Dr Johnson's Blog

Take Care of Your Teeth and Decrease Risk of Hypertension

Joseph Coupal - Tuesday, October 30, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAPeople with high blood pressure (BP) taking medication for their condition are more likely to benefit from the therapy if they have good oral health. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, The research is based on a review of medical and dental exam records of more than 3,600 people with high BP. Researchers found that those with healthier gums had lower BP and responded better to blood pressure-lowering medication, compared with individuals who had gum disease, a condition known as periodontitis. People with periodontal disease were 20 per cent less likely to reach healthy BP ranges, compared with patients in good oral health.

Patients with periodontal disease may warrant closer BP monitoring, while those diagnosed with hypertension, or persistently elevated blood pressure, might benefit from a referral to a dentist. Physicians should pay close attention to patients' oral health, particularly those receiving treatment for hypertension, and urge those with signs of periodontal disease to seek dental care.

Likewise, dental health professionals should be aware that oral health is indispensable to overall physiological health, including cardiovascular status. According to the latest recommendations from the American Heart Association/American College of Cardiology, the target blood pressure range for people with hypertension is less than 130/80.

In the study, patients with severe periodontitis had systolic pressure that was, on avererage 3 mmHg higher than those with good oral health. Systolic pressure, the upper number in a blood pressure reading, indicates the pressure of blood against the walls of the arteries. While seemingly small, the 3mmHg difference is similar to the reduction in blood pressure that can be achieved by reducing salt intake by 6 grams per day.

The presence of periodontal disease widened the gap even farther, up to 7 mmHg, among people with untreated hypertension. Blood-pressure medication narrowed the gap, down to 3 mmHg, but did not completely eliminate it, suggesting that periodontal disease may interfere with the effectiveness of blood pressure therapy.

Patients with high blood pressure and the clinicians who care for them should be aware that good oral health may be just as important in controlling the condition as are several lifestyle interventions known to help control blood pressure, such as a low-salt diet, regular exercise and weight control. Dr. Johnson generally recommends visits with the hygienist three or four times yearly for patients with early signs of periodontal disease. and reminds everyone that, "Proaction is always better than reaction"! For more information or for a dental check-up, contact Newton Wellesley Dental Partners.

The Economic Times

Use Up Dental Benefits & Medical Savings Accounts....Before the End of the Year

Joseph Coupal - Thursday, October 25, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAThe end of the year is fast approaching and this means that dental benefits are expiring. Now is the time to use up your dental insurance. If you have any dental needs, use up your dental benefits before they expire. Unfortunately, time flies and before you know it, 2019 will be here and your benefits for 2018 will be gone.

Too many employees don’t take advantage of their company dental benefits allowing them to expire at the end of each year before they are used up. Too many times, they then find out that they need a dental treatment that won’t be covered in its entirety. Even though dental coverage may not pay in total for certain dental procedures, most dental plans fully cover routine dental care. Also, if you know you need extensive dental work, plan your dental procedure now. Then, when your dental benefits renew at the first of the year, your procedures, like root canals and dental crowns, are more affordable.

If you need a root canal and dental crown, use the available benefits from two calendar years towards the major dental procedures that involve multiple phases.

Schedule extensive dental work now if you need it.

As a general rule, most dental insurance plans offer coverage at 100% on preventative dental care like regular exams and cleanings. Take advantage of your dental insurance benefits, make sure to get your annual dental exams and cleanings. Regular dental care can save you a lot out of pocket expense that your dental insurance may not cover.

For an appointment or consultation, contact Newton Wellesley Dental Partners.


Why Seeing a “Digital Dentist” Matters

Joseph Coupal - Tuesday, October 16, 2018

Digital dentistry or dental treatment utilizing digital technology is now mainstream and part of most quality-focused dental practices. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners has been called a “pioneer” in the synergistic use of computer technology in implant dentistry wants you to know, “what computer technology is being used in his dental office and how”.

Digital Xrays:

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA

    ➢ The image is immediately processed and available to view, whereas film takes time to be developed.
    ➢ Less radiation needed to produce the same quality image as film (digital X-rays gives 70% less exposure to radiation than conventional X-rays).
    ➢ You can enhance the digital image (such as alter brightness and contrast) with a series of processing techniques
    ➢ Grey-scale of digital X-rays offers 256 shades of grey versus 16-25 shades in conventional radiography, which means better diagnostics

CT Scans:

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA

    ➢ Three dimensional imaging allows for views from many angles
    ➢ No distortion in image
    ➢ Allows for CAD/CAM diagnostics, design and planning
    ➢ Precise placement of implants – allows for “teeth in a day” approach

Digital Crowns/Impressions:

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA

    ➢ Impressions are taken digitally via very high quality photographs.
    ➢ No ‘goop’ in your mouth for 5 minutes
    ➢ Dentistry can be fabricated via CAD/CAM technique which creates a better ‘fit’ of your work which leads to better comfort, aesthetics and longevity.
    ➢ Provides time saving for the dentist and patient

If you have yet to experience the many advantages that a technology revolution in dentistry can offer, it may be time to find a new dentist. None of this is new…time to see it for yourself!

Dr. Ryne Johnson, has been providing outstanding dental care since 1986 and is considered by many as “Boston’s Best Prosthodontist”. For more information, contact Dr. Johnson.

Full Mouth Aesthetic Reconstruction

Joseph Coupal - Tuesday, October 09, 2018

Just wrapped up a full mouth, aesthetic reconstruction on a 69 year old woman in our practice. Here are the before & after photos. She was wonderful to work with! I am always happy to see a great result on a grateful patient. Tell you're friends who seek and expect excellence that good dental work can be aesthetic!

A special thank you to my ceramists at Prestige Dental Laboratory (Paul and Zak); you're the best!

For more information on full mouth reconstruction, contact Newton Wellesley Dental Partners.

Options in Cosmetic Dentistry for Fixing Chipped Teeth

Joseph Coupal - Monday, October 08, 2018

Newton Wellesley Dental Partners, Newton, MAMany people grind their teeth, participate in sports, and have accidents that can cause teeth to chip. This can dramatically affect your smile. In fact, According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, whom many have called Boston's Best Prosthodontist, "chipped teeth are the most common injury to teeth.

Generally, chipped teeth may not cause pain, but nevertheless, they should not be ignored. Any type of trauma to your teeth should receive immediate attention. In fact, there could be damage underneath the surface of the tooth that is chipped.  A dentist can rule out cracks or internal tooth problems that aren’t visible to the naked eye. In many cases, your chipped tooth can be repaired in just one dental visit.

There are various treatments for chipped teeth depending on the amount of damage.

Dental Bonding

Most chips can be corrected with dental bonding. Dental bonding is an efficient, durable and cost-effective way to correct minor chips.

Enamel Shaping

Often used in conjunction with dental bonding, enamel shaping can also correct small chips or surface flaws. During enamel shaping, a small portion of the tooth's surface is removed or recontoured to smooth out imperfections.

Dental Veneers

If the chip is significant and dental bonding or enamel shaping can't be used, you may need a veneer. These thin, porcelain wafers completely cover the surface of the tooth and are often used for front teeth.

Root Canal

Pain in the location of the chip can be a sign that the nerve is exposed. If that's the case, a root canal may be necessary to save the tooth, generally followed by placing a ceramic crown.

Dental Crown

A dental crown is used to completely cover larger teeth or to cap a tooth after a root canal.

Tooth Extraction

If the tooth can't be saved, a tooth extraction may be necessary. The good news is a dental bridge or dental implants can replace missing teeth.

To discuss your options for a repairing chipped teeth, contact Newton Wellesley Dental Partners.