Gum Disease Stages: What Gingivitis, Periodontitis, and Advanced Gum Disease Mean

Periodontics and Implant Dentistry in St. Louis, MO

Gum disease is a common oral health issue that can have serious consequences if left untreated. It progresses through various stages, starting from gingivitis, advancing to periodontitis, and eventually leading to advanced gum disease. Understanding these stages is crucial for maintaining good oral hygiene and preventing severe damage to teeth and gums.

In this article, we will explore the different stages of gum disease, their symptoms, and what they mean for your oral health. We’ll also provide insights into preventive measures and treatment options to help you maintain a healthy smile.

Understanding Gingivitis: The Initial Stage of Gum Disease

Gingivitis is the earliest stage of gum disease and is characterized by inflammation of the gums. This condition is often caused by the buildup of plaque, a sticky film of bacteria that forms on the teeth. Plaque can harden into tartar if not removed, further irritating the gums.

Common symptoms of gingivitis include red, swollen gums that may bleed during brushing or flossing. Despite these symptoms, gingivitis is usually painless, which can lead to neglect in seeking treatment. However, if caught early, gingivitis is reversible with proper oral hygiene practices and professional dental cleanings.

Preventing gingivitis involves consistent oral care routines, such as brushing twice daily with fluoride toothpaste, flossing daily, and regular dental check-ups. It’s also important to adopt a healthy diet and avoid tobacco use, which can contribute to gum disease.

Progression to Periodontitis: What It Means for Your Oral Health

If gingivitis is left untreated, it can progress to periodontitis, a more severe stage of gum disease. Periodontitis occurs when the inflammation spreads below the gum line, affecting the tissues and bones that support the teeth. This can lead to the formation of pockets between the gums and teeth, which can become infected.

Periodontist and patient discussing gum disease stages in a modern office.

Symptoms of periodontitis include persistent bad breath, receding gums, and loose or shifting teeth. At this stage, professional dental treatment is required to manage the condition and prevent further damage. This may involve scaling and root planing, a deep-cleaning procedure that removes plaque and tartar from below the gum line.

Advanced periodontitis can result in significant bone loss and may require surgical interventions to restore gum health. Treatment options include flap surgery, bone grafts, and guided tissue regeneration. Maintaining a strict oral hygiene routine and attending regular dental appointments are essential in managing periodontitis.

Advanced Gum Disease: The Potential Consequences

Advanced gum disease, or advanced periodontitis, is the most severe stage of gum disease. It can lead to the destruction of the supporting bone structure of the teeth, resulting in tooth loss. This stage of gum disease not only affects oral health but can also have systemic implications, potentially increasing the risk of heart disease, diabetes, and other health issues.

The signs of advanced gum disease are similar to those of periodontitis but are more pronounced. These include severe gum recession, deep pockets, and significant bone loss. Without treatment, the condition can lead to the extraction of affected teeth and the need for restorative procedures such as dental implants or dentures.

To prevent the onset of advanced gum disease, early intervention is crucial. Regular dental visits enable early detection and treatment of gingivitis and periodontitis, reducing the risk of progression to advanced stages. In addition, maintaining a healthy lifestyle, including a balanced diet and avoiding smoking, can support gum health.

Preventing Gum Disease: Key Strategies for Oral Health

Prevention is the best approach to managing gum disease. Adopting a comprehensive oral hygiene routine is the first step in preventing plaque buildup and gum inflammation. This includes brushing your teeth for at least two minutes twice a day, using an antimicrobial mouthwash, and flossing daily to remove debris and plaque from between the teeth.

Diverse adult practicing oral care in an elegant bathroom setting.

Regular dental check-ups and cleanings are also essential. Your dentist can identify early signs of gum disease and provide professional cleaning to remove plaque and tartar that cannot be eliminated with regular brushing and flossing. Additionally, they can offer personalized advice on improving your oral care routine.

Dietary choices play a significant role in oral health. Consuming a diet rich in vitamins and minerals, particularly vitamin C and calcium, can strengthen gums and teeth. Limiting sugary foods and beverages can also reduce the risk of plaque formation.

Treatment Options for Gum Disease: Restoring Oral Health

When gum disease is diagnosed, prompt treatment is essential to prevent further damage. Treatment options vary depending on the stage of the disease and may include non-surgical and surgical interventions.

For gingivitis, professional dental cleanings combined with improved oral hygiene practices can effectively reverse the condition. In the case of periodontitis, scaling and root planing are often necessary to remove plaque and tartar from below the gum line.

In advanced cases, surgical treatments may be required to restore gum health and support structures. These procedures include pocket reduction surgery, regenerative procedures, and soft tissue grafts. Your dentist or periodontist will recommend the most appropriate treatment based on the severity of the gum disease.

The Importance of Early Detection and Consistent Care

Early detection of gum disease is vital in preventing its progression to more severe stages. Regular dental visits allow for the monitoring of gum health and early intervention if any issues arise. By maintaining consistent oral hygiene practices and attending routine dental appointments, you can significantly reduce your risk of developing gum disease.

Dentist and patient discussing gum health with a tooth model.

Education about gum disease stages and symptoms is also essential for prevention. Being aware of the signs of gingivitis and periodontitis can prompt timely action and treatment, helping to preserve your oral health and overall well-being.

