Leader in Spear Study Club
30+ Years in Practice
Published in Journal of Periodontology
Diplomate of the American Academy of Periodontology
Faculty Member, UCLA Dentistry
Lecturer on Regeneration Techniques
Trusted by Thousands of Patients
Trusted care, generation after generation.
“Dr. Lofthus has taken care of my family and patients for many years. He is conscientious, talented and best of all, has a great chair-side manner. His team makes sure you are comfortable and informed on any treatment you may need. I highly recommend him.”
David Eshom
Experience You Can Trust. Esthetic Periodontics Refined
Combining surgical precision, advanced periodontal expertise, and a legacy of trust in La Jolla since 1989.
Dr. John Lofthus is a respected periodontist whose name has become synonymous with precision, integrity, and thoughtful care.
For over three decades, patients in La Jolla and the surrounding communities have entrusted him with their smiles, due to his deep clinical expertise, but also because of the quiet confidence and warmth he brings to every interaction.
With a foundation in surgical excellence and scientific research, Dr. Lofthus offers a refined approach to periodontal and implant care, grounded in evidence, guided by experience, and elevated by genuine human connection.
Before opening his private practice in La Jolla in 1992, Dr. Lofthus trained at some of the nation’s top institutions, including UCLA and the Veterans Administration Medical Centers of San Francisco and West Los Angeles.
He remains committed to academic growth and professional leadership through teaching, publishing, and study club mentorship, ensuring that every treatment reflects the best of both innovation and time-tested technique.
Specialized Services
By integrating cutting-edge technology and accelerated protocols, Dr. Pytlik delivers high-quality results in a fraction of the time traditional treatments require.
Patients benefit from streamlined care that doesn’t sacrifice precision or aesthetics, making it easier for them to achieve a stable, healthy, and confident smile without disrupting their lives.
Rebuilding the structure of the teeth using premium materials while rehabilitating the bite, facial aesthetics, and oral health, often resulting in a “pseudo facelift” from the proper dental support. Complex cases are usually completed in days instead of months.
All implants are designed to look, feel, and function naturally using premium materials. Every element is customized from precise color matching to age-appropriate details to provide beautiful and lasting results.
Custom bridges offer a replacement when several teeth are missing. Each bridge is tailored to fit naturally with existing teeth and crafted from the highest quality material to restore comfort, function, and confidence.
Every crown is designed to match the natural smile while protecting damaged teeth. They are constructed from high-quality materials specific to each unique case and will provide long-lasting results.
Issues with how teeth align and function can cause long-term damage and severe discomfort. In-depth diagnosis, detailed assessment, and a custom care plan can restore the proper alignment to ease pain and prevent further issues.
Rooted in Excellence. Refined Through Decades of Practice.
Dr. Lofthus’ journey into periodontics began with a deep interest in the biological sciences and a commitment to clinical excellence.
He earned his Bachelor of Science in Biological Sciences with honors from the University of Southern California, laying a strong scientific foundation for his future in dentistry.
Driven by curiosity and discipline, he pursued his dental degree at the UCLA School of Dentistry, where he graduated with honors and was recognized for exceptional performance in both academics and clinical care.
While at UCLA, Dr. Lofthus immersed himself in research within the Departments of Radiology and Periodontology.
After graduation, he was accepted into the general practice residency program at the Veterans Administration Medical Center in San Francisco.
His training there focused on periodontal and oral surgery, and included participation in studies on ridge augmentation.
His advanced specialty training in Periodontics took place at the West Los Angeles VA Medical Center and UCLA, where he served as Chief Resident.
During this time, he contributed research to the Journal of Periodontology, further solidifying his standing as a clinician who blends hands-on skill with academic rigor.
Dr. Lofthus began practicing in La Jolla in 1989 and established his private practice in 1992. His career reflects not just longevity, but a lifelong commitment to thoughtful, patient-centered care.
Leading Techniques. Lasting Results.
Dr. Lofthus offers a level of periodontal care defined by meticulous technique, clinical depth, and a commitment to innovation.
With over three decades of hands-on experience, he has developed a surgical approach that is both conservative and highly effective, prioritizing long-term health, esthetic integrity, and patient comfort.
His expertise spans the full spectrum of periodontal care and implant dentistry.
He is particularly proficient in treating complex gum disease, regenerating bone and soft tissue, and placing dental implants with precision.
Whether restoring health after years of periodontal damage or enhancing esthetics through soft tissue refinement, Dr. Lofthus brings a refined eye and steady hand to every procedure.
He has lectured on topics including guided tissue regeneration, ridge augmentation, and implant maintenance, always with the goal of equipping colleagues and patients with clarity and confidence.
Key Areas of Focus:
- Esthetic Soft Tissue Grafting & Gum Recession Repair
- Periodontal Disease Diagnosis & Regeneration
- Ridge Augmentation & Edentulous Ridge Reconstruction
- Implant Placement & Surgical Site Preparation
- Maintenance Protocols for Long-Term Implant Success
- Interdisciplinary Collaboration with Restorative Dentists
Respected by Colleagues. Trusted by Patients.
Dr. Lofthus’ influence extends beyond the treatment room.
A former faculty member at the UCLA School of Dentistry, he has remained committed to clinical education and professional development throughout his career.
He is a Faculty Club member at Spear Education and leads a local Spear Study Club, where he facilitates interdisciplinary case discussions and mentorship among peers.
These roles allow him to stay informed about evolving best practices and contribute to a culture of excellence in advanced dental care.
His professional affiliations include some of the most respected organizations in the field:
- American Academy of Periodontology
- Academy of Osseointegration
- International Team for Implantology (ITI)
- American Dental Association
- California Dental Association
- La Jolla Dental Society
Through these connections, Dr. Lofthus ensures that his clinical techniques are always aligned with the latest research and highest standards of care.
Personalized Care. Lasting Relationships.
Dr. Lofthus is known not only for the precision of his work but also for the calm, compassionate environment he creates.
His patient-first philosophy centers on thoughtful listening, clear education, and a shared decision-making process that prioritizes comfort and trust.
He takes the time to understand each patient’s concerns, preferences, and long-term goals, crafting customized treatment plans with a focus on minimal trauma, clear expectations, and exceptional outcomes.
Patients often describe their experience with Dr. Lofthus as one of quiet confidence. His approach is calm, careful, and deeply considerate—balancing the latest periodontal methods with a gentle, respectful touch.
What Patients Appreciate:
- Compassionate, patient-centered communication
- Gentle and minimally invasive techniques
- Clear explanations of procedures and outcomes
- Seamless coordination with restorative dentists
- Long-term, relationship-based care
Targeted Solutions for Health, Function, and Esthetics
Whether addressing early-stage gum disease, correcting gum recession, or preparing for implant-supported restorations, Dr. Lofthus offers comprehensive care grounded in decades of surgical experience and clinical insight.
Common Conditions Treated:
- Gum Disease (Gingivitis & Periodontitis)
- Gum Recession & Root Exposure
- Bone Loss & Ridge Defects
- Tooth Loss / Implant Preparation
- Peri-Implantitis & Implant Maintenance
- Esthetic Concerns (Gummy Smile, Uneven Gumline)
- Frenulum Attachment Issues
Core Services Offered:
- Esthetic Periodontal Surgery
- Dental Implant Placement & Site Preparation
- Ridge Augmentation & Bone Regeneration
- Soft Tissue Grafting & Crown Lengthening
- Pre-Prosthetic Surgery
- Interdisciplinary Treatment Planning
Rooted in Community. Grounded in Family.
Outside the practice, Dr. Lofthus enjoys an active life with his wife, Laura, and their two sons.
A strong believer in balance and well-being, he can often be found cycling along the coast, hiking in the hills, or staying fit through regular training.
For more than thirty years, La Jolla has been not only the home of his practice but also the heart of his community.
Whether mentoring colleagues or caring for generations of families, Dr. Lofthus remains devoted to the principles that first drew him to dentistry: clarity, connection, and care that endures.
Frequently Asked Questions
What is esthetic oral plastic surgery?
Esthetic oral plastic surgery focuses on enhancing the appearance and function of the gums and supporting tissues.
It includes procedures like gum grafting, crown lengthening, and soft tissue contouring to create a healthy, natural-looking smile.
How do I know if I need gum or soft tissue surgery?
If you experience gum recession, excessive gum tissue, or uneven gum lines that affect your smile or oral health, a consultation with our specialists can determine the best course of treatment.
Are oral plastic surgery procedures painful?
Our procedures are designed to be minimally invasive and comfortable.
We offer sedation options and use advanced microsurgical techniques to minimize discomfort and accelerate healing.
How long is the recovery process?
Recovery times vary depending on the procedure, but most patients experience mild discomfort for a few days.
We provide detailed aftercare instructions to ensure a smooth healing process.
Do you offer financing or payment plans?
Yes! We offer flexible financing options and accept multiple forms of payment to make treatment accessible for our patients.
How do I schedule a consultation?
You can book an appointment online or call our office directly. Our team is happy to answer any additional questions you may have.

