Dr. Pernoud has practiced Oral and Maxillofacial surgery since 1981. His career in private practice has been distinguished by his professional appointments, his leadership and commitment to local and national dental organizations and by his role as an clinical practitioner and educator.

After attending St. Louis University from 1969-1973, Dr. Pernoud continued on to the University of Missouri at Kansas City School of Dental Medicine from 1973- 1977. Dr. Pernoud completed an internship in General Surgery and Oral & Maxillofacial Surgery. His residency in Oral and Maxillofacial surgery at Washington University from 1979-1981. Dr. Pernoud also took many extra steps and received the American Board of Oral & Maxillofacial Surgery, Missouri Specialty Board in Oral and Maxillofacial Surgery, as well as a number of different licenses including anesthesia.

Dr. Pernoud is actively involved in many local and national professional organizations, which include being a Diplomat to the American Board of Oral and Maxillofacial Surgeons, American College of Oral and Maxillofacial Surgeons, and the St. Louis Association of Oral and Maxillofacial Surgeons. International Society of Plastic, Aesthetic, and Reconstructive Surgery, and the Society of Permanent Cosmetic Professionals. He is a member of the American Dental Association, the Missouri Dental Association, and the Greater St. Louis Dental Society.

Dr. Pernoud's leadership and commitment to dentistry is evident in his active involvement as an educator. He has given a number of speeches and presentations including CBS television, Meramec Valley Dental Study Club, Jefferson Memorial Hospital Staff and Emergency Room Staff, Sikeston Hospital