Our Blog

No guess work here! Use of digital technology allows for safe, predictable and awesome transformations!

June 26th, 2017

The use of digital technology has revolutionized the way we practice. It allows for safer implant placement and allows us to provide magnificent treatment! This patient came to us and was concerned about broken down teeth that severely affected her quality of life.

After comprehensive planning, we were able to provide a complete make-over in one visit and provide our patient with teeth she can enjoy. She looks amazing and her implants will perform for the rest of her life.  They were placed in a fully-guided manner with the help of computer technology in the best positions available! She can now smile confidently!

No guess work here!

(click on images to enlarge)

Initial condition affecting esthetics and the ability to eat properly.

Digital set-up of new teeth (in green) superimposed on the existing broken down dentition

Digital planning for implant placement in the best positions possible!

Within a day, our patient leaves with fixed teeth. This set will serve as a "test drive" before the final upper and lower implant supported bridges in 6 months. The transformation is life changing and our patient is so happy!

Have you been told that you don't have enough bone for implants?

March 27th, 2017

Good thing technology and techniques improve! Drs. Ntounis and Pitman travelled to Budapest, Hungary to attend a rigorous course on a brand new technique that allows getting bone back to resorbed areas of the jaws. The course was given in the prestigious Urban bone regeneration center by the leading expert in this field.

This technique allows for bone growth in all the areas of the mouth! We can confidently say that we have a great solution here in the US for severely resorbed jawbone.

Flossing- Myths and reality

August 4th, 2016

It all started with an ambitious reporter Jeff Donn and an Associated Press BIG STORY!


It is true that the evidence as evaluated scientifically from systematic reviews and meta-analyses may demonstrate weak evidence on the efficacy of flossing. The truth of the matter is that flossing efficacy has never been studied properly. According to a statement released by the American Academy of Periodontology (AAP): ""Because the development of periodontal disease is slow in nature and because a variety of factors can impact its progression, studies that examine the efficacy of daily flossing are best conducted over a number of years and among a large population." https://www.perio.org/consumer/AAP-recommends-flossing

The fact that existing evidence appear weak according to our strictest scientific criteria can be misinterpreted by the public as there is no need to floss !! Such a gross conclusion is not only wrong but also harmful for our patients...

In fact, it's not even about flossing... it is more about cleaning between our teeth. Most of our long standing patients with periodontal disease (a chronic inflammatory condition), have had treatment that has resulted in more open areas between their teeth. In fact for these patients, floss is not the most appropriate way to clean between the teeth. In these cases we recommend inter-proximal brushes and other means to effectively remove plaque.

I wonder if there are published evidence that are deemed strong according to our strictest criteria that the parachute works?? Guess what... NO! http://www.ncbi.nlm.nih.gov/pmc/articles/PMC300808/

Does that mean that I am not going to use one if I had to jump off a plane??

We recommend flossing or even more importantly cleaning between your teeth daily to avoid gum disease and cavities! Next time you are in check with Drs. Pitman and Ntounis!

Gum Recession?

April 9th, 2016

Gum recession?

Sometimes it's hard to notice that there is something missing, other times it can be obvious.

When Anna first came in, she complained of sensitivity on all of her lower teeth! Every time she would take a breath in the cold, her teeth would hurt! Anna knew she had gum recession that had progressively gotten worse over the years.

Bob on the other hand had been brushing his gums away for years and never felt any serious sensitivity. His general dentist referred him to see us and after seeing photographs of his teeth and gums, he realized how extensive the problem was.

But what is the problem with gum recession?

Anytime soft tissue (gum) is missing, the tooth has lost not only gum tissue but also supporting bone!

That means that now our teeth are weaker and cannot withstand the challenges that the mouth is dealing with everyday.   Another problem with gum recession is that the kind of gum tissue that is usually lost, is the one that provided the most important protection of our teeth and their supporting structures.

This gum tissue is supposed to be firm and provide a seal against bacteria and plaque. Mucosa is the soft tissue that lines the inside of our cheeks and lips.  Mucosa is not as good as the original firm tissue because it is looser and weaker. As a result, it doesn’t provide the same protection against plaque.

How is gum recession created and what are the risk factors of developing gum recession?

People that may develop recession are the ones with:

  • Thin gum type due to genetics

  • Young individuals or people undergoing orthodontic treatment
  • Patients that brush too hard. Remember plaque is a biofilm. Plaque only needs to be disrupted, not scrubbed away! Don’t brush as if you are washing the dishes from Saturday night!

  • Patients with habits that cause mechanical injury on part of their gumline.
  • Patients that have lip or tongue rings. Some of these injuries are the hardest to treat!

  • Patients with partial dentures that the clasps injure the gums.

  • Patients with frenum pulling (the little cord that connects the lower or upperlip with the gums)

What are the treatment options for gum recession?

Today we have developed great techniques and technologies to treat gum recession.

Unlike in the past, we don’t always have to use the patient’s own tissue to cover gum recession.  Now there are additional options such as using special collagen matrix from animal or human donor origin. These products are predictable and perfectly safe! They do not contain any living cells from the donor, and are sterile. In periodontics, these products have proven to be a great alternative to using the patient’s own tissue!

Every case is different and we aim to perform the tissue coverage with the best option that will predictably work!

Take a look at some of our cases. You can find more in our "before and after gallery" on our website!

Before                                                                               After

Before                                                                                After

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You can visit our website and learn more about us at www.periosynergy.com