may be, they could be important for your well-being.

Dr. Johnson feels that this new technology will help the film and media production companies but will not be incorporated into a dental office any time soon.  However, he reminds everyone that, “digital dentistry is here and should be a part of your dental reconstructive and implant work”.

For more blogs by Dr. Johnson, click here To contact Dr. Johnson or the office, click here

Original article:  www.engadget.com Artwork:  Chenglei Wu, Derek Bradley et. al.

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