Dental Exams, Treatment and Periodontal Therapy

Top Dental Practice Serving Webster Groves & Greater St. Louis, MO

Supporting Healthy Smiles and Whole-Body Wellness

Your mouth can reveal a lot about your overall health. At Crews Dental, our dental exams, treatment planning, and periodontal therapy are designed to help patients protect their teeth, gums, bite, and long-term wellness. With locations in St. Louis and Webster Groves, MO, we provide comprehensive dental care for patients throughout Greater St. Louis who want a healthier smile and a proactive approach to prevention.

Periodontal disease, also known as gum disease, can develop quietly. Many patients do not notice discomfort right away, which is why routine dental exams are so important. During your visit, our team evaluates your teeth, gums, bone support, existing restorations, bite, and overall oral health so we can identify concerns early and recommend the right next steps.

At Crews Dental, we focus on dental health care, not just disease care. Our goal is to help you prevent problems when possible, treat concerns with precision, and maintain a healthy smile for life.

Dental Exams, Treatment and Periodontal Therapy
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Why Regular Dental Exams Matter

A dental exam is more than a quick look at your teeth. It is an opportunity to evaluate your oral health, detect early signs of disease, and understand how your smile is functioning as a whole.

During a comprehensive dental exam, our team may check for:

    • Tooth decay

    • Gum inflammation or periodontal disease

    • Bone loss or changes in gum support

    • Worn, cracked, or damaged teeth

    • Existing fillings, crowns, bridges, or other restorations

    • Bite imbalance or signs of clenching and grinding

    • Oral cancer warning signs

    • Areas that may need preventive or restorative treatment

By catching concerns early, we can often recommend more conservative treatment and help you avoid more complex dental problems in the future.

A Closer Look at Gum Health

Healthy gums are the foundation of a healthy smile. During your exam, we evaluate the gums and supporting bone around the teeth for signs of periodontal disease. This may include gently measuring the spaces between the teeth and gums with a periodontal probe.

Healthy gum pockets are typically shallow and do not bleed during measurement. When pockets become deeper, bleed easily, or show signs of inflammation, it may be a sign that bacteria and plaque have affected the gum tissue and bone support.

Gum health is especially important because periodontal disease can progress without obvious pain. Patients may feel fine while gum disease is slowly damaging the structures that hold the teeth in place.

Signs You May Need Periodontal Therapy

Periodontal therapy may be recommended if we identify signs of gum disease or ongoing inflammation. Common symptoms can include:

    • Bleeding gums when brushing or flossing

    • Red, swollen, or tender gums

    • Persistent bad breath

    • Gum recession

    • Teeth that feel loose or shifting

    • Changes in the way your bite feels

    • Deep periodontal pockets

    • Tartar buildup below the gumline

    • Bone loss visible on dental X-rays

Some patients have no noticeable symptoms, which is why routine exams and periodontal screenings are an important part of preventive dental care.

Personalized Periodontal Treatment

Periodontal treatment depends on the type and severity of gum disease. After your exam, our dentist and hygienist will explain what we see and recommend a treatment plan based on your needs.

Your periodontal therapy may include:

Professional Dental Cleaning

For patients with healthy gums or very early signs of irritation, a professional cleaning may be enough to remove plaque and tartar from the teeth and support better home care.

Scaling and Root Planing

For patients with more advanced gum inflammation or deeper pockets, scaling and root planing may be recommended. This deeper cleaning removes plaque and tartar from below the gumline and smooths the root surfaces to help the gums heal and reattach more effectively.

Periodontal Maintenance

After active gum disease treatment, some patients need periodontal maintenance visits instead of standard cleanings. These appointments help control bacteria, monitor gum pocket depths, reduce inflammation, and support long-term stability.

Ongoing Home Care Guidance

Your daily routine plays a major role in gum health. Our team will help you understand the best brushing, flossing, and home care techniques for your mouth, including areas that may need extra attention.

The Oral-Systemic Connection

At Crews Dental, periodontal therapy is part of our whole-body approach to care. The mouth is connected to the rest of the body, and chronic oral inflammation can affect more than your smile.

By helping patients manage gum disease, reduce inflammation, and maintain healthier oral bacteria levels, we support both oral health and overall wellness. Our doctors take time to explain why gum health matters, how disease progresses, and what you can do to protect your smile between visits.

This preventive approach is especially important for patients with a history of gum disease, diabetes, heart health concerns, dry mouth, tobacco use, or frequent dental inflammation.

Treatment Planning That Looks at the Full Picture

Every patient’s mouth is different. Some patients need a routine exam and cleaning. Others may need periodontal therapy, restorative treatment, bite evaluation, or a longer-term maintenance plan.

When creating your treatment plan, we consider:

    • Your current gum health

    • Tooth and root structure

    • Bone support

    • Existing restorations

    • Bite function

    • Esthetic goals

    • Medical history

    • Comfort level

    • Long-term oral health risks

Our goal is to recommend care that is appropriate, understandable, and built around your health. We will explain your options clearly, answer your questions, and help you feel confident about the next step.

Frequently Asked Questions about
Dental Exams, Treatment and Periodontal Therapy

How Often Should I Have a Dental Exam?
Most patients benefit from a dental exam and cleaning every six months. Patients with periodontal disease, a history of gum problems, or higher oral health risks may need more frequent visits.
Periodontal therapy is treatment for gum disease and gum inflammation. It may include deep cleaning, scaling and root planing, periodontal maintenance, and home care guidance to help control bacteria and protect the bone and tissue that support your teeth.
Not always. Gum disease can progress without obvious pain, especially in the early stages. Bleeding gums, bad breath, gum recession, and deep pockets can be warning signs that need attention.
Untreated gum disease can lead to gum recession, bone loss, loose teeth, tooth loss, and ongoing inflammation. Treating gum disease early can help protect your smile and reduce the need for more advanced dental care later.
No. A regular cleaning focuses on plaque and tartar above the gumline for patients with generally healthy gums. Scaling and root planing is a deeper periodontal treatment that removes buildup below the gumline and helps address active gum disease.
In many cases, periodontal therapy can help stabilize gum disease and protect the structures that support your teeth. The earlier gum disease is diagnosed and treated, the better the opportunity to preserve your natural smile.

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