Dr Johnson's Blog

Choosing a New Dentist

Joseph Coupal - Wednesday, January 02, 2019

Newton Wellesley Dental Partners, Newton, MAThere are many reasons for looking for a new dentist. Relocation, your dentist may have retired, you may have a dental issue you need addresses, want to see a specialist for some complex therapy, or maybe you want a second opinion. Whatever the reason, most rely on recommendations from friends and family and now more and more people are relying on reviews. But family and friends may have different needs than your family. Perhaps you have dental issues and need more than the standard twice yearly dental check-ups.

Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners wants you to know that, "There are different things you should keep in mind when choosing a new dentist in the Boston area".

Experience:

How long has the dentist practiced? New technologies and slick advertising may imply that seeing a new dentist is warranted but experience matters! New dentists generally do not have the 'frame of reference" that years in practice can offer.

Reputation:

It matters! The changes in practice management have created large groups with considerable turn over. But what about quality of the work? What about longevity of the work? Do you know what the expected outcome will be with someone without a stellar reputation?

Expertise:

Does the dentist use the latest technology? Work with the best materials? Work with the best dental laboratories for aesthetic work? One's expertise directly influences the quality of your work. Most advanced and high-tech dentistry is not taught school. You need to be sure that your new dentist is up-to-date and qualified to perform newly innovated dental procedures and maintains continuing education.

Location:

Nearby home, work or school might make keeping appointments easier.

Special needs:

Understand the needs of your family. This could include the need for cosmetic work, a dentist that offers sedation dentistry, or one who takes your particular dental insurance.

When looking for a new dentist, ask these questions:

  • Is the dentist accepting new patients?
  • How long has the dentist been practicing?
  • Does the dentist treat patients with special conditions?
  • Is the dentist a pediatric dentist?
  • How long is the wait for an appointment?
  • Do they have the latest dental technology?
  • Does the dentist take continuing education courses and stay up to date with the latest dental technology and techniques?

Regardless of why you are searching for a new dentist, asking family, staying informed and asking the right questions will help you find the right dentist for your family.

For more information, contact us or to see Dr. Johnson's bio.

Before You Whiten Teeth, Talk to Your Dentist

Joseph Coupal - Friday, December 28, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAThere are many over-the-counter teeth whitening products available to you. But, you may not get the results you are looking for when you use store-bought whitening products. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, has been performing teeth lightening procedures for his patients since 1986 and has lectured nationally on the topic.

All promise a dazzling smile and whiter teeth, and some of them work well. However, when you opt for over-the-counter teeth whitening products, you don’t get your dentist’s education, training, and experience. And you actually need this before you whiten your teeth. You’ll save money when you choose over-the-counter tooth-whitening products instead of in-office teeth whitening, but, often, you get what you pay for. Think... Tylenol vs a stronger, prescription pain killer.

Even if you want to try to whiten your teeth at home, American Dental Association experts recommend that you see your dentist first. This is because you want to rule out dental problems such as periodontal (gum) disease and cavities before you use store bought teeth whiteners. Whitening your teeth can aggravate those problems.

Also, previous teeth restorations like crowns and fillings won’t whiten along with their natural teeth. Tooth whiteners do not work as well on antibiotic-stained teeth either. And they do not correct all discoloration. Yellow and brown teeth respond better to bleaching than gray teeth.

Another advantage of scheduling a visit with your dentist before you whiten your teeth is that the dentist can explain all your options and educate you on the advantages and disadvantages of each method. There are basically, three approaches: over the counter, high-intensity prescriptions and in-office options. If you choose to whiten your teeth by yourself, your dentist can recommend the best product for you. They can also explain what they can do for you. Over-the-counter products are not custom-fit for your mouth. In-office teeth whitening uses custom trays that fit perfectly in your mouth; and you can use them at home. In-office teeth whitening also uses stronger bleaching agents than you would get from a store bought product.

For more information on teeth whitening, contact Newton Wellesley Dental Partners.

oralhealth.deltadental.com

Happy Holidays from Newton Wellesley Dental Partners

Joseph Coupal - Thursday, December 20, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAOur warmest Holiday wishes from the entire team here at Newton Wellesley Dental Partners. Calendar year 2018 was, and continues to be, a truly remarkable year and we take this moment to recognize the joy that each and every one of you has brought to our personal and professional lives. We exist because of your faith and trust in us.

As calendar year 2019 approaches, we reflect upon the foundational recognition that "your success is our success". Our New Year’s wish for 2019 is to nurture our positive and ever strengthening relationship and to deliver increasing value to you and your family through the entirety of 2019.

Throughout this Holiday season may you be blessed with health and surrounded by friends and family. All the best! Cheers!

