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The Affect of Aggressive Brushing

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners came across an interesting article that he wishes to share.
It outlines the long term impact on people who are 'aggressive' brushers. We have been recommending the Braun Oral-B and Sonicare Electric brushes for many years.  We also recommend a visit with the hygienist every three, four or six months for routine cleaning and examination. For additional dental topic discussions, visit: www.NewtonWellesleyDentalPartners.com Here is the URL for the article: http://www.huffingtonpost.com/entry/how-the-traditional-nylon-toothbrush-may-be-causing_us_578fad7ee4b0f529aa07836f?utm_hp_ref=dental-health

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Pot Mouth? – Wellesley, Newton, MA

We recently had a college student return from college in Colorado who came to the office for a general visit.  Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners reports that, “Upon reviewing his medical history before a routine cleaning appointment, “John” admitted to “smoking a lot of pot” during his four years away.  There was a raised, white area along the cheek”.

Like Colorado, Massachusetts has recently adopted policies that allow for recreational use of Marijuana.  There are dispensaries being planned around the state and a likely increase in recreational use of Pot is certainly coming.

Ganja, Hash, Weed, Mary Jane are but a few of the more common names for cannabis which is a plant-derived drug.  Commonly abused, about 2.5% of the world’s population uses cannabis.  It can be used in several preparations, with dried leaves and flower (marijuana) that are smokes being the most common.  Other methods include smoking via water pipe or vaporizer, adding marijuana to food and consuming it, and using concentrated liquid forms.

Dry mouth is a common problem experienced for one to six hours after using cannabis, as well as an increased appetite.  Both lead to becoming more vulnerable to an oral attack from foods and sweet drinks.  Thermal injury to the tissues is seen in an additional effect by other opportunistic infectious agents.

And our college student?  Because it is virtually impossible to distinguish between these benign entities and carcinoma, biopsy is essential.  If dysplasia is demonstrated, consider such lesions premalignant. They have the propensity to transform into carcinoma in situ or invasive squamous cell carcinoma. Thus, such leukoplakic growths must be excised completely and the region observed closely for recurrence.  … a biopsy report of hyper-keratosis.

Lessen learned!

For other Blogs by Dr. Johnson, click here.  To contact the office or Dr. Johnson, click here.

Artwork: www.researchgate.net Original article:  Dr. Gerald Fine

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All-on-Four Dental Implants – Newton, Wellesley, MA

Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners rynerecently participated in the American College of Prosthodontics annual meeting in San Diego where he discussed the All-on-4® treatment concept. It provides edentulous and soon-to-be edentulous patients with an efficient and effective restoration using four dental implants to support an immediately-delivered full-arch prosthesis.  Dr. Johnson has been called a pioneer in the synergistic use of computers in implant dentistry. His first case, using a CT scan generated model was performed in 1988.

After the first dental implant patient was treated in the 1980s, a discussion began around the optimal number of implants needed to anchor a fixed dental prosthesis in edentulous patients. Some clinicians tended to install as many implants as possible, often one per tooth. Others argued that biomechanically, only four or even three were needed. Only long-term clinical data could provide answers.

At the forefront

The records of the early patients of P-I Brånemark allowed for an early retrospective study. After a 10-year observation period, the survival rates were demonstrated to be the same for restorations with four and six implants assuming that the bone levels and distribution of implants were ideal. The challenge of advanced resorption remained, however. Because it is not possible in many cases to insert distal implants without grafting and/or nerve lateralization, thproject1e concept of tilting the two distal implants was introduced.

Immediate results

In 2003, the concept of immediate loading (placing a dental prosthesis on implants the same day the implants are placed) of four implants in edentulous lower—and soon after also upper—jaws with two tilted distal implants. This one-stage procedure substantially reduced the costly and time-consuming bone grafting procedures, number of surgeries and healing time.

The success continues

In an early reported a cumulative survival rate of 96.7% for implants and 100% for prostheses at up to 3-year follow up.2 Since then, he and others have repeatedly reproduced high survival rates for both upper and lower jaws.  Today, the All-on-4® treatment concept is used around the world with similar high survival rates and patient satisfaction that is enhanced by limited costs.

Dr. Johnson, with his in-office periodontist, has done hundreds of implant cases with outstanding results.  To arrange a consultation with Dr. Johnson, contact Newton Wellesley Dental Partners.

For additional blogs related to dentistry, click here To contact Dr. Johnson or the office, click here Original article and artwork: www.nobelbiocare.com

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Biting force extends one’s life – Newton, Wellesley, MA

According to Dr. Ryne Johnson, prosthodontist and managing partner of Newton Wellesley Dental Partners, “ One’s ability to chew has a direct correlation with longevity.  Many studies show that one loses 75% chewing strength wearing a denture”.  The force of a man’s bite at age 70 may be a marker of his longevity, says a study in the Journal of Oral Rehabilitation.Project1

The risk of dying before reaching their mid-80s was 84% higher in men with a weaker bite than those with a stronger bite, the study found. The association was significant even when such factors as tooth loss and severe gum disease were included in the analysis.

No connection was found between jaw strength and long-term survival in women of the same age group.

Low bite force may be a sign of poor dental work, loss of teeth and this musculoskeletal decline that can ultimately lead to disability and death, the study suggests. Low intake of vitamins, minerals and other nutrients can also affect oral health and increase people’s vulnerability to chronic disease, the researchers said.

The study, conducted in Japan, involved 559 people born in 1927, who were enrolled in a larger study in 1998. At the start of that study, the subjects underwent dental and medical examinations and reported personal information, such as diet, chewing ability and smoking habits, on surveys.

Dr. Johnson suggests that you see your dentist routinely and address factors that will influence your bite force.  If you are wearing a removable prosthesis, consider implants as an adjunctive approach to improve your chewing ability…and this is likely to increase your life expectancy.

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Original article:  www.wsj.com Artwork:  www.webmd.com

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Stress & Dental Implications

Stress can cause stomach aches, along with headaches, backaches, and insomnia.  According to Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners, “stress can have a significant detrimental effect on teeth as well.  Bruxism (or teeth grinding) is often seen in my patients who are under stress and it can lead to TMJ issues, periodontal disease or fractured teeth”.Project1 One study of 1,953 men and women found that those experiencing the highest levels of stress were more than three times as likely to have abdominal pain as their more relaxed counterparts. The exact connection is still unclear, but one theory holds that your intestines and your brain share nerve pathways; when your mind reacts to stress, your intestines pick up the same signal. Because of this link, learning to manage stress with the help of a clinical psychologist, meditation, or even exercise can usually help relieve stomach troubles, too. However, if you have frequent stomach aches, see your doc to rule out food allergies, lactose intolerance, irritable bowel syndrome, or an ulcer. Dr. Johnson recommends a hard, acrylic night guard (often with a soft lining) for his patients who grind their teeth.  “It is designed to spread the forces out evenly on the flat surface and the hard plastic, with the softer lining, acts as a shock absorber.” To contact the office or for questions to be addressed by Dr. Johnson, click here For additional blogs, click here.

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