Our Why!

December 7th, 2018

Prior to introducing to his office, Dr. McGrail, who practiced in the area for 25 years, took under consideration that we would live in Fredericksburg. Our idea was to live in the community that we practice. Community is important to us.

We believe in a healthy and happy community. We live our vision daily by focusing on uncompromising care and giving back! Most recently, we were the theme sponsors for the 2018 event of the Community Foundation of the Rappahannock River Region. The Community Foundation connects with donors, nonprofit organizations, businesses, government, community groups, individuals, and leaders to serve the current and future needs of the people throughout our region. To know more visit http://www.cfrrr.org/.




Also, we are happy to be included as a sustaining sponsor for the Crawley Great Lives Series in the University of Mary Washington. This free lecture series brings renowned biographers, a number of them Pulitzer Prize winners, to the Mary Washington campus to explore the diverse lives and achievements of remarkable people. https://www.umw.edu/greatlives/about/

We are looking very much forward to all the lectures and especially The Synergy Periodontics and Implants Lecture on Dale Carnegie by Steven Watts https://www.umw.edu/greatlives/lecture/dale-carnegie-2/

A healthy, happy and united community is part of our WHY!

Are you using sandpaper on your teeth?

May 3rd, 2018

Many leading toothpastes tend to cause significant wear on your teeth. Commercially available "whitening" toothpastes contain small particles. These small particles, especially when forceful brushing is done, cause loss of enamel.

Enamel is a hard tissue that cannot regenerate. Once lost, it's lost forever. Abrasive toothpastes may also contribute to gum recession. Many times we diagnose non-carious cervical lesions (NCCLs) on the teeth.

To learn more about these lesions click here and scroll down:


These lesions are many times a combination of enamel loss and gum recession. If they are not addressed, they can become deep and cause sensitivity and tooth loss.

This is how they look:

See the table below that classifies commercially available toothpastes by abrasiveness. Where is your toothpaste on the list?!





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]


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.