Dr. Armanious is a native New Yorker and moved to Philadelphia to attend Temple University School of Dentistry. He graduated summa cum laude, the highest academic honors possible, in the top 3% of his class. Dr. Armanious was also inducted into the Omicron Kappa Upsilon National Honor Society in 2006. Among many awards Dr. Armanious received throughout his time at Temple, he is most honored to say he was voted the 'Most Outstanding Member of the Class of 2006' by the Philadelphia Dental Society. After practicing general dentistry for a number of years, Dr. Armanious pursued his passion for Oral & Maxillofacial Surgery and completed the four year training program at the University of Rochester Medical Center in Rochester, NY. After serving with great honor as Chief Resident, Dr. Armanious and his wife relocated to Northern Virginia in 2012.

Dr. Armanious is a Diplomate of the American Board of Oral Surgery. The board exam is administered by a panel of world renowned oral surgeons who are experts in the field and have published numerous textbooks and credited with many advancements in the profession. The mission of the American Board of Oral and Maxillofacial Surgery is to assure the public of safe and optimal care through the development and maintenance of high standards of certification and re-certification of Diplomates in the specialty.

Dr. Armanious has advanced training in Pediatric Advance Life Support, Advanced Trauma Life Support, and Advanced Cardiac Life Support. He is an active member of the Northern Virginia Dental Society, Virginia Society of Oral & Maxillofacial Surgeons, American Association of Oral & Maxillofacial Surgeons, American Dental Association, and previously served on the House of Delegates for the Virginia Dental Association.

Dr. Armanious is a huge NY Giants football fan and enjoys spending time with his wife, Basma, and their young son, Daniel. You can catch them cheering on the Freedom Eagles and the John Champe Knights at the football and basketball games every season!

Rahel is Dr. Armanious Lead Surgical Assistant. She has been in the dental field for 14 years. Rahel focuses on changing a patients stress and fears on arrival to laughter by the end of the procedure! She loves her job because of the gratification of knowing that she makes a difference every day in the lives of our patients. Her extensive knowledge of dentistry and surgical procedures is an invaluable asset to the practice.

Tita brings over more than 20 years experience in the general dentistry and oral surgery fields. She graduated from college and was trained in the dental field in the Phillippines, migrating to the US in 1995 to pursue her passion in dentistry. She firmly believes in treating our patients the way she wants to be treated and will do her best to make every patients experience as comfortable as possible. When not in the office, Tita loves relaxing, travelling and spending time with her husband and three children.

The alveolar ridge of the jaw is the bone that surrounds the roots of teeth. When a tooth is removed an empty socket is left in the alveolar ridge bone. Usually this empty socket will heal on its own, filling with bone and tissue. The previous height and width of the socket will continue to deteriorate. Over a period of time, the jawbone associated with missing teeth collapses and is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for the placement of dental implants. In these situations, most patients are not candidates for the placement of dental implants.

With bone grafting we now have the opportunity to not only replace bone where it is missing, but we also have the ability to promote new bone growth in that location. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and aesthetic appearance.

A ridge augmentation is a common dental procedure often performed following a tooth extraction. This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from a tooth extraction, or for another reason.

A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed to avoid the need for a second procedure later. Next, the gum tissue is placed over the socket and secured with sutures. Dr. Armanious may choose to use a space-maintaining product over the top of the graft to facilitate new bone growth. Once the socket has healed, the alveolar ridge can be prepared for dental implant placement.

Autogenous Bone Grafts - Autogenous bone grafts, also known as autografts, are made from your own bone, taken from somewhere else in the body. The bone is typically harvested from the chin, jaw, lower leg bone, hip, or the skull. Autogenous bone grafts are advantageous in that the graft material is your own live bone, meaning it contains living cellular elements that enhances bone growth, also eliminating the risk of your body rejecting the graft material since it comes from you.

Allogenic Bone - Allogenic bone, or allograft, is dead bone harvested from a cadaver, then processed using a freeze-dry method to extract the water via a vacuum. Unlike autogenous bone, allogenic bone cannot produce new bone on its own. Rather, it serves as a framework, or scaffold, over which bone from the surrounding bony walls can grow to fill the defect or void.

Xenogenic Bone - Xenogenic bone is derived from non-living bone of another species, usually a cow. The bone is processed at very high temperatures to avoid the potential for immune rejection and contamination. Like allogenic grafts, xenogenic grafts serve as a framework for bone from the surrounding area to grow and fill the void.

Both allogenic and xenogenic bone grafting have an advantage of not requiring a second procedure to harvest your own bone, as with autografts. However, because these options lack autografts bone-forming properties, bone regeneration may take longer than with autografts, and have a less predictable outcome.

Leukocyte Platelet rich fibrin (L-PRF) is a by-product of blood that is rich in platelets. Until now, its use has been confined to the hospital setting. This was due mainly to the cost of separating the platelets from the blood and the large amount of blood needed to produce a suitable quantity of platelets. New technology permits doctors to harvest and produce a sufficient quantity of fibrin from the same amount of blood drawn from the patient while they are having routine bloodwork.

L-PRF permits the body to take advantage of the normal healing pathways at a greatly accelerated rate. During the healing process, the body rushes many cells and cell-types to the wound in order to initiate the healing process. One of those cell types is fibrin. Fibrin performs many functions, including formation of a blood clot and release of growth factors (GF) into the wound. These growth factors; platelet derived growth factors (PDGF), transforming growth factor beta (TGF), and insulin-like growth factor (ILGF), function to assist the body in repairing itself by stimulating stem cells to regenerate new tissue. The more growth factors released and sequestered into the wound, the more cells are stimulated to produce new tissue. Thus, L-PRF permits the body to heal faster and more efficiently.

A subfamily of TGF, is bone morphogenic protein (BMP). BMP has been shown to induce the formation of new bone in research studies in both animals and humans. This is of great significance to the surgeon who places dental implants. By adding PRP, and BMP, to the implant site with bone substitute particles, the implant surgeon can now grow bone more predictably and faster than ever before.

L-PRF can be used to aid Bone grafting for dental implants. This includes onlay and inlay grafts, sinus lift procedures, ridge augmentation procedures, closure of cleft and/or lip, and palate defects. It can also assist in repair of bone defects created by removal of teeth, or small cysts and repair of fistulas between the sinus cavity and mouth.

Demineralized Bone Matrix (DBM)/Demineralized Freeze-Dried Bone Allograft (DFDBA) This product is processed allograft bone, containing collagen, proteins, and growth factors that are extracted from the allograft bone. It is available in the form of powder, putty, chips, or as a gel that can be injected through a syringe.

Graft Composites Graft composites consist of other bone graft materials and growth factors to achieve the benefits of a variety of substances. Some combinations may include: collagen/ceramic composite, which closely resembles the composition of natural bone, DBM combined with bone marrow cells, which aid in the growth of new bone, or a collagen/ceramic/autograft composite.

Synthetic materials also have the advantage of not requiring a second procedure to harvest bone, reducing risk and pain. Each bone grafting option has its own risks and benefits. Dr. Armanious will determine which type of bone graft material best suited to your particular needs.

Bone morphogenic protein is an isolated protein that induces specific cells in our body to form new cartilage and bone. During surgery, the BMP is soaked onto and binds with a collagen sponge. The sponge is then designed to resorb, or disappear, over time. As the sponge dissolves, the bone morphogenic protein stimulates the cells to produce new bone. The BMP also goes away once it has completed its task of jump starting the normal bone healing process.

Since there is no need to harvest bone from the patients hip for BMP, recipients were spared donor site pain. Complications from the graft harvest site are also eliminated with the use of bone morphogenic protein.