Dr Johnson's Blog

Porcelain Veneers or Dental Crowns?

Joseph Coupal - Tuesday, August 28, 2018
Newton Wellesley Dental Partners - Dental Veneers in Newton, Wellesley, Brookline, MA

Today people have more options to choose from when it comes to cosmetic dentistry procedures. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, has been the 'go-to' dentist for Boston's most demanding patients. According to Dr. Johnson, "For broken, missing, misaligned and uneven teeth, the two most common cosmetic dental procedures are dental veneers and dental crowns".

What is the difference?

Generally, what determines whether you need veneers or crowns is the condition of your teeth and what you are trying to accomplish or ‘fix’ with the procedure. The basic difference between crowns and veneers is how much of the tooth they cover. Dental veneers cover the front of the tooth. A dental crown covers the entire tooth. So, while they are both used for aesthetics and function, they have different applications.

Crowns are used on a damaged tooth or for a tooth that needs more strength and protection. Veneers are used on teeth that are healthy, but may be stained, crooked, short, have spaces between them.

Dental crowns are shaped like your real tooth and they are designed to match your teeth’s natural color. The tooth that it is covering will be reduced in size, and the crown fits perfectly on top of it. Crowns will function and be as durable as your natural tooth. Crowns are perfect to fix teeth that are used for chewing, or for those who clench or grind their teeth.

Porcelain veneers are thin shells that are secured to the side of the tooth that shows when you smile. Porcelain veneers are used on patients who want to improve the shape, color, spacing, or crowding of their teeth.

When choosing a restorative dentist for demanding aesthetic cases, the ceramist used by the dentist is as, if not more important then the office you select. Reputation does matter in this regard....remember to see a specialist, the difference will make you smile.

For more information on dental crowns or porcelain veneers, contact Dr. Johnson at Newton Wellesley Dental Partners.

Dental Implants: Are They the Right Treatment for You?

Joseph Coupal - Wednesday, August 22, 2018
Newton Wellesley Dental Partners - Dental Implants in Wellesley, Newton, Brookline, Boston, MA

Dental implants are one of the most common and long lasting treatments for replacing missing teeth. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners has been a pioneer in implant dentistry since 1986. He is know for his synergistic use of computers in dental implant reconstructions. Via the combination of CT Scans, placement jigs and CAD/CAM technology, Dr. Johnson and his in-house periodontist are able to diagnose, design and place implants to support sophisticated dental reconstructions in one visit. The "All On Four Technique" has transformed patients lives and is a routine part of Dr. Johnson's repertoire. According to Boston's best prosthodontist, "Dental implants function similarly to a real tooth by replacing the missing tooth with an artificial tooth and root. In this process, the root of the tooth is replaced with a titanium screw. It is inserted into the jawbone and attached with an artificial tooth or a dental prosthesis".

The natural appearance of dental implants is one of its greatest advantages. They look very similar to natural teeth and work better than bridges and dentures. They do not rely on the cement seal between tooth and the dental work and have extraordinary anchorage. Compared to other treatments for replacing missing teeth, dental implants have a significantly more-natural appearance and generally a better long-term prognosis.

Dental implants are easy and a more convenient solution than other options for most patients. They can also be used as a support for dentures because the titanium root is securely screwed into the jaw. Today, most dentists are choosing implants to replace missing teeth and enhance overall appearance.

Though dental implants are more expensive than other treatment options, they can last a lifetime when properly cared for, making them very cost effective. They offer the best "quality of life" in terms of function and longevity. If you are considering dental implants, Dr. Johnson recommends that you see a specialist for the best outcome, "Many dentists are taking a weekend continuing education course and project themselves as experts. Four the best outcome, check one's experience, credentials and reputation before initiating care". For one or more missing teeth, consider dental implants for a younger, healthier, more natural appearance.

Contact Newton Wellesley Dental Partners or Dr. Johnson, directly, for more information on this attractive and long-lasting treatment option.

Older Americans Who Neglect Dental Care put Overall Health at Risk

Joseph Coupal - Monday, August 13, 2018
Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA

Conscientious parents constantly remind their children to brush and floss and routinely schedule dental checkups to make sure their teeth and gums are healthy and staying that way. But youngsters aren’t the only ones who can use such reminders. Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners says, "Older Americans need to put a priority on their oral health as well, and research shows that as a group they aren’t doing so".

In fact, the statistics are grim. The Centers for Disease Control and Prevention reports that almost every single American over age 65 (96 percent) has had a cavity, and 20 percent have untreated tooth decay. Another 65 percent suffer from gum disease, an ailment that has been linked to a host of other problems, such as strokes, heart disease, and diabetes.

Anyone who thinks they can ease up on dental care as they age is making a big mistake. Not only do poor dental habits affect what’s going on in your mouth, they also affect your overall health.

Older Americans who neglect oral care put overall health at risk, and some of the CDC’s findings are troubling.

Tooth loss

Nearly one in five adults aged 65 or older has lost all of his or her teeth. Complete tooth loss is twice as prevalent among adults aged 75 and older (26 percent) compared with adults aged 65 to 74 (13 percent). The CDC points out that having missing teeth or wearing dentures can have a detrimental effect on nutrition. It’s not surprising that people who have lost teeth, or wear denture, often are going to choose soft foods that they can chew easily. They will pass up fresh fruits and vegetables that are more nutritious but also more difficult for them to eat.

Oral cancer

Cancers of the mouth (oral and pharyngeal cancers) are primarily diagnosed in older adults, and the median age at diagnosis is 62 years. That’s another reason it’s important for older people to have regular checkups. Your dentist can check for signs of oral cancer during those visits.

Dry mouth caused by medications

Most older Americans take both prescription and over-the-counter drugs, many of which can cause dry mouth. Reduced saliva flow increases the risk of cavities. Saliva helps prevent tooth decay, gum disease, and bad breath and also lubricates the mouth, making it easier to eat, swallow, speak, and taste food. Sometimes, dry mouth might just cause mild discomfort. At other times, it can lead to significant oral disease that can compromise the person’s health, dietary intake, and quality of life.

As you age, proper oral care is just as important as ever. It’s not something you want to ignore because your overall health is at stake.

For more information on oral care, contact Newton Wellesley Dental Partners.


Dental Veneers are a Very Popular in Cosmetic Dentistry

Joseph Coupal - Wednesday, August 08, 2018
Newton Wellesley Dental Partners - Dental Veneers in Newton, Wellesley, Brookline, MA

There are so many dental procedures available these days ..how does one know which option is best? Dr. Ryne Johhnson, prosthodontist and director of Newton Wellesley Dental Partners has been delivering outstanding aesthetic results since 1986 for demanding and discriminating patients in greater Boston. He has been a per-annual "Top Dentist" according to Boston Magazine's "Top Docs" issue. Dental veneers are one of the most common and most-sought after dental treatments for improving your smile. According to whom many consider Boston's best prosthodontist, "Veneers can transform one's smile if done correctly but too often they are placed haphazardly or poorly and look like bad dental work. Well done veneers should be imperceptible".

We are inundated by media photos so we are surrounded by beautiful smiles...generally ones that have been altered and improved. We put quite a bit of emphasis on our physical appearances. Because we are surrounded by attractive smiles, we go to great lengths to improve upon our appearance, particularly our smile. First impressions are based upon a smile. Studies show that someone with a beautiful smile appears healthier, is more-successful and appears younger.

Of all the dental procedures, dental veneers are one of the most common and most-sought after. Dental veneers are extremely thin, custom-made shells made of tooth-colored porcelain that are designed to cover the front surface of your tooth to improve appearance, size, shape, length and color.

Dental veneers can fix many common dental problems; gaps between teeth, broken teeth, chipped and worn teeth, or discolored teeth. Veneers can also fix teeth that are misaligned, misshapen or uneven dramatically improving the look of a smile. Many people are choosing veneers over orthodontics, which can necessitate a lengthy treatment.

Dental veneers are a great solution for long-lasting results and are a great investment for your confidence and your peace of mind. With proper care and maintenance, dental veneers can last 10+ years if done well. If you seek to improve your smile, remember to see a specialist, one who has proven expertise and a stellar reputation....the difference will be noticeable. For more information on porcelain veneers, contact Dr. Ryne Johnson at Newton Wellesley Dental Partners.

Treatment Options for Replacing Missing Teeth

Joseph Coupal - Wednesday, August 01, 2018
Newton Wellesley Dental Partners, Newton, MA

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners has be helping people replace missing teeth for over 30 years. "There are many options for replacing teeth, single or multiple teeth. Dental implants generally are the preferred approach, but the other options definitely have their place as well".

Dental implants

Dental implants have revolutionized the world of tooth replacements. They allow replacement of on or many teeth with a prosthesis that has great longevity, looks and feels like a natural tooth and allows for easy oral hygiene. "One of the greatest advantages that implants have over bridges is that they stand alone - they don't require any cutting or alteration of adjacent teeth. Implants can be used to replace a single tooth, multiple teeth, or to secure a denture in place. Dental implants allow bone growth in the area of the missing tooth/teeth. Without the implant acting as a placeholder, the bone recedes over time, making it difficult to hold a denture in place". In addition to these benefits, a dental implant cannot get cavities or decay. "The success rate of single dental implants is as high as 98% over the long term. Compare that with a bridge which has at least two teeth that can decay causing failure of the entire unit".


"Fewer bridges are done now because of the benefits of dental implants, but bridges still represent an important way to address gaps in your smile from missing teeth; often when implants are not an option. A bridge relies on the strength of the surrounding teeth for support and for that reason, it is even more important than ever to take care of your teeth after getting a dental bridge".


Dentures are a removable solution (it comes in and out of your mouth) and is usually reserved for cases where there are several missing teeth or finances limit doing implants or bridgework. For a single tooth, most people don't use this option unless it is a temporary fix until something more stable can be done".

Dr. Johnson has been called Boston's Best Prosthodontist and has been a perennial "Top Dentist" recognized by Boston Magazine. If you seek and expect excellence, for your options for replacing missing teeth, contact him at Newton Wellesley Dental Partners.

Source: CDAPress.com

Is Sparkling Water Bad for My Teeth?

Joseph Coupal - Tuesday, July 24, 2018
Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA

Is the satisfying fizz of your favorite sparkling water putting you at risk for tooth decay? Because any drink with carbonation—including sparkling water—has a higher acid level, some reports have questioned whether sipping sparkling water will weaken your tooth enamel (the hard outer shell of your teeth where cavities first form).

So, Is Sparkling Water Affecting My Teeth?

Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners wants you to know that, "sparkling water is generally fine for your teeth—and here's why". In a study using teeth that were removed as a part of treatment and donated for research, researchers tested to see whether sparkling water would attack tooth enamel more aggressively than regular lab water. The result? The two forms of water were about the same in their effects on tooth enamel. This finding suggests that, even though sparkling water is slightly more acidic than ordinary water, it's all just water to your teeth.

Tips for Enjoying Sparkling Water—and Protecting Your Teeth

  • Sparkling water is far better for your teeth than sugary drinks. In addition, be sure to drink plenty of regular, fluoridated water, too—it’s the best beverage for your teeth. Water with fluoride naturally helps fight cavities, washes away the leftover food cavity-causing bacteria feast on and keeps your mouth from becoming dry (which can put you at a higher risk of cavities).
  • Be mindful of what’s in your sparkling water. Citrus-flavored waters often have higher acid levels that does increase the risk of damage to your enamel. Plan to enjoy these in one sitting or with meals. This way, you aren’t sipping it throughout the day and exposing your teeth over and over again to the slightly higher level of acid it contains.
  • Sparkling water brands with added sugar can no longer be considered just sparkling water. They are a sugar-sweetened beverage, which can contribute to your risk of developing cavities. So remember—sparkling or not—plain water is always the best choice.

For more information on dental health, contact Newton Wellesley Dental Partners.

Source: mouthhealthy.org

Breathe New Life into Root Canal-Treated Teeth

Joseph Coupal - Tuesday, July 17, 2018
Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MA - Root Canal Treatment

A root canal can be a literal lifesaver for an infected tooth, but the process does involve cutting off the blood supply, robbing that particular tusk of its natural defenses. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "there is a way to fabricate new blood vessels in teeth, which may offer a way for them to regain important functionality".

A root canal is typically called for when tissue inside the tooth, called the pulp, becomes inflamed or infected and causes problems such as decay, cracks or chips. It involves removing this infected tissue and replacing it with a synthetic material encased by a protective crown.

"This process eliminates the tooth's blood and nerve supply, rendering it lifeless and void of any biological response or defense mechanism," says Dr. Johnson. "Without this functionality, adult teeth may be lost much sooner, which can result in much greater concerns, such as the need for dentures or dental implants. Often we are doing implant dentistry on failed root canals".

In coming up with a solution, researchers developed a way to bio-print artificial vascular networks that imitate the body's circulatory system. This involves using a bio-printer to create tiny fibers that serve as a mold, which for the purposes of this research were made from sugar molecules.

This mould was then laid across the root canal of an extracted human tooth and injected with a gel-like material filled with dental pulp cells. After that, the fiber was removed to leave a small channel along the root canal, into which endothelial cells taken from the interior lining of the blood vessels were inserted. After seven days, the researchers report that dentin-producing cells, which is one of the four tissues making up human teeth, started forming near the tooth walls, and that artificial blood vessels began forming inside the tooth.

"This result proves that fabrication of artificial blood vessels can be a highly effective strategy for fully regenerating the function of teeth," says Bertassoni, the lead researcher on the project. "We believe that this finding may change the way that root canal treatments are done in the future.

Although this technique is yet to be available to the public, it may offer an opportunity to save teeth naturally. When considering any of your dental your options, remember that reputation and expertise matter. Dr. Johnson is perennially regarded as one of Boston's best dentists and had been providing outstanding dental care, to people who seek and expect excellence, since 1986. See a specialist...the difference will make you smile.

Source: New Atlas

Cosmetic Dentistry and a Healthy Smile

Joseph Coupal - Tuesday, July 10, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAA smile can change the whole appearance of people and enhances their charming personality. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "Studies have shown that a beautiful smile not only is an indication of overall health but also projects confidence and success. There are many dental procedures that are considered cosmetic in nature but knowing which ones are appropriate for you is critical".

To treat the problems of many individuals who have bad and unhealthy teeth, new techniques in cosmetic dentistry provide avenues to that beautiful smile. In fact, a variety of cosmetic dental procedures enhance your smile while they also provide good and healthy looking teeth. These procedures are porcelain veneers, ceramic crowns, re-contouring, cosmetic bonding and invisible braces.

Bad teeth lead to being self-conscious, people find it embarrassing to have bad teeth. People who are uncomfortable with their teeth are uncomfortable in social gatherings, they don’t want to smile or hide their smiles. This presents a self-consciousness or lack of self-esteem.

For healthy looking teeth, dentists will advise cleaning teeth twice a day; this will also help a person stay away from many diseases. Many people have yellow teeth and this is what makes them uncomfortable. A cosmetic dentist can help them by providing in- office teeth whitening.

There are no limits in cosmetic dentistry and Dr. Johnson has been providing outstanding, integrity-based dentistry since 1986. He sees patients who seek and expect excellence. If you have a smile you that are not comfortable with and you are interested in discussing your different options, contact the cosmetic dentists at Newton Wellesley Dental Partners.

Causes of Sleep Apnea

Joseph Coupal - Tuesday, July 03, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MASnoring used to be more of an annoyance rather than a danger to your physical and oral health.

Now, we understand that there is actually a risk associated with snoring, you could have sleep apnea. Sleep apnea is a potentially harmful sleep disorder during which people stop breathing, periodically, throughout the entire night.

Obstructive sleep apnea (OSA) is the most common type of sleep apnea, and occurs when the muscles in the back of the throat collapse, causing the opening through which air passes to disappear. Certain people are more likely to experience sleep apnea than others. Who are they?

Obesity – this is one of the most indicative risk factor. Obese adults are seven times more likely to develop sleep apnea than their normal-weight adults. Excess weight adds to the pressure on the airway making the diameter of the opening even smaller than it already is.

Neck Circumference – obese people and professional athletes have larger-than-average necks and this can cause sleep apnea.

Age – sleep apnea is more common in older people, although people of any age can develop it. As we age we lose tone and elasticity. With that natural softening of the tissue in the throat, there's higher likelihood of collapse.

Family History – while there is no genetic predisposition to developing sleep apnea, you can inherit certain aspects of your physical makeup that increase sleep apnea risk like a narrow jaw.

Alcohol Use – as a muscle relaxant, alcohol too close to bedtime can lead to episodes of sleep apnea. Alcohol can also lengthen the duration of apnea episodes.

Race - Sleep apnea risk and severity vary by race.

Smoking - smokers are 2.5 times more likely to have sleep apnea nonsmokers. Smoking is an irritant and can cause airway tissue to swell.

Gender - middle-aged men are twice as likely to have sleep apnea than women.

Sleep apnea can be treated with CPAP machines and oral devices. Both have the place, but for patients that are fed up with CPAP there is an alternative to that unattractive tight mask, bulky, and loud machine. Oral devices can treat mild to moderate sleep apnea more comfortably than a CPAP machine.

Oral appliances are placed in the mouth and are worn like an orthodontic appliance or sports mouth protector. No machines and they are virtually unseen. For treatment options for sleep apnea, contact Newton Wellesley Dental Partners.

Dental Implants or Keep the Tooth?

Joseph Coupal - Tuesday, June 26, 2018

Newton Wellesley Dental Partners, Newton, Brookline, Wellesley, MAMany people call us when they have tooth problems. When they are advised to have their tooth extracted and replaced with a dental implant they often wonder if this is necessary, or if they should keep their natural original tooth. According to Dr. Ryne Johnson, prosthodontist and director of Newton Wellesley Dental Partners, "that all depends on the problem. There are scenarios where keeping the tooth some combination of root canal therapy or surgical intervention but in many instances dental implants are a better option".

"Dental implants are great for tooth-replacement or in larger reconstructions to provide support for the definitive dentistry. As far as tooth replacement, you have lots of options, but dental implants best mimic a natural tooth as far as look and functionality. They also help the jawbone and the jawline to maintain its density and volume".

The key word to consider when discussing dental implants is the word replacement, not substitution. Dental implants have a ‘root shape’ and they have been in use for about 30 years. Dr. Johnson is considered a pioneer in the synergistic use of CT scans, CAD CAM and digital laboratory techniques in implant dentistry. Over time he has been developing and perfecting this approach. His first computer-designed implant case was completed in 1988. Using this approach, the case can be studied, designed and placed with incredible precision which impacts the time-line and esthetic outcome.

If you have a tooth that is broken down and cannot be saved or if there are many teeth that need to be addressed, the best choice for replacement is a dental implant. If you had periodontal disease which is compromising your jawbone, then the best avenue would be to extract the teeth, preserve the jaw, and use implants as tooth substitutions. Dental implants can use the remaining jawbone and are healthier and safer than the natural teeth.

If your teeth are salvageable with no further damage to your jaw, teeth and mouth, get the natural teeth fixed. If your teeth and jaw are compromised it would be best to replace those teeth with dental implants.

For more information, contact Newton Wellesley Dental Partners.