Prioritizing Your Gum Health

Gum disease is a progressive condition that can have serious implications if not addressed promptly. By understanding the stages of gum disease—gingivitis, periodontitis, and advanced gum disease—you can take proactive steps to protect your oral health.

Through diligent oral care, regular dental visits, and a healthy lifestyle, you can prevent gum disease and maintain a healthy smile. Remember, your oral health is an integral part of your overall health, so prioritize it today for a brighter, healthier future.

In addition to personal oral hygiene and professional dental care, understanding the risk factors for gum disease can further aid in prevention. Certain conditions and lifestyle choices can increase the likelihood of developing gum disease, making it crucial to address these factors proactively.

Risk Factors for Gum Disease: What to Watch Out For

Several risk factors can contribute to the development and progression of gum disease. One of the primary risk factors is smoking or the use of tobacco products. Tobacco use impairs the immune system, making it harder for the body to fight off a gum infection. It also affects the normal function of gum tissue cells, making smokers more susceptible to gum disease.

Another significant risk factor is diabetes. Those with diabetes are at a higher risk for gum disease because high blood sugar levels can contribute to the growth of harmful bacteria and inflammation in the gums. Additionally, the relationship between diabetes and gum disease is bidirectional; managing one can positively impact the other.

Patient reviewing wellness plan with clinician in a dental office.

Other factors that can increase the risk of gum disease include hormonal changes in women, certain medications that reduce saliva flow, and genetic susceptibility. Being aware of these risk factors allows individuals to take preventive measures, such as quitting smoking, managing diabetes effectively, and discussing medication side effects with healthcare providers.

Innovations in Gum Disease Treatment: The Future of Periodontal Care

Advancements in dental technology and research have led to innovative treatments for gum disease. These developments offer new hope for patients seeking to restore their gum health and prevent further damage.

One such innovation is laser therapy, which uses focused light beams to remove infected tissue and bacteria from the gums. This minimally invasive procedure can reduce discomfort and promote faster healing compared to traditional surgical methods. Laser therapy is particularly effective for patients with moderate to severe periodontitis.

Another promising development is the use of antimicrobial agents, such as antibiotic gels or mouth rinses, which can be applied directly to the gums to reduce bacterial infection. These agents can be used in conjunction with scaling and root planing to enhance treatment outcomes.

Additionally, research into regenerative techniques, including the use of growth factors and stem cells, is ongoing. These methods aim to stimulate the regeneration of bone and gum tissue, offering a potential breakthrough for advanced gum disease treatment.

Empowering Patients: The Role of Education and Support

Education is key to empowering patients in the fight against gum disease. Dental professionals play a critical role in providing information and resources to help patients understand their condition and take control of their oral health.

Smiling patient and clinician in a modern periodontal practice.

Patients should feel comfortable discussing their concerns and asking questions during dental appointments. Dentists and hygienists can offer personalized advice on brushing techniques, flossing, and the use of interdental cleaners. They can also guide patients in selecting the right oral care products, such as toothbrushes and mouth rinses, that suit their needs.

Moreover, support groups and online communities can provide valuable encouragement and information for individuals managing gum disease. Sharing experiences and tips can help patients stay motivated and committed to their oral health goals.

A Commitment to Lifelong Oral Health

Gum disease is a manageable condition with the right knowledge and resources. By understanding the stages of gum disease and recognizing the risk factors, individuals can take proactive steps to prevent and treat this common oral health issue.

Through a combination of effective oral hygiene practices, regular dental care, and lifestyle modifications, patients can maintain healthy gums and teeth throughout their lives. As advancements in dental research continue, the future of periodontal care looks promising, offering new solutions and hope for those affected by gum disease.

Remember, your commitment to oral health today can lead to a healthier, happier tomorrow. By taking action and seeking professional guidance, you can protect your smile and enhance your overall quality of life.

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What Patients Are Saying!

Periodontics and Implant Dentistry in St. Louis, MO

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Elizabeth Tarpley profile picture
Elizabeth Tarpley
12 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough great things about the staff here. Friendly, kind, compassionate, patient, empathetic and above all - amazing at their jobs. Front desk staff, billing staff, treatment coordinator, assistants and of course Dr. Schlaikjer - thank you so very much for making the extraction, bone graft and implant process the best experience possible for a very anxious person. 🙌🏼👏
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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!
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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.
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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!
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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.
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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.
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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!!!
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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!
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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.
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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.
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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!
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Dragica Junuzovic profile picture
Dragica Junuzovic
29 May 2022
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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😅
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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.
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Mike Manion profile picture
Mike Manion
22 October 2021
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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
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Mirsada Perkanovic profile picture
Mirsada Perkanovic
9 July 2021
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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!
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Ronald Wunsch profile picture
Ronald Wunsch
9 March 2021
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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.
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Stan Nieweglowski profile picture
Stan Nieweglowski
20 May 2020
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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.
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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!
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Chris Elbring profile picture
Chris Elbring
3 December 2019
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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.
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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.
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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!
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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!
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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.
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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.
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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.
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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.
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Elizabeth Tarpley profile picture
Elizabeth Tarpley
12 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5
I can’t say enough great things about the staff here. Friendly, kind, compassionate, patient, empathetic and above all - amazing at their jobs. Front desk staff, billing staff, treatment coordinator, assistants and of course Dr. Schlaikjer - thank you so very much for making the extraction, bone graft and implant process the best experience possible for a very anxious person. 🙌🏼👏
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.