Future of perio?

[drchompers]

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Hi guys, I just joined because I need some realistic advice regarding the future of perio. I was recently accepted to a perio program but after speaking with several dental practice management companies I am starting to doubt my decision. Basically it mainly comes down to debt. I'm already $220,000 in the hole and the perio program will most likely cost an addition $180,000 as well as 3 years lost income. So coming out $440,000 in debt to student loans just seems like such an overwhelming figure. It's an extremely scary number to deal with when all the loan money is my sole responsibility. I've also heard mixed results from some periodontists saying that it was difficult to find jobs and that the job market is challenging for periodontists, not the news I wanted to hear.

The majority of the practice managment brokers have told me perio does not do much better than a general practitioner, and they expect the numbers to decline in the future because the majority of implants within the next 5 years will be placed by GP's. Any advice or insight would be greatly appreciated, ...and please none of the regular insults I see by the OMFS people.

 

[Periogod]

Hi guys, I just joined because I need some realistic advice regarding the future of perio. I was recently accepted to a perio program but after speaking with several dental practice management companies I am starting to doubt my decision. Basically it mainly comes down to debt. I'm already $220,000 in the hole and the perio program will most likely cost an addition $180,000 as well as 3 years lost income. So coming out $440,000 in debt to student loans just seems like such an overwhelming figure. It's an extremely scary number to deal with when all the loan money is my sole responsibility. I've also heard mixed results from some periodontists saying that it was difficult to find jobs and that the job market is challenging for periodontists, not the news I wanted to hear.

The majority of the practice managment brokers have told me perio does not do much better than a general practitioner, and they expect the numbers to decline in the future because the majority of implants within the next 5 years will be placed by GP's. Any advice or insight would be greatly appreciated, ...and please none of the regular insults I see by the OMFS people.

Talk to some practicing periodontists and ask them about what they think the future is and how much they gross in comparison to GPs. I believe the future will be what you make of it and is dependent upon how you change your practice to suit the needs of patients and their dentists.

 

[Mouthjaw]

Talk to some practicing periodontists and ask them about what they think the future is and how much they gross in comparison to GPs. I believe the future will be what you make of it and is dependent upon how you change your practice to suit the needs of patients and their dentists.

I am a practicing periodontist that just opened up about 6 months ago. I am in a scratch start-up and things are going well. Do perio or any specialty not for the money but because you love it. Please let me know what specific questions you have and I will try to answer them.

 

[drchompers]

I am a practicing periodontist that just opened up about 6 months ago. I am in a scratch start-up and things are going well. Do perio or any specialty not for the money but because you love it. Please let me know what specific questions you have and I will try to answer them.

Mouthjaw,

Thank you for getting back to me, I've been driving myself crazy thinking about this. I enjoy perio and surgery so much more than general dentistry, I just don't want to bury myself for the rest of my life. I have no financial support from family so everything's on me, and my family is actually against me entering the field because of the debt and their general dentist friends saying that general dentists will be placing most of the implants in the future, not periodontists. Do you mind filling me in on information as far as difficulty to find stable, steady work, future of implant dentistry, how difficult it is to get perio referrals, and some financial ideas as well. I had a financial planner figure out my monthly loan payment if I go through with perio and it looks like I'll be paying about $2,500/month over 30 years. Is this even feasible?
Thanks again, I really appreciate the response.

 

[NewGuyPerio1]

Talk to some practicing periodontists and ask them about what they think the future is and how much they gross in comparison to GPs. I believe the future will be what you make of it and is dependent upon how you change your practice to suit the needs of patients and their dentists.

What do you mean by the future is what you make it and how are the periodontists changing their practice's or what they do? Do you mean implants? I heard also that some perio guys are now venturing into doing dentoalveolar (extractions, alveolarplasty...) that sort of thing.\

Can you exspound?

 

[esclavo]

Talk to some practicing periodontists and ask them about what they think the future is and how much they gross in comparison to GPs. I believe the future will be what you make of it and is dependent upon how you change your practice to suit the needs of patients and their dentists.

