Football player's teeth in ballerina jaws.

March 12th, 2018

More and more scientists come to the conclusion that as we evolve as human species our jaws are getting smaller and the size of the teeth remains the same.

The change in diet and agriculture has been associated with reduction of our jaw size.






As a result a lot of us end up with football player's teeth in ballerina jaws. So in the future we expect that there is going to be more need for Orthodontics to accommodate the limited spacing...

Additionally since the bone housing is so limited, the orthodontist many times can only move the teeth so much and many times at the end of the movement we see a lot of gum recession like in this case.








What is periodontal pre-orthodontic augmentation -POPA?

One of the new procedures that we provide here at Synergy Periodontics and implants is POPA.

In cases where the bone in front of the teeth is too thin and the orthodontist needs to expand the arch, then we can add bone and soft tissue, essentially increasing the space in which teeth can move!

Also, by adding bone and gum tissue, we can prevent recession and other periodontal issues!

The following images are taken from a paper published by Marianna Evans et al.

[caption id="attachment_151" align="alignleft" width="640"]Before Prior to treatment[/caption]

[caption id="attachment_152" align="alignleft" width="640"]Immediately after procedure and final outcome. Immediately after procedure and final outcome.[/caption]



The cherry on the cake is that this procedure can be combined with invisalign and makes the speed of teeth movement MUCH faster!!! In certain cases it can reduce the necessary time by 6 months.

Also, since we are able to open the arch more with the addition of tissue, there is emerging evidence that it may help with the amount of air we can inhale. In certain cases, this may help with sleep apnea or breathing deficiencies.

[caption id="attachment_153" align="alignleft" width="640"]Airway before and after image by Marianna Evans et al. Airway before and after image by Marianna Evans et al.[/caption]


All you need to know about PRF!

January 6th, 2018


Here is a breakdown of this revolutionary process and how it helps our patients!

PRF stands for platelet -  rich fibrin. It's like hitting the FFW button in healing..

PRF is a super- boosted mix full of growth factors that can produce accelerated healing after procedures in the human body including the mouth! It can be used in all procedures from simple extractions to advanced gum and bone grafting!

Where do you get it?
The best part: It's FREE... we draw blood from the patient and spin it with our special centrifuge and VOILA! Since it is the patients own blood, we are not worried about allergies or other reactions!

We can mix it with bone or gum grafts and have amazing results, faster healing and less complications!

It's about emotions!

July 24th, 2017

Most decisions are made on an emotional basis. This is the conclusion of current research of human behavior.

When we first met Marilyn, she wanted to know her options about one front tooth that had decay.

In a process of co-discovery, it became evident that Marilyn wanted more. She really wanted to be proud of her smile!

It was an emotional decision to proceed with a comprehensive approach to improve Marilyn's smile. A rewarding one! This process was successful because it was based on solid knowledge, skill and exemplary communication between the treating clinicians, Drs. Mears and Ntounis.

Initial situation

Proper planning with the final result in mind

Implants placed according to template

Before and after

Marilyn's radiant new smile!

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.

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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