Dr. Butler maintains a periodontal practice in downtown Seattle and has been an Affiliate Clinical Faculty member at the University of Washington. His practice reflects his emphasis on aesthetic microsurgery techniques, regenerative periodontal therapy, and implant aesthetics.
He has lectured to the Academy of Osseointegration, American Dental Association, American Academy of Periodontology, International Association of Dental Research, Western Society of Periodontology and numerous other dental societies. Presentation topics have varied from implant aesthetics, periodontal aesthetics, non-surgical periodontal therapy to digital imaging in clinical practice. He has published articles in the Journal of the American Dental Association, International Journal of Periodontics, Implant Realities, International Journal of Periodontics & Restorative Dentistry, Journal of Periodontology and Journal of Oral and Maxillofacial Implants.