I am Jeff Lemler. I am a periodontist, which means I am dedicated to creating and maintaining the health of the supporting structures of your teeth. The bone and the soft tissue (gums). With my training and expertise, whenever reasonable, I am focused to save your teeth. When I decide that a tooth should not be saved, by I, I mean you, us and your restorative dentist, I will evaluate and replace the lost dentition with dental implants. I have over thirty years of experience placing implants. Not only am I very knowledgeable and capable in this area, but I have helped to develop, promote, and teach some of the most advanced techniques to recreate the bone and soft tissue that is necessary for successful, esthetic implant placement. However, in the last number of years there has been a movement in implant dentistry to rapidly decrease the time and procedures for replacement of teeth with implants. Similar to all other aspects of our lives, we want immediate results. For dentistry, it is immediate placement and "teeth in a day". While there is no question that there are cases that can and even should be treated this way, I believe this is happening way too often without understanding the compromised results for the supporting bone and soft tissue. I also believe that these compromises are a significant part of the reason the profession is seeing a rise in the cases of implant failures and implant infections, a problem we now call peri-implantitis. Unfortunately, the majority of these problems show up 5-6 years later, leaving the patient responsible for the consequences. For me, I feel that my, education, knowledge and experience has allowed me to look at each patient individually, identity the key factors for long term success and develop the approach for each case to maximize the potential for long term success and minimize risks for problems and failure. There are clinicians who are now gearing their practices to the treatment these compromised cases. Unfortunately, many times these procedures are not predictable. My practice also treats and provides the most advanced techniques to save these cases. However, all cases need to be done in a manner to minimize the risks of such problems occurring in the first place.