I talked to a practicing periodontist the other night. He said he is doing really well. He did mention having to "reinvent" his practice a little bit. I would have stayed to talk longer but the clown-ring master escorted me back to my seat next to my kids because the periodontist was getting ready to stick his head into the lion's mouth.....he did have these new "instruments"- a whip and a chair and he had shed the white coat for a spandex singlet....but his practice was huge with lots of "staff"(midgets, giants, clowns, contorsionists)....looked like great fun....I think my son wants to grow up and be a "periodontist" now....

 

[schrottypie]

I talked to a practicing periodontist the other night. He said he is doing really well. He did mention having to "reinvent" his practice a little bit. I would have stayed to talk longer but the clown-ring master escorted me back to my seat next to my kids because the periodontist was getting ready to stick his head into the lion's mouth.....he did have these new "instruments"- a whip and a chair and he had shed the white coat for a spandex singlet....but his practice was huge with lots of "staff"(midgets, giants, clowns, contorsionists)....looked like great fun....I think my son wants to grow up and be a "periodontist" now....

My English not so good - what jokr?

 

[OMFSCardsFan]

Weil, wenn Sie das Scherzen sind, dann fein. Aber wenn nicht, bin ich sicher, auf Ihrem Gesicht zu scheißen.

Take that, Esclavo! Estamos aprender espanol, tambien?

 

[ktcook83]

What future?

 

[esclavo]

My English not so good - what mean you by this? Jokey-pokey?

Weil, wenn Sie das Scherzen sind, dann fein. Aber wenn nicht, bin ich sicher, auf Ihrem Gesicht zu scheißen.

yes, lots of jokey, but absolutely no pokey...I only understand languages widely spoken in the western hemisphere....can anyone interpret this for me? I really don't want to have to call the KKK and get the number for the neo-nazi interpreter to have to do it for me. Those neos don't like mexicans much....but...uhhh.... keep making those nice precision surgical instruments, they really work great....go German....uhhh engineering!!!! Mein Kempf?!?! That is the only German I know. I think it was a book by Hitler I had to read in history....his mustache was really swell...

 

[ItsGavinC]

I heard also that some perio guys are now venturing into doing dentoalveolar (extractions, alveolarplasty...) that sort of thing.\

Oh geez. Alveoplasty?!?

Let's get this discussion back on track. You OMS boys can play in the other corner of the room.

 

[12YearOldKid]

Yeah, that alvirleoplasty is where it's at.

 

[12YearOldKid]

For what it's worth though...

The two departments that dental schools never have trouble filling is prosthodontics and perio. Why? Because things can be tough on the outside for these two specialties.

And everyone has heard the stories from GPs about patients being referred for a crown lengthening. All of a sudden the periodontist has poached all the perio treatment to include root planing and recalls even though treatment was already initiated by the GP. The "black hole of perio" is what I've heard it called.

As another poster mentioned perio is encroaching more and more on what has traditionally been the oral surgeon's turf. I'm not saying this is wrong, just that it does seem like there isn't enough traditional perio being referred to keep everybody busy.

More and more GPs are placing their own implants but there will always be the case that needs a more experienced surgeon and the GP who just doesn't like surgery.

Just some rambling thoughts from a lowly third year.

 

[mzalendo]

Seriously (OMFS kids please chill for a minute), I have yet to venture into clinic so I have yet to narrow down my specialty choices. I can only very safely say that I have very slim chances opting for pedo or public health. That leaves me Ortho, endo, perio, OMFS and pros. Whats is the deal with Perio?
1 With the match out and every school's respectable list of PGY ventures, why is perio lagging so behind.

2 Is it at the moment even plausible to opt for perio instead of GP

3. Is implantology not incentive enough to make perio a worthwhile venture

4. How does perio returns compare to other specialties.

5. Is there alot of uncertainty regarding the perio specialty as far as scope of practice, is perio that nebulous

6. What will keep the perio specialty thriving/ what is leading to its perceived demise

7. From personal constructive accounts why would you or would you not consider perio

6.

