The Explorer Winter 2018 2019WExplorer | Page 12

YOUNG DENTIST DEBUNKS STEREOTYPING (CONT.) “I know things are going to progress the way it has in every other industry,” he said. “And so I thought, hey, why not, I could be the individual who could drive that change.” His drive and commitment to the business did not go unnoticed. His brother and he in May were named by Crain’s Chicago Business as two of the 20 people in their 20s who are change-makers in the Chicago business scene. Besides working about one day per week as a periodontist in an office in Algonquin, Dr. Drucker also travels two days a week on business and to lecture at dental organizations and at dental schools. “I think there are a lot of aspects with being an entrepreneur, running a startup company, a lot of similar aspects to being in a practice,” Dr. Drucker said. “You work as a team; I don’t work alone as a practicing dentist or periodontist. There are assistants and office staff, we are an entire team.” His start-up business team has grown to seven full-time employees. Also independent contractors and some summer college interns are involved in the business. Even though his business is growing, Dr. Drucker said he plans to always keep his hand in practicing dentistry. my (dental) schedule so I can let the practice know of my availability, and the office will take care of scheduling surgery or follow-ups so I can spend my time devoted to running one business instead of two,” he said. He and his brother have divided responsibility at the company. His brother is CEO and handles the internal aspects of the business. As the company president, Dr. Drucker is the “outward facing” component, dealing with anything involving the dental world. “I speak the language, so to speak,” Dr. Drucker said. 䡲 “The nice thing about working the way I work is that I have full flexibility over JADA Specialty Scan – Periodontics. Posted online October 18, 2014 at http://www.ada.org/epubs/highroad/jadaPeriodontics/150121.html#one Copyright © 2014 American Dental Association. All rights reserved. Reprinted with permission. The literature suggests that patients with aggressive periodontal disease have a greater risk of developing peri- implant diseases and that they experience higher implant failure rates compared with patients who have chronic periodontitis (CP) or patients who are healthy. Scientists from the University of Michigan and University of Lisbon sought to clarify the effect a history of aggressive periodontal disease has on implant treatment outcome. To investigate, researchers explored human clinical trials, either prospective or retrospective, that compared implant survival rates and marginal bone loss in patients with a history of generalized aggressive periodontitis (GAP) with those who were healthy or had CP. They searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Cochrane Oral Health Group Trials Register databases for articles published from 2000 to 2013. The researchers found six articles that met the study inclusion criteria. All were comparative prospective controlled trials assessing implant treatment outcomes in patients with GAP compared with healthy patients and/or those with CP. The findings showed no significant difference in implant survival rates for the GAP group when compared with the CP or healthy group. Implant survival rates ranged from 83.3 percent to 100 percent for the GAP group, 96.4 percent to 100 percent for the CP group and 96.9 percent to 100 percent for the HP group. However, when researchers analyzed failure rate they found statistically significant differences between patients with GAP versus healthy patients (overall risk ratio of 4.00) or those with CP (overall risk ratio of 3.97). The researchers said that because of the small sample size of the failed implants group, it was not possible to draw conclusive statements regarding the risk ratio. Also, although the systematic review showed that individuals with a history of GAP displayed higher marginal bone loss when compared with healthy patients or those with CP, authors said those results should be interpreted cautiously because the amount of bone loss was small (0.28 to 0.43 millimeters) and might not have clinical significance. Unmodifiable conditions might play a determinant role in both GAP and peri-implantitis processes, authors observed. They encouraged a comprehensive implant maintenance program to identify peri-implant bone loss early, specifically in patients with a history of generalized aggressive periodontal disease. http://www.joponline.org/toc/jop/85/10 䡲 Los Angeles Dental Society Explorer