Dr Johnson's Blog


Joseph Coupal - Friday, September 28, 2018

If you are looking for a stress-free solution to replace your missing teeth and are not a candidate for an implant supported reconstruction, you may regain your confidence and achieve a beautifully radiant smile that makes you look and feel good again with a “bespoke denture”.

Many people think that dentures have been left behind in the cosmetic dental revolution, it’s not so! In fact, using the latest technology and techniques, false teeth can create the ultimate smile makeover. The latest in smile design technology can not only restore your smile but take 10 years off your whole face! Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental partners has the expertise and experience to completely customize your dentures to your individual desires. He delivers artistic creations that resemble a natural smile…not one that looks like ‘false teeth’.

See below…a case for a 55 year old man (both dentures are on the same patient); left photo is the denture from a mainstream dental office and ones the right are Dr. Johnson’s custom crafted dentures. The patient had been to three different offices and had three sets of dentures made before doing a set with Dr. Johnson. He reported that he could not speak, eat or “even keep them in” and was desperate for some “quality of life”.

Not only was there an aesthetic improvement, but the patient reported having a prime-rib steak dinner the weekend after inserting Dr. Johnson’s custom dentures….without any adhesive!!!


8 Everyday Habits That Harm Your Smile

Joseph Coupal - Tuesday, September 25, 2018
Newton Wellesley Dental Partners, Newton, M

Your teeth are supposed to last a lifetime. But some common habits could be reducing the durability of your teeth without you even realizing it. According to Dr. Ryne Johnson, prosthodontist and considered by many to be "Boston's Best Prosthodontist, " By recognizing the habits that can compromise the structure and health of your smile, you can take steps to protect it."

1. Avoiding Regular Dental Care

Many individuals skip regular dental cleanings or avoid getting necessary procedures due to anxiety, a lack of time, or other personal reasons. However, doing so can cause tooth decay, gum disease, and other common oral health issues.

As such, you should be sure to visit the dentist every 6 months for a professional cleaning and also, as necessary, if you notice a change or issue with your teeth.

3. Brushing Too Hard

Brushing is an essential component of good oral health, but not when done incorrectly. Brushing too hard can wear down enamel, irritate your gums, increase your teeth's sensitivity, and cause cavities.

By purchasing a soft bristled or an electronic toothbrush, you can avoid the damage while still cleaning your teeth and removing plaque.

3. Using the Wrong Materials to Clean Teeth

Have you ever had something stuck in your teeth and not had floss? If so, you might have reached for things like paper clips, toothpicks, or even pieces of paper that easily slide between your teeth. However, each of these items can cause gum and tooth damage.

You can easily resolve this problem by keeping a small container of floss or an interdental cleaner in your purse, backpack or car.

4. Grinding Your Teeth or Clenching Your Jaw

Many Americans grind their teeth or clench their jaw, which can cause fractures or other damage and may lead to headaches and jaw pain. If grinding or clenching happens while sleeping, a night guard that cushions your teeth and reduces impact on your jaw can help. If it happens during the day, chewing gum may help to prevent it.

5. Biting Your Nails, Pens, Ice, or Other Hard Objects

When you bite your nails, chew on pens, or crunch ice or even hard candy, you could be causing splinters and cracks in your teeth. But that's not all!

In fact, biting any foreign object can also introduce bacteria into your mouth and cause infections. By eliminating these bad habits, you can keep your teeth protected and eliminate additional germs in your mouth.

6. Using Your Teeth Improperly

How often do you bite open a package or try to cut something with your teeth? You may do it without thinking twice and probably more frequently than you realize.

Biting even just a thread off of your shirt could cause micro cracks that, over time, can lead to more serious structural damage. It's easy to avoid this by grabbing for a can opener, knife, or pair of scissors instead.

7. Drinking Soda, Sports Drinks, and Alcohol

While everything is acceptable in moderation, soda, sports drinks, and wine can cause significant damage when consumed in large amounts. Sports drinks and soda, which contain acid and sugar that feed bacteria and erode enamel, leave teeth susceptible to cavities.

Alcohol contains acid that produces similar effects. Additionally, because alcohol dries out the mouth, it reduces saliva production and allows bacteria and plaque to thrive.

By limiting your consumption of all of these drinks, you can do your part to keep your teeth protected.

8. Tobacco Use

If you smoke cigarettes or cigars or use chewing tobacco, you're also at risk. Nicotine not only yellows teeth, it also can cause oral cancer. Chewing tobacco is even worse because carcinogens directly contact gum tissues and can remain there for a long time.

While quitting any tobacco use is difficult, it's worth it when you consider the oral (and general) health risks of daily, or even infrequent, use.

Transform Your Everyday Habits From Harmful to Beneficial

While the habits described above are harmful, there are simple ways to correct them. Transforming destructive habits into protective measures can keep your teeth looking great for years to come. For information on improving your smile, contact Newton Wellesley Dental Partners


Dental Implants: What you Need to Know

Joseph Coupal - Wednesday, September 19, 2018
Newton Wellesley Dental Partners - Dental Implants in Wellesley, Newton, Brookline, Boston, MA

Dental implants are a good long-term solution to replacing lost teeth. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, who has been regarded as "Boston's Best Prosthodontist", "Patients need to consider their options and make educated decisions when they are deciding between bridges and implants. The decisions you make can be the difference in one's quality of life".

1. An implant beats bridges or dentures

Bridges, dentures, and implants are all prosthetic options to replace missing teeth. A bridge requires filing two adjoining teeth, which can make them weaker and prone to decay. Dentures often have fit problems, can interfere with taste and offer a reduced chewing ability. For an implant, a titanium or zirconia screw is placed in the jawbone and a prosthetic tooth is attached. A proper implant has offers better bio-mechanical support and has good longevity.

2. Implants are more expensive generally.

One of the biggest "problems" patients see with implants is the cost. Implants are rarely covered by insurance. But when considering cost you need to consider value. Implants are a permanent, long-term solution that can match your existing teeth. Implants are generally for the rest of your life, and can replicate your teeth in appearance and functionality. If you need multiple implants or if an implant is near a nerve or sinus cavity, it's worth paying for a dentist who has specialized training.

3. Not all implants are equal

Most dentists use implants that have a long-term track record backed by in-vivo (in the mouth) studies. There are also some newer, generic implants that are cheaper but may not have been fully-evaluated yet. So ask your doctor what kind of implant he uses and the success rate he's had with it.

4. Timing can also help

Implants are usually a two-part process -- first putting in the implant, then covering it with a crown six to 12 weeks later. If you know you need one, schedule the initial procedure at the end of a calendar year, then have the dental work put on in the following year. That way you can use two years' worth of your pretax flexible spending account at work to pay a chunk of the cost. You'll reap as much as 30% savings if you're in a high tax bracket.

5. See a Specialist

There are many dentists who perform implant dentistry. However, many do not have the experience, expertise or credentials to handle the nuances that dictate whether your work looks like dentistry or looks like your natural smile. Many have only participated in a weekend continuing education program and then become self-proclaimed "experts". To assure an outstanding outcome, check one's experience, reputation and credentials. A prosthodontist, periodontist and oral surgeons all have at least 3 years of training above and beyond that of a general dentist and are committed to providing "top-shelf" care. Do your homework and your implant dentistry can last a lifetime.

For information on dental implants, contact Newton Wellesley Dental Partners.

Excerpts – CNN.com

Mouthwash That May Reduce Tooth Plaque

Joseph Coupal - Thursday, September 06, 2018
Newton Wellesley Dental Partners - Dental Veneers in Newton, Wellesley, Brookline, MA Soon, a mouthwash of iron oxide nanoparticles could save people a trip to the dentist. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Partners, "A new research study in rats shows that such a mouthwash can thwart and stop cavities by disrupting destructive bacterial biofilms that grow on teeth".

Biofilms grown on rat tooth enamel were broken up by a combination of iron oxide nanoparticles and hydrogen peroxide.

The scientists from the University of Pennsylvania School of Dental Medicine used a formulation called ferumoxytol, which contains iron oxide nanoparticles coated with carboxymethyl dextran. Fermuoxytol is permitted by the U.S. Food & Drug Administration for treating iron deficiency.

The team planned to test the teeth-protecting abilities of these iron oxide nanoparticles because they can break down hydrogen peroxide to develop hydroxyl radicals that can disturb biofilms. The study tested mouthwash therapy involving solutions of ferumoxytol and hydrogen peroxide. They used nanoparticle doses that were below 1% of what is used to treat iron-deficiency.

Over a period of three weeks, the scientists used both solutions twice a day to rinse the mouths of rats with cavities that mimic extreme childhood dental decay. In contrast to animals that did not get the mouthwash, treated rats saw substantial improvements in their dental decay. The mouthwash both stopped the progression of current damage and stopped damage to smooth, healthy teeth.

The method holds promise. In most cases, the only effective way of eradicating a biofilm is physical removal of the infected biomaterial. What’s interesting about this work is the ability of the developed nanoparticles to degrade the biofilm matrix from within.

The health of our teeth and oral cavity is highly dependent on the community of good bacteria living in our mouth. Any nonspecific antibacterial treatment will inevitably affect our good bacteria.

The team is currently involved in developing formulations with higher catalytic activity, and ultimately aims to test the effectiveness of the mouthwash in humans. For outstanding dental care, that is focused on cutting edge techniques and services, contact Dr. Johnson at Newton Wellesley Dental Partners.

Source: azonano.com