 

[GQ1]

Seriously (OMFS kids please chill for a minute), I have yet to venture into clinic so I have yet to narrow down my specialty choices. I can only very safely say that I have very slim chances opting for pedo or public health. That leaves me Ortho, endo, perio, OMFS and pros. Whats is the deal with Perio?
1 With the match out and every school's respectable list of PGY ventures, why is perio lagging so behind.

2 Is it at the moment even plausible to opt for perio instead of GP

3. Is implantology not incentive enough to make perio a worthwhile venture

4. How does perio returns compare to other specialties.

5. Is there alot of uncertainty regarding the perio specialty as far as scope of practice, is perio that nebulous

6. What will keep the perio specialty thriving/ what is leading to its perceived demise

7. From personal constructive accounts why would you or would you not consider perio

6.

I THINK YOU SHOULD GO FOR PERIO. you seem dumstruck with numerals - 6 is not usually after 7 - but maybe prophying will be within the realms of your abilities.

 

[GQ1]

Seriously (OMFS kids please chill for a minute), I have yet to venture into clinic so I have yet to narrow down my specialty choices. I can only very safely say that I have very slim chances opting for pedo or public health. That leaves me Ortho, endo, perio, OMFS and pros. Whats is the deal with Perio?
1 With the match out and every school's respectable list of PGY ventures, why is perio lagging so behind.

2 Is it at the moment even plausible to opt for perio instead of GP

3. Is implantology not incentive enough to make perio a worthwhile venture

4. How does perio returns compare to other specialties.

5. Is there alot of uncertainty regarding the perio specialty as far as scope of practice, is perio that nebulous

6. What will keep the perio specialty thriving/ what is leading to its perceived demise

7. From personal constructive accounts why would you or would you not consider perio

6.

I THINK YOU SHOULD GO FOR PERIO. you seem dumstruck with numerals - 6 is not usually after 7 - but maybe prophying will be within the realms of your limited abilities.

 

[dorothyl]

I THINK YOU SHOULD GO FOR PERIO. you seem dumstruck with numerals - 6 is not usually after 7 - but maybe prophying will be within the realms of your limited abilities.

Don't let this jerk bother you Sampeter. If you want to do perio, then you just go ahead and do perio.

As for me, I'm doing ortho!

 

[OMFSCardsFan]

Don't let this jerk bother you Sampeter. If you want to do perio, then you just go ahead and do perio.

As for me, I'm doing ortho!

I hope you're hot--you have to be to get into ortho these days...

 

[toofache32]

The "future" of Perio is the same as it's always been:

 

[OMFSCardsFan]

The "future" of Perio is the same as it's always been:

Haha...smooth...

 

[Halitosis]

The "future" of Perio is the same as it's always been:

i'm sorry, i don't understand this joke.

 

[schrottypie]

The "future" of Perio is the same as it's always been:

Petodontics specialty is where is at.

 

[mtheman]

😕 😕 😕

 

[toofache32]

i'm sorry, i don't understand this joke.

I was referring to the fact that periodontal therapy doesn't work and they end up extracting the teeth anyway. The patient has periodontal disease because they don't take care of their teeth. No matter how much scaling and periodontal surgery you do, if they don't take care of their teeth your perio treatment will fail. It's very difficult for patients to suddenly get religion and start brushing and flossing when they haven't done it for 30+ years.

 

[Doggie]

I was referring to the fact that periodontal therapy doesn't work and they end up extracting the teeth anyway. The patient has periodontal disease because they don't take care of their teeth. No matter how much scaling and periodontal surgery you do, if they don't take care of their teeth your perio treatment will fail. It's very difficult for patients to suddenly get religion and start brushing and flossing when they haven't done it for 30+ years.

That being said.........at least the future of OMFS looks bright!!

 

[schrottypie]

That being said.........at least the future of OMFS looks bright!!

Quiet!

 

[esclavo]

Quiet! Now, little poochie, come and Pat my Wang.

I wondered where you've been little "kraut-boy". I hope you are cleaning those teeth well.... I don't like any calculus falling off the teeth when I give them my specialized perio treatment of "cold steel and sunshine"....

 

[Doggie]

Quiet! Now, little poochie, come and Pat my Wang.

awww.....I'm sorry. Did I hurt your perio pride? Go to a urologist and get an inflatable implant if you must, but grow a wang before you want me to pat it.

 

[Mouthjaw]

I was referring to the fact that periodontal therapy doesn't work and they end up extracting the teeth anyway. The patient has periodontal disease because they don't take care of their teeth. No matter how much scaling and periodontal surgery you do, if they don't take care of their teeth your perio treatment will fail. It's very difficult for patients to suddenly get religion and start brushing and flossing when they haven't done it for 30+ years.

Yes, let's take out every tooth that has been diagnosed as having periodontal disease. Also, instead of fillings or crowns on patients who don't brush lets extract those too. Those teeth will just get recurrent decay anyway and will need to be extracted. Let’s just replace diseased teeth and gums with implants and dentures. This will solve everything.

Fact - Periodontal therapy does work. It is in the literature. Look it up.
Fact - You can't cure periodontitis. You can only try to control it.

So, how do you control periodontal disease? You can control it through Sc/Rp, periodontal surgery and maintenance. It is true that periodontal therapy will fail if the patient does not take care of his mouth through maintenance visits. Just like if you do not maintain your car through oil changes and tune-ups. The patient not making his/her maintenance visits is where a lot of the problem exists. This is why you need to stress the importance of maintenance visits before you begin periodontal therapy on a patient and tell them that if they do not come to those visits then there is no reason to do the periodontal therapy. I always tell my patients that you are in this situation because what you were doing in the past is not working, therefore you need to change your past habits. All you can do is tell the patient how to fix their problem. It is up to them to do it!

 

[toofache32]

...All you can do is tell the patient how to fix their problem. It is up to them to do it!

Exactly. And thus the #150 forceps was born.

 

[schrottypie]

Exactly. And thus the #150 forceps was born.

Pros has vital future in US. Why else would foreign graduates to US to train in pros here?

 

[losingfaith27]

Perio has vital future in US. Why else would foreign graduates to US to train in perio here?

What other speciality has residents from all over the world to come to US for training? None - perio in US has science basis, excelent faculties and bright future of discovering breakthrough.

Long live the PDL!

Yeah, perio is cool, but have you ever looked at grad prostho...tons of foreigners. Perio and prostho are significantly easier to get into than all the other specialties (endo, ortho, surgery, peds). There's probably a lot of foreigners in oral path and radiology too...just a hunch. Some surgery programs for example, only consider US appliants, not even Canadiens. I don't think most of them are there for the scientific basis or a perio breakthrough, but maybe I'm wrong.

Perio can be controlled, but the surgeon is right....let's face it, most patients never get their act together and face the inevitable:

Wilson TG, Glover ME, Schoen J, Baust C, Jacobs T; Compliance with Maintenance Therapy in a Private Periodontal Practice, JPeriodontol, 55: 468-473 1984. (probably the best study ever done on compliance).

Nearly 1,000 patients were evaluated after 8 years:
16% complied with recommended schedule
49% were erratic compliers
34% never reported for any maintenance therapy

Perio has its place, but for most the 151 is inevitable. It's a sad truth.

 

[12YearOldKid]

Perio has vital future in US. Why else would foreign graduates to US to train in perio here?

What other speciality has residents from all over the world to come to US for training? None - perio in US has science basis, excelent faculties and bright future of discovering breakthrough.

Long live the PDL!

Schrotty, I can't tell if you are the alter ego of one of the OMS guys here or if you are for real. Actually, I think this is the first post I have seen you make that was about dentistry. Most are just lewd rambling remarks about Esclavo "und sein Ehsel".

Either way, keep it up. 😀

 

[Periogod]

Yes, let's take out every tooth that has been diagnosed as having periodontal disease. Also, instead of fillings or crowns on patients who don't brush lets extract those too. Those teeth will just get recurrent decay anyway and will need to be extracted. Let’s just replace diseased teeth and gums with implants and dentures. This will solve everything.

Fact - Periodontal therapy does work. It is in the literature. Look it up.
Fact - You can't cure periodontitis. You can only try to control it.

So, how do you control periodontal disease? You can control it through Sc/Rp, periodontal surgery and maintenance. It is true that periodontal therapy will fail if the patient does not take care of his mouth through maintenance visits. Just like if you do not maintain your car through oil changes and tune-ups. The patient not making his/her maintenance visits is where a lot of the problem exists. This is why you need to stress the importance of maintenance visits before you begin periodontal therapy on a patient and tell them that if they do not come to those visits then there is no reason to do the periodontal therapy. I always tell my patients that you are in this situation because what you were doing in the past is not working, therefore you need to change your past habits. All you can do is tell the patient how to fix their problem. It is up to them to do it!

Dude,
Relax. The OMFS boys are just having a little fun, they still like Periodontists. OMFSCardsFan has told me on multiple occasions that he would only let me place an implant in his mouth and never let one of his OMS collegues touch him 😀

 

[aphistis]

Perio has vital future in US. Why else would foreign graduates to US to train in perio here?

What other speciality has residents from all over the world to come to US for training? None - perio in US has science basis, excelent faculties and bright future of discovering breakthrough.

Long live the PDL!

Er...because there are never enough US grads to fill the residencies?

Call it a hunch.

 

[OMFSCardsFan]

Dude,
Relax. The OMFS boys are just having a little fun, they still like Periodontists. OMFSCardsFan has told me on multiple occasions that he would only let me place an implant in his mouth and never let one of his OMS collegues touch him 😀

FTS...I'd do it myself...

The only thing that I'd let you put in my mouth would be your wife... 😎

 

[6897729]

Future of perio is right here...just follow the arrow.

 

[Doggie]

FTS...I'd do it myself...

The only thing that I'd let you put in my mouth would be your wife... 😎

hehehehe........good one

 

[north2southOMFS]

Perio has vital future in US. Why else would foreign graduates to US to train in perio here?

What other speciality has residents from all over the world to come to US for training? None - perio in US has science basis, excelent faculties and bright future of discovering breakthrough.

Long live the PDL!

The only reason foreign people train in perio so extensively is becuase thats about the only specialty (besides pros.) that will take them. I'm speaking of those without a US dental degree being more to the point, otherwise foreign or domestic your on a level playing field. The reason is that no matter how specialized you are it is almost impossible (except california) for a foriegn trained dentist to get a US liscense without going to at least some dental school, so most programs look at you as sort of a waste of training if your leaving after residency anyhow. Thus, perio programs, rather than not filling a spot would rather fill it with someone who will eventually leave the country anyhow.

Now before anyone starts tankin' on the US for these practices of prefering US grads over foreign grads, the reasoning is that a lot of these residencies or dental schools supporting the residency are subsidized with taxpayer dollars. Foriegn trained grads, having never paid US taxes aren't really as entitled to these benefits as a US citizen is, who paid taxes all their life.

With all this being said. Perio also doesn't fill because its boring as hell.

 

[joyride]

This is kind of along the same lines of the thread, but if you had to pick between going into perio or just being a general dentist, which one would you pick? you would have to think about the way the practice is run, lifestyle out of the office for the dentist, and the overall interest of the field.

 

[losingfaith27]

This is kind of along the same lines of the thread, but if you had to pick between going into perio or just being a general dentist, which one would you pick? you would have to think about the way the practice is run, lifestyle out of the office for the dentist, and the overall interest of the field.

My advice is this. If you really want to do perio and don't want to do cast post and cores and repair denture clasps just do it at all costs. If you're torn between perio and general consider the amount of money you'll have to take out to do perio, which at some programs can be in the hundreds of thousands. Also, consider 3 years of time in residency when you could have been earning as a GP. If you are torn, and can't get into a residency that either pays or is very cheap it may be wiser to do general and try to incorporate as much perio into your practice as you can. Another option is to do a 4 year surgery residency, which has some overlap with perio, and which is only one more year than perio and you won't be in a huge debt. If you're torn between surgery and general it's probably wise to just do general because the surgery residency is hard as hell and takes a huge committment. In terms of income potential, perio is a little higher than a GP and may work fewer hours.

 

[toofache32]

...the reasoning is that a lot of these residencies or dental schools supporting the residency are subsidized with taxpayer dollars. Foriegn trained grads, having never paid US taxes aren't really as entitled to these benefits as a US citizen is, who paid taxes all their life...

Exactly. Take this over to the International Forums and have a little fun.

 

[PeterEP]

The only reason foreign people train in perio so extensively is becuase thats about the only specialty (besides pros.) that will take them. I'm speaking of those without a US dental degree being more to the point, otherwise foreign or domestic your on a level playing field. The reason is that no matter how specialized you are it is almost impossible (except california) for a foriegn trained dentist to get a US liscense without going to at least some dental school, so most programs look at you as sort of a waste of training if your leaving after residency anyhow. Thus, perio programs, rather than not filling a spot would rather fill it with someone who will eventually leave the country anyhow.

Now before anyone starts tankin' on the US for these practices of prefering US grads over foreign grads, the reasoning is that a lot of these residencies or dental schools supporting the residency are subsidized with taxpayer dollars. Foriegn trained grads, having never paid US taxes aren't really as entitled to these benefits as a US citizen is, who paid taxes all their life.

With all this being said. Perio also doesn't fill because its boring as hell.

What's wrong with the US favoring US grads? This is still America, right?! A lot of the European countries only hire if you are a member of the EU, and always favor their own citizens, for education and jobs. I'm not advocating this extreme, but it's interesting.

 

[diagnodent]

According to Dr. Becker, "Perio is dead". (He told me this about 3 years ago--and yes it is the famous bill becker of the becker brothers)

If you want to practice some perio the best thing you could do is be a perio-pros like alot of the gurus.

 

[toofache32]

...If you want to practice some perio the best thing you could do is be a perio-pros like alot of the gurus.

....but if you want to cure perio the best thing to be is an oral surgeon.

 

[esclavo]

I saw this great book at the book store called "The future of Periodontics"
it was right next to the book "Modern Use for 8 track tapes" which interestingly was right next to the book "Horse and buggy use in the 21st century" which as you might guess was next to the comprehensive review of "How to leave crude pictures on cave walls prior to your extinction"... I looked up and realized I was looking in the "Antique" section of Barnes and Noble....

 

[Periogod]

I saw this great book at the book store called "The future of Periodontics"
it was right next to the book "Modern Use for 8 track tapes" which interestingly was right next to the book "Horse and buggy use in the 21st century" which as you might guess was next to the comprehensive review of "How to leave crude pictures on cave walls prior to your extinction"... I looked up and realized I was looking in the "Antique" section of Barnes and Noble....

There is a lot of animosity here between a select few OMFS residents and the Periodontics specialty. I don't know what Periodontists did to you but I would like to personally apologize and possibly shed some light on your deep seeded angst.

I was reading Kant's "The Metaphysics of Morals" and "The Theory of Moral Sentiments" and found a couple of good quotes that may help explain your feelings:

"Envy is a propensity to view the well-being of others with distress, even though it does not detract from one's own. It is a reluctance to see our own well-being overshadowed by another's because the standard we use to see how well off we are is not the intrinsic worth of our own well-being but how it compares with that of others. Envy aims, at least in terms of one's wishes, at destroying others' good fortune." (Kant-The Metaphysics of Morals)

And even more appropriate.

"Envy is that passion which views with malignant dislike the superiority of those who are really entitled to all the superiority they possess." (Kant-The Theory of Moral Sentiments)

 

[OMFSCardsFan]

There is a lot of animosity here between a select few OMFS residents and the Periodontics specialty. I don't know what Periodontists did to you but I would like to personally apologize and possibly shed some light on your deep seeded angst.

I was reading Kant's "The Metaphysics of Morals" and "The Theory of Moral Sentiments" and found a couple of good quotes that may help explain your feelings:

"Envy is a propensity to view the well-being of others with distress, even though it does not detract from one's own. It is a reluctance to see our own well-being overshadowed by another's because the standard we use to see how well off we are is not the intrinsic worth of our own well-being but how it compares with that of others. Envy aims, at least in terms of one's wishes, at destroying others' good fortune." (Kant-The Metaphysics of Morals)

And even more appropriate.

"Envy is that passion which views with malignant dislike the superiority of those who are really entitled to all the superiority they possess." (Kant-The Theory of Moral Sentiments)

Ok, so you found something that I like less than scaling and root planing--philosophy...

By the way, PG, how did the Super Bowl turn out last week?

 

[esclavo]

There is a lot of animosity here between a select few OMFS residents and the Periodontics specialty. I don't know what Periodontists did to you but I would like to personally apologize and possibly shed some light on your deep seeded angst.

I was reading this highly aclaimed book called "Esclavo's Guide to Ribbing, Teasing, and otherwise Cynical Natured Blogging". In it, this really hillarious creative mexican teaches how to make German periodontists almost choke on their own spit with tirades of foul language. His advanced techniques don't fall to the lowest denominator of talking about peoples genitals, their intimate life, their mother's genitals, nor her intimate life. Instead, new sophisticated and creative ways to get under peoples skin with metaphors, similes, or comparisons bringing a deep richness and many levels to the analogies. The book has been blacklisted by the American Society of Periodontology but seems to always be in the top ten of the other areas of dentistry.

ABOUT THE AUTHOR: Esclavo personally likes tamales, homemade tortillas, salsa, flying airplanes, tomatoe gardening, and periodontists. He thinks they are really swell. His deep compassion for the less fortunate has led him to have a goal of opening a "dental preserve" for endangered periodontists (especially those with english as a first language). He wants to preserve this increasingly rare species/specialty for future generations to enjoy. He is concerned that its potential extiction will have a devistating effect on the delicate ecological balance of the potentially unopposed calcifying bacteria. His deep concerns are that other competing and aggressive species such as "hygienists" and "super-floss" are now crowding out and taking the place of the once graceful (but slow) periodontist.

Esclavo's next project will be a safari to try and capture the majestic "Periogod". This rare English-as-a-primary-language-Periodontistis has been seen roaming the landscape of the south and is reported to almost be of productive stature.

 

[OMFSCardsFan]

I was reading this highly aclaimed book called "Esclavo's Guide to Ribbing, Teasing, and otherwise Cynical Natured Blogging". In it, this really hillarious creative mexican teaches how to make German periodontists almost choke on their own spit with tirades of foul language. His advanced techniques don't fall to the lowest denominator of talking about peoples genitals, their intimate life, their mother's genitals, nor her intimate life. Instead, new sophisticated and creative ways to get under peoples skin with metaphors, similes, or comparisons bringing a deep richness and many levels to the analogies. The book has been blacklisted by the American Society of Periodontology but seems to always be in the top ten of the other areas of dentistry.

ABOUT THE AUTHOR: Esclavo personally likes tamales, homemade tortillas, salsa, flying airplanes, tomatoe gardening, and periodontists. He thinks they are really swell. His deep compassion for the less fortunate has led him to have a goal of opening a "dental preserve" for endangered periodontists (especially those with english as a first language). He wants to preserve this increasingly rare species/specialty for future generations to enjoy. He is concerned that its potential extiction will have a devistating effect on the delicate ecological balance of the potentially unopposed calcifying bacteria. His deep concerns are that other competing and aggressive species such as "hygienists" and "super-floss" are now crowding out and taking the place of the once graceful (but slow) periodontist.

Esclavo's next project will be a safari to try and capture the majestic "Periogod". This rare English-as-a-primary-language-Periodontistis has been seen roaming the landscape of the south and is reported to almost be of productive stature.

This is definitely one of your top posts...very creative...