Periodontitis

Periodontist in St. Louis, Missouri

Periodontitis is a severe gum infection that damages the soft tissue and destroys the bone that supports your teeth. This advanced stage of periodontal disease can lead to tooth loss and other serious health complications if left untreated. At Schlueter Periodontics & Implants in St. Louis, MO, Dr. Scott Schlueter and Dr. Trinity Boszko specialize in diagnosing and treating periodontitis to help you maintain optimal oral health and prevent further damage.

Slight Periodontitis

If gingivitis is left untreated, the infection can spread from the gums to the bone. This process begins to destroy the bone that supports the teeth.

Moderate to Severe Periodontitis

As the infection progresses, more bone and tissue are destroyed. The most severe form of the disease includes extensive bone and tissue loss. Teeth often become loose and may drift from their original position.

Periodontitis

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Causes of Periodontitis

Periodontitis typically begins with plaque, a sticky film of bacteria that forms on your teeth. If not removed through regular brushing and flossing, plaque can harden into tartar, which is more difficult to remove and requires professional cleaning. Here are the primary causes of periodontitis:

Poor Oral Hygiene

Inadequate brushing and flossing habits allow plaque to accumulate on your teeth, leading to gingivitis, the mildest form of periodontal disease. If gingivitis is not treated, it can progress to periodontitis.

Smoking and Tobacco Use

Tobacco use is a significant risk factor for the development of periodontitis. It interferes with the normal function of gum tissue cells, making your mouth more vulnerable to infections.

Genetic Factors

Some individuals are more susceptible to periodontitis due to genetic factors. If periodontal disease runs in your family, you may need to take extra precautions to maintain your oral health.

Medical Conditions

Certain medical conditions, such as diabetes, can increase your risk of developing periodontitis. Diabetes affects the body’s ability to process sugar, which can lead to higher levels of glucose in your saliva and create a breeding ground for bacteria.

Hormonal Changes

Changes in hormones, such as those occurring during pregnancy, menopause, or puberty, can make gums more sensitive and vulnerable to periodontal disease.

Symptoms of Periodontitis

Early detection of periodontitis is crucial for effective treatment. Common symptoms include:

  • Receding Gums: Gums that pull away from the teeth, making them appear longer.
  • Bleeding Gums: Gums that bleed easily during brushing or flossing.
  • Persistent Bad Breath: A constant bad taste or bad breath that doesn’t go away.
  • Swollen, Puffy Gums: Gums that are red, swollen, or tender.
  • Loose Teeth: Teeth that feel loose or have shifted position.
  • Painful Chewing: Discomfort or pain when chewing food.

Stages of Periodontitis

Periodontitis progresses through several stages, each with increasing severity:

Slight Periodontitis

In this early stage, the infection spreads from the gums to the bone, starting to destroy the bone that supports the teeth. Symptoms may include mild gum recession and increased bleeding.

Moderate Periodontitis

As the disease progresses, more bone and tissue are destroyed. Gums may recede further, and pockets of infection may form between the teeth and gums.

Severe Periodontitis

In the most advanced stage, there is extensive bone and tissue loss. Teeth may become very loose, drift from their original position, and even fall out. This stage is often accompanied by significant pain and discomfort.

How Schlueter Periodontics & Implants Can Help

At Schlueter Periodontics & Implants, we offer comprehensive treatment options to manage and treat periodontitis effectively:

Scaling and Root Planing

This deep cleaning procedure removes plaque and tartar from below the gum line and smooths the tooth roots, helping gums reattach to the teeth and reducing pocket depths.

LANAP® Laser Therapy

LANAP® (Laser-Assisted New Attachment Procedure) is a minimally invