Gingivitis

Periodontics and Implant Dentistry in St. Louis, MO

Gingivitis is the earliest stage of gum disease, often involving bleeding gums, inflammation, and bad breath.

It can be easily reversed with timely attention from a dentist.

How do I know if I have gingivitis?

Primary Symptoms

Inflammation

When infected, gums may appear red or puffy. This occurs because the accumulation of plaque and tartar begins to irritate the gum tissue.

Bleeding

Once the gums become inflamed, they are more prone to bleeding when brushing or flossing. 

Bad Breath

Medically referred to as halitosis, bad breath is a common side effect of gingivitis.

Gingivitis
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So what happens to my gums if I have gingivitis?

Before Treatment, Gum Tissue is Irritated

Some People Are More Likely To Develop Gingivitis Than Others

While gingivitis is common, there are certain risk factors that make you more likely to develop the condition, such as:

  • Smoking or using tobacco products
  • Genetics
  • Poor-fitting restorations
  • Teeth grinding
  • Certain medications
  • Diabetes
  • Poor oral hygiene
  • Compromised immune system

Additionally, pregnant women often experience gum inflammation and irritation due to hormonal changes.

So what actually causes gingivitis?

Plaque and Tartar Cause Gums to Become Infected

What is Plaque?

Plaque is a clear, sticky film that forms on the surface of the teeth when bacteria accumulate.

What Is Tartar?

When plaque remains on the teeth, it eventually hardens, becoming tartar. Tartar spurs gum disease by helping bacteria prosper and multiply.

Why Should I Do Something about It?

Without professional attention, gingivitis can escalate to periodontitis, resulting in gum recession and eventual tooth loss.

Is gingivitis really that common?

Nearly Half of American Adults Suffer From Gum Disease

*According to the Centers for Disease Control and Prevention

How is gingivitis diagnosed?

Your Doctor Can Easily Identify Gingivitis

During an examination, your doctor will evaluate your gums and teeth for signs of gingivitis. He or she will also use a special tool to measure the depth of the pockets between your teeth and gums. Pockets of 4mm or deeper may indicate a more advanced stage of gum disease requiring special care.

How can I prevent gingivitis?

Three Easy Ways To Reduce Your Risk of Gum Disease

Maintaining Good Oral Hygiene

You should brush your teeth twice and floss at least once every day. A well-maintained oral hygiene routine can prevent plaque from accumulating.

Attending Bi-Annual Cleanings & Exams

During your bi-annual checkup, your teeth will be professionally cleaned to remove plaque and tartar. Your doctor will also perform a comprehensive exam to look for any signs of gingivitis.

Avoiding Harmful Habits

Starchy or sugary foods can increase plaque buildup. Additionally, smoking affects your immune system, making your gums more susceptible to infection and less able to overcome it. Quit smoking and maintain a well-balanced diet to reduce your risk.

Can my smile be made healthy again?

“Gingivitis is reversible with professional treatment and good oral home care.”

American Academy of Periodontology

Reversing Gum Disease

When it is detected early, a professional cleaning and improved at-home care can reverse gum disease. In some cases, a deep cleaning may be necessary to reduce the depth of the pockets between the teeth and gum tissue. During a deep cleaning, known as scaling and root planing, the doctor will remove bacteria and tartar along the tooth surfaces and below the gum line. He or she will then smooth the root surfaces to prevent bacterial accumulation in the future and help the gums reattach.

Tell me more about my treatment options…

There Are Several Ways to Address Gingivitis

See A Dentist

Although simple measures can reverse gingivitis, a dentist’s assessment and guidance are essential.

At-Home Remedies

Good oral hygiene, quitting smoking, and controlling other risk factors can reverse gingivitis.

Antibiotic Treatments

Used alone or in combination with other treatments, antibiotics can destroy the bacteria affecting the gums.

I think I may have gingivitis…

Schedule a Consultation

If you notice that your gums bleed when you brush or floss, or if you have persistent bad breath, you should schedule an appointment with your doctor immediately. He or she can provide an accurate diagnosis and treatment plan to protect your oral health.

What Patients Are Saying!

Periodontics and Implant Dentistry in St. Louis, MO

Google
Kelsie Wall profile picture
Kelsie Wall
2 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could leave more than 5 stars I would. Alyssa has been amazing at every appointment. She eases my fears before I can even express them and answers every question I have. I cannot rave enough about my experience. I never dread my appointment, which I cannot say the same about my regular dentist. Thank you so much for your amazing care!
Google
Maryann profile picture
Maryann
8 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Long overdue review of this excellent practice. I have had four separate procedures over the last 18 or so months, All utilizing IV sedation. As a retired nurse I was very concerned that best practices were implemented for patients under conscious sedation. Dr. Schlaikjer has a crash cart with the appropriate reversal agents and code supplies. The monitors in the room were the same I used in the critical care setting. The Dr is ACLS certified and his staff are BLS certified. The staff including the front desk were top notch. The ladies at the desk went above and beyond helping me with my insurance claim. Both my dentist and orthodontist recommended Dr. Schlaikjer and I am so grateful they did.
Google
Jonathan Baker profile picture
Jonathan Baker
9 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Justin Schlaikjer and his team are exceptional—thorough, gentle, and genuinely caring. My gum graft procedure went smoothly with excellent results and minimal downtime. Their kindness and non-judgmental approach make every visit a positive experience. Highly recommend!
Google
Elaine Siebert profile picture
Elaine Siebert
30 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Where to start… Office is extremely friendly, super professional, and great with communication. Dr. Schlaikjer is upfront, honest, and a perfectionist there’s no one else I would rather trust with my dental care.
Google
Hayleigh Locke profile picture
Hayleigh Locke
12 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ve had a gum graft, bone graft and implant done by Justin and I am extremely satisfied. It’s been a year since my implant and any dentist or orthodontist that sees my implant compliments it and the healed tissue around it. Very minimal pain from the surgeries but the healing process is kinda long. Overall 10/10 experience and I recommend anyone that needs a graft or implant to go to Justin.
Google
joseph bova conti profile picture
joseph bova conti
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is amazing! So kind, professional and friendly! My experience with an implant was flawless. From day one I had confidence in Dr. Schlaikjer! Add to that - the staff!!! The staff is awesome, efficient and so accommodating! This has been an incredible experience. I highly recommend Dr. Schlaikjer and his staff!!!
Google
Charles Clarke profile picture
Charles Clarke
26 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I have a been a practicing Dental Specialist for over 30 years in South County. I am only treated by the best people in the field. I was blown away by how easy it was having implants placed Dr Schlaiker and his trusty Robot. In my case I had implants replacing congenitally missing molars on both sides of my lower jaw. I had seen an implant surgeon previously who thought it was too close to the nerve to be done (which could have left my lip permanently paralyzed) . After having the 3D CBCT taken and then evaluated by Dr Schlaiker he assured me that with the use of his Robot technology it was indeed possible. In fact, he could do it all in one appointment under IV sedation!!! Yesterday morning I had the procedures performed with zero discomfort! I am the typical male and am terrified of medical and dental procedures that I am awake for. I did not remember anything! Last night my wife told me I had her stop at the Steak and Shake for a milkshake after the appointment. I did not even remember that!! I took the pain medicine prescribed last night and nothing this morning. I am sitting here eating ice cream :) Life is good. Thank you to Dr Schlaiker and his amazing office staff (including the robot) for making what could have been a scary appointment….enjoyable!
Google
Charlie M profile picture
Charlie M
22 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful people. Dr S carefully explains every procedure. It's weird, but my two favorite Docs are my periodontist and my urologist. My teeth and gums are in much better shape than when I first came in a few years ago.
Google
Pourya Maryam Shamsi profile picture
Pourya Maryam Shamsi
22 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dude. I was referred to Dr. Justin for gum grafting. I was like “another waste of money on something hooey”. Boy I was wrong. He did his work which took about 2 months for the whole two part procedure and wow. What a difference. My gums look all shiny and new. As if I never had a recession. Loved it. Now I want to do the rest of my teeth/gum 😂😂. Looks really nice.
Google
Tim Schoemehl profile picture
Tim Schoemehl
10 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
This Dr is amazing. I would recommend him to anyone in need of periodontal work! His staff is also amazing! Thank all of you very much!
Google
Dragica Junuzovic profile picture
Dragica Junuzovic
29 May 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Thank you dr Schlaikejer for you profesional work .Everything is so simple with you, except your last name.😉 And,you are sorounding with good tim of assistence. I will recomended you to peaple who wants have a beautiful smile😅
Google
Toni Brinker profile picture
Toni Brinker
8 November 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
By far, the BEST experience I’ve ever had at a medical office. The staff/doctor was so accommodating, and made me feel super welcome and comfortable. At one point during my visit I told them I felt like I was at a spa! They treat their patients so well and give you their undivided attention. I was dreading this visit, but it was actually enjoyable! Dr. Schlaikjer was very informative and took his time, he was funny (as well as the staff), and I know I can trust him, which can be hard to find when it comes to healthcare. They truly, truly care about their patients, and I will definitely be back.
Google
Mike Manion profile picture
Mike Manion
22 October 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Schlaikjer and his staff are very professional and friendly. If I knew how painless and easy the procedure was, I would have come in sooner. They are GREAT! Thanks, Patti Manion
Google
Mirsada Perkanovic profile picture
Mirsada Perkanovic
9 July 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Schlaikjer and his team did outstanding job! I was very impressed from start to finish. After I talking to my friends and intervjuing several oral surgeons, I was pleased that I chose Dr Schlaikjer and his team. I could not have made a better choose. I wish, I could give this place more than 5 stars! Can not thank them enough. I had an extractions, 5 implant placed and bone graft done.Everything was amazing. He and his entire team are incredibly kind, helpful and attentive and they make you feel like you are visiting a friend rather than a surgeon. No better place to go for a dental extraction and tooth implants. As good as it gets. I HIGHLY recommend this place to anyone who is need of this type of service. I am very happy with my dental implants and I will be forever grateful!
Google
Ronald Wunsch profile picture
Ronald Wunsch
9 March 2021
Google star 1Google star 2Google star 3Google star 4Google star 5
I was referred by my dentist who gave Dr S a rave review. After a thorough examination it was determined that my bone had to be built up to, accommodate an implant. It was a difficult task but Dr S handled it with expertise, compassion and an explanation of each and every procedure before he began. After major oral surgery he sent me home with his cell phone number to call if I was in pain. I have the utmost confidence in dr S and encourage anyone needing a Periodontist to go to him.
Google
Stan Nieweglowski profile picture
Stan Nieweglowski
20 May 2020
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is a true professional. This was my first procedure of the sort and he, along with his staff, made it a breeze. I barely felt a thing.
Google
Courtney EurekaSmile profile picture
Courtney EurekaSmile
10 December 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
My son was involved in a car accident and had to have gum grafting. Dr Schlaikjer and his team were very informative, professional and went out of their way to make my son and I feel comfortable and important. They are very personable and easy to talk to. My son has had great results with his procedure and we are so thankful to have found Dr. Schlaikjer!
Google
Chris Elbring profile picture
Chris Elbring
3 December 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr Schlaikjer is very skilled and it is apparent when you are in his care. Always felt comfortable. Gum graft went super well and exceeded expectations. This sort of stuff is never fun, but if I had to get periodontal work again, I know where I would go.
Google
Raul Alvarez profile picture
Raul Alvarez
16 July 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Really enjoyed (who even says that about a dentist) visiting Dr. Schlaikjer's office. Staff is personable and professional... along with Dr. Schlaikjer's care and expertise. Highly recommend.
Google
Kyle Brown profile picture
Kyle Brown
8 March 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer and his staff are absolutely incredible!!! There aren't enough fantastic words to describe him and his practice, I highly reccomend them to everyone!
Google
Patti Redel profile picture
Patti Redel
27 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
First time I have gone to Dr. Schlaikjer. I can’t say enough about the professional, caring work he and his staff do. The entire team, from Danyell, to Natasha, Ashley and Dr. Schlaikjer took the time to meet with me, explain everything as they went along and calmed my nerves. I highly recommend his services. Top notch!
Google
Ben Cohn profile picture
Ben Cohn
10 February 2019
Google star 1Google star 2Google star 3Google star 4Google star 5
Very skilled, very meticulous practitioner with a great, reassuring manner. Helpful, attentive staff. Good outcomes for all 3 procedures he's done for me. Highly recommend.
Google
Gerald Tanner profile picture
Gerald Tanner
13 December 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
Great dentist and office. Had 2 procedures and both went smoothly. Very skilled and has very reassuring manner.
Google
K Smith profile picture
K Smith
30 October 2018
Google star 1Google star 2Google star 3Google star 4Google star 5
By far his most difficult patient yet, and yet I'd go back in a heartbeat. Friendly staff across the board. Patient, understanding, sympathetic, etc.
Google
Dr. Jon Copeland profile picture
Dr. Jon Copeland
10 April 2017
Google star 1Google star 2Google star 3Google star 4Google star 5
Great periodontist. Easy to get to location.
Google
Kelsie Wall profile picture
Kelsie Wall
2 February 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
If I could leave more than 5 stars I would. Alyssa has been amazing at every appointment. She eases my fears before I can even express them and answers every question I have. I cannot rave enough about my experience. I never dread my appointment, which I cannot say the same about my regular dentist. Thank you so much for your amazing care!
Google
Maryann profile picture
Maryann
8 December 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Long overdue review of this excellent practice. I have had four separate procedures over the last 18 or so months, All utilizing IV sedation. As a retired nurse I was very concerned that best practices were implemented for patients under conscious sedation. Dr. Schlaikjer has a crash cart with the appropriate reversal agents and code supplies. The monitors in the room were the same I used in the critical care setting. The Dr is ACLS certified and his staff are BLS certified. The staff including the front desk were top notch. The ladies at the desk went above and beyond helping me with my insurance claim. Both my dentist and orthodontist recommended Dr. Schlaikjer and I am so grateful they did.
Google
Jonathan Baker profile picture
Jonathan Baker
9 January 2025
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Justin Schlaikjer and his team are exceptional—thorough, gentle, and genuinely caring. My gum graft procedure went smoothly with excellent results and minimal downtime. Their kindness and non-judgmental approach make every visit a positive experience. Highly recommend!
Google
Elaine Siebert profile picture
Elaine Siebert
30 July 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Where to start… Office is extremely friendly, super professional, and great with communication. Dr. Schlaikjer is upfront, honest, and a perfectionist there’s no one else I would rather trust with my dental care.
Google
Hayleigh Locke profile picture
Hayleigh Locke
12 April 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I’ve had a gum graft, bone graft and implant done by Justin and I am extremely satisfied. It’s been a year since my implant and any dentist or orthodontist that sees my implant compliments it and the healed tissue around it. Very minimal pain from the surgeries but the healing process is kinda long. Overall 10/10 experience and I recommend anyone that needs a graft or implant to go to Justin.
Google
joseph bova conti profile picture
joseph bova conti
2 February 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Dr. Schlaikjer is amazing! So kind, professional and friendly! My experience with an implant was flawless. From day one I had confidence in Dr. Schlaikjer! Add to that - the staff!!! The staff is awesome, efficient and so accommodating! This has been an incredible experience. I highly recommend Dr. Schlaikjer and his staff!!!
Google
Charles Clarke profile picture
Charles Clarke
26 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
I have a been a practicing Dental Specialist for over 30 years in South County. I am only treated by the best people in the field. I was blown away by how easy it was having implants placed Dr Schlaiker and his trusty Robot. In my case I had implants replacing congenitally missing molars on both sides of my lower jaw. I had seen an implant surgeon previously who thought it was too close to the nerve to be done (which could have left my lip permanently paralyzed) . After having the 3D CBCT taken and then evaluated by Dr Schlaiker he assured me that with the use of his Robot technology it was indeed possible. In fact, he could do it all in one appointment under IV sedation!!! Yesterday morning I had the procedures performed with zero discomfort! I am the typical male and am terrified of medical and dental procedures that I am awake for. I did not remember anything! Last night my wife told me I had her stop at the Steak and Shake for a milkshake after the appointment. I did not even remember that!! I took the pain medicine prescribed last night and nothing this morning. I am sitting here eating ice cream :) Life is good. Thank you to Dr Schlaiker and his amazing office staff (including the robot) for making what could have been a scary appointment….enjoyable!
Google
Charlie M profile picture
Charlie M
22 January 2024
Google star 1Google star 2Google star 3Google star 4Google star 5
Wonderful people. Dr S carefully explains every procedure. It's weird, but my two favorite Docs are my periodontist and my urologist. My teeth and gums are in much better shape than when I first came in a few years ago.
Google
Pourya Maryam Shamsi profile picture
Pourya Maryam Shamsi
22 November 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
Dude. I was referred to Dr. Justin for gum grafting. I was like “another waste of money on something hooey”. Boy I was wrong. He did his work which took about 2 months for the whole two part procedure and wow. What a difference. My gums look all shiny and new. As if I never had a recession. Loved it. Now I want to do the rest of my teeth/gum 😂😂. Looks really nice.
Google
Tim Schoemehl profile picture
Tim Schoemehl
10 September 2022
Google star 1Google star 2Google star 3Google star 4Google star 5
This Dr is amazing. I would recommend him to anyone in need of periodontal work! His staff is also amazing! Thank all of you very much!