Get Rid of Discolored Dental Fillings for Newer, Lighter Options

Joseph Coupal - Tuesday, December 11, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAStill flashing a bit of silver when you smile? Cavities can happen to anyone, but the whole world doesn't have to know about them! According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "If you've been living with old, discolored fillings, there's never been a better time to have them replaced."

Find out how new fillings can benefit more than your looks, and about all the options that are now available by visiting Newton Wellesley Dental Partners.

Why Replace Fillings?

The cosmetic reasons for replacing amalgam (often referred to as "silver") fillings may be obvious — your smile looks better without the telltale dark spots and any associated feeling of self-consciousness goes away.

What many people don't realize, however, is that there are also health reasons for getting new fillings. While it can be easy to forget about cavities once they're filled, the truth is that oral health threats can re-emerge as fillings weaken over time and leakage unchecked can lead to a need for a root canal procedure or crowns. Constant grinding and chewing will wear down any filling, and it often only takes one particularly hard or sticky food to dislodge or crack it.

Once the protective barrier to a cavity has been lost or broken, harmful bacteria can easily seep in and continue to eat away at the tooth. In many cases — especially those where the seal has been damaged but has not completely fallen out — tooth decay under or around the filling may easily escape notice until it reaches the point where a root canal or an extraction is necessary. Being diligent about dental visits and proactive about replacing fillings can help you avoid the unnecessary pain and expense of a tooth infection.

Replacement Options?

The good news about getting rid of old fillings is that amalgam is no longer your only choice. As hardy and durable as this traditional mixture of silver, mercury and other metal alloys is, it has become virtually obsolete due to more discrete options such as: Ceramic Inlays or Onlays: custom ceramic fillings used to replace larger fillings in molars using CAD/CAM technology

  • Composite Fillings: tooth-colored bondings primarily used for the front teeth
  • Veneers: thin, porcelain, non-staining shells affixed to the front surface of teeth
  • Crowns: complete covering for damaged teeth that a filling alone cannot repair

Your dentist may recommend one particular treatment or a varied approach, depending on the number and type of fillings needed. Rest assured, however, that the choices at your disposal lend themselves to a more natural look than that of an amalgam filling.

Caring for Teeth with Fillings

Regardless of which replacement option you choose, a little extra care and attention can go a long way in protecting your investment. To extend the life of a newly restored tooth, consider making these changes to your everyday routine:

  • Brush and floss regularly to keep the tooth's surface clear of tough buildup
  • Use a mouth guard at night to avoid unnecessary pressure if tooth grinding is a habit
  • Steer clear of overly hard or sticky foods that can damage the restored tooth
  • See a dentist if you notice a bad taste or dull pain that can indicate a defect or decay

Regular dentist visits can further minimize the risk of damaged filings — and help prevent the need for new ones. For questions about replacing and/or maintaining fillings, schedule an appointment with your dentist.

lh360/mayoclinic.org

Teeth Trauma: It's Sensitive

Joseph Coupal - Wednesday, December 05, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAYou're not imagining it. That sudden twinge of pain in one or more of your teeth can, in fact, be caused by something as simple as a blast of wind, a bite of something fresh from the oven, or (what was supposed to be) a cool, refreshing treat. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners has seen the entire range of dental sensitivities over his 32 years of practice.

Some will pass and others are a symptom of a more significant issue.You may have sensitive teeth, and if so, the problem could be here to stay. What does this mean and what can you do about it? It depends on a number of things.

How to Tell if You Have Sensitive Teeth

First, you should determine whether the pain is truly due to tooth sensitivity, or something else entirely. A trip to the dentist will let you know for sure, but here are some things you can do to see if sensitivity is most likely to blame:

1. Take recent dental work into consideration: cleanings or invasive procedures can aggravate the teeth and gums, and result in temporary discomfort that should go away in a short period of time.

2. Check your teeth for new cavities: if the area where you experienced pain can easily be examined, grab a mirror and scan the section for visible holes or pits that could indicate an untreated cavity that may be the source of the problem.

3. Make sure existing fillings are intact: inspect prior work for any cracks, or fillings partially or completely removed. A deeper filling that has been damaged may cause nerve irritation and result in more noticeable pain.

4. Check your gums for recession: if you notice that your gums are receding this could be contributing to you sensitivity. When the porous root surface of a tooth is exposed it is more susceptible to temperature and air.

5. Assess your daily habits: if you notice that your gums are receding, this could be contributing to your sensitivity. When the porous root surface of a tooth is exposed, it is more susceptible to temperature and air.

Ways to Ease the Pain

If tooth sensitivity is ultimately the problem, there are plenty of things you can do to help manage it. Minimize your discomfort by making these changes:

  • Limit intake of acidic foods and beverages, such as citrus fruits and sodas
  • Switch to a soft-bristled toothbrush, and apply less pressure when brushing
  • Quit using over-the-counter mouthwash; ask your dentist for a more neutral rinse
  • Try toothpastes made for sensitive teeth, and see which option works best for you
  • Use a mouth guard at night if you have a habit of grinding your teeth
  • Brush and floss regularly to keep enamel-eroding plaque at bay
  • Switch to an electric toothbrush, which is more gentle on your gums

Get Help from Your Dentist

See your dentist regularly to stay on top of the issue. Regular, professional cleanings and examinations will go a long way in keeping the problem from getting worse.

Certain in-office treatments may further ease your pain, such as:

  • Fluoride varnishes: An application that strengthens and protects exposed enamel
  • Fluoride foam/gel trays: An immersion of teeth in a concentrated dose of fluoride
  • Sealants: A bonding material acts as a barrier and seals off the dentin of your teeth

If you've modified your habits, but still experience major discomfort after a period of time, contact Newton Wellesley Dental Partners to see whether these options are right for you.

LH360

Dental Advances You'll Appreciate

Joseph Coupal - Tuesday, November 27, 2018

Newton Wellesley Dental Partners, Newton, MAHave you stepped inside a dentist's office lately? According to Dr. Ryne Johnson, considered by many as Boston's Best Prosthodontist, "What you find might surprise you. It's not just the high tech gadgets. Serious advances have made examinations and treatments more accurate, efficient and less painful than what you may recall".

From digital scans to digital production of your tooth replacement, cutting edge technology is transforming dental care — and your oral health stands to benefit.

Traditional Procedures Get Digitized

More and more dentists are embracing digital X-rays compared to film-based radiographs, and it's easy to understand why: reduced radiation levels up to 90%, images rendered almost immediately, and computer viewing and storage help dentists make diagnoses and comparisons in a matter of clicks.

The cavity search with a steel hook that typically follows X-rays now has a high-tech alternative as well. Dentists are starting to use "diode" lasers instead, which are far more accurate and much less uncomfortable. Cavity detection happens in a series of sweeps, and won't leave you in agony.

Materials are of Much Higher Quality

Once your treatment plan is under way, you'll soon come to find that even the materials being used are of much higher quality. Dental implants previously known for high failure rates are now straightforward and long lasting, involving a titanium screw that gets inserted into the jaw. Dental Veneers feel more seamless thanks to an improved shell that requires less reshaping, and they are thinner, yet sturdy. And repairs to cracked or broken teeth look more natural due to better bonding solutions and techniques.

Through the use of computer-assisted design and manufacture technology (respectively known as "CAD" and "CAM"), ceramic dentistry can now be created using milling machines and digital printing.

Cosmetic Work Gets a Natural Makeover

Perhaps some of the more noticeable transformations have occurred in the cosmetic field of work. New and improved options are available to help patients perfect that smile like never before. Fillings, which were previously easy to spot due to their dark metallic color, now come in porcelain or shades designed to match your tooth color. Teeth whitening treatments have become much more efficient, and can make your smile up to ten shades brighter in as little as an hour. Even braces have a much more appealing look, with an "invisible" or clear design that is growing in popularity.

Experience the Changes Yourself

As with any industry, adopting new technologies and procedures takes time and varies by dentist. If a previous experience has deterred you from getting regular care, you may want to research other local options and/or give your current dentist a call to learn about what you can expect today. Your oral health is on the line, and the world of dentistry has changed for the better.

For the latest in dental technology in the best in dentistry, contact Newton Wellesley Dental Partners.

WebMD

Cosmetic Dentistry Procedures Explained

Joseph Coupal - Monday, November 19, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MACosmetic dentistry is more popular than ever in the US. One's smile is often the first impression that is made...it is one's calling card. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, considered by many as Boston's Best Prosthodontist feels that, "It makes much more sense to spend money for a perfect smile than to spend thousands of dollars on face lifts and tummy tucks!" From teeth whitening and bonding to bridges and implants, there are several treatments that promise to instantly improve your smile and self-confidence. Here are some common cosmetic dentistry procedures:

Teeth Whitening:

This is by far the most common of all cosmetic procedures. You can either opt for over the counter teeth whitening kits or contact your dentist for in-office teeth whitening. Tea, coffee, wine, certain medications, age, and smoking stain the teeth over time. When opting for in-office treatment, the dentist creates a customized mouth tray that fits exactly and ensures that the right amount of bleaching solution reaches the front and back of your teeth.

Bonding:

This technique is used to hide wide gaps between teeth, or if the teeth are broken and chipped. Cavities caused by decay can also be filled using boning. The procedure can be completed in a single sitting where the dentist applies composite resin to the tooth surface. Proper care should be taken to protect the resin or prevent it from stain causing materials.

Veneers:

Thin ceramic pieces are applied to the front surfaces of teeth to improve the shape, color or overall smile. Generally, two visits are required for dental veneers. The result is influenced by the skill of the dentist and the experience of the laboratory ceramist.

Crowns and Caps:

Crowns are used to hide chipped teeth or replace a broken tooth. They’re also cover a tooth that’s had a root canal procedure. The dentist begins by taking an impression of the tooth and building a crown made with bonded porcelain. Sometimes crowns can be made from metal or resin. And to ensure that the crown fits perfectly, he shapes/cuts down the old tooth. This crown is then placed on the damaged tooth using resin cement.

Bridges:

Bridges help close the gaps between two teeth. The bridge could either be made of silver, gold, or porcelain. A typical bridge includes three crowns. These are cemented to either sides of the missing tooth. To ensure that the crown fits properly, the dentist has to prepare and cut the anchor teeth to shape. The success of your bridge largely depends on your dental hygiene- make sure to follow good oral habits.

Dental Implants:

Dental Implants are expensive, but they’re certainly better than bridges because unlike bridges, the adjacent teeth need not be touched.

For more information on the right cosmetic dentistry procedure to improve your smile in the coming year, contact Newton Wellesley Dental Partners.

siliconindia.com

Cosmetic Dentistry for A Healthy, Youthful Smile

Joseph Coupal - Wednesday, November 14, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MACosmetic dentistry is the buzz phrase right now. It is the process of creating a healthy, natural, stunning smile. Most cosmetic dentistry procedures are elective, but with such an emphasis on a youthful appearance, cosmetic dentistry is one of the most popular elective cosmetic procedures today. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, whom many considered Boston's Best Prosthodontist, has been on the forefront of aesthetic dentistry development since 1986.

The purpose of cosmetic dentistry is to turn a smile you are not thrilled with into a smile you love to show off. There are many procedures that can help you turn crooked, stained, or gaps in teeth into a straight confident smile: dental implants, dental crowns, dental veneers as well as invisible fillings and teeth whitening.

Dr. Johnson tells us that, "Your smile is how you present yourself, it puts your best face forward and it is your first impression. Now, you can capture all of the potential that a beautiful smile has to offer. Boost self-confidence and self-esteem with a perfect, natural looking smile".

The first step in cosmetic dentistry is to determine what you are looking for in your smile. The goal of cosmetic dentistry is functionality along with enhancing beauty. We will work with you, and give you the smile you are looking for along with facial harmony using the shape of your face, width of your smile, and your teeth.

Enhancing and improving your smile can be as easy as whitening your teeth, or more complicated using dental implants. Regardless of the process, we will help you achieve the youthful smile you want. We will help you make the right decisions on the dental processes you choose. At Newton Wellesley Dental Partners, it is our goal to make you comfortable and to answer all of your questions.

Cosmetic dentistry can improve your self-confidence, improve the health of your teeth, and give you a youthful smile. Contact Newton Wellesley Dental Partners to get the smile you have always wanted.

Improve Your Smile And Your Self Esteem

Joseph Coupal - Tuesday, November 06, 2018

Newton Wellesley Dental Partners, Newton, MAIf you are unhappy with your teeth, you are not alone. According to a study, more than 1/3 of American adults are unhappy with their smile. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, who many have called Boston's Best Prosthodontist, says, "with today’s dental technology, you no longer have to be the victim of genetics. You can have the smile you want". He has been helping Boston's most demanding people improve their smile using advanced digital technologies since 1986. If you want a new love, a new job, a promotion, or if you just want make a life change and are unhappy with your teeth, read on because you can make a change.

Thirty six percent of those people who are unhappy with the appearance of their teeth, especially young adults, believe they would have a better social life if they had better teeth and a better smile. In fact, 48% of Americans between 18 and 24 have untagged a picture of themselves on Facebook because they don’t like their smile.

Additionally, the study found that bad teeth represent the biggest dating turn-off among men and women. According to the study, 77% of women think crooked teeth are worse than a receding hairline in a potential love interest. In fact, 22% of Americans who are unhappy with their smile think that better teeth would lead to a better love live.

On a professional level, 78% of Americans perceive adults with crooked teeth to be unsuccessful. But, on top of that, 14% of those unhappy with their teeth felt that they might be missing out on a better job.

Professional cosmetic dentistry treatments have come a long way in recent years, with innovative options such as clear aligner trays, dental implants, full-mouth reconstruction, and dental veneers. Healthy teeth can be moved at any age and it's important for adults to know that they are never too old for cosmetic dental treatments.

For more information on improving your teeth and changing your smile and your life, contact Newton Wellesley Dental Partners.

Statistics - orthodonticproductsonline.com

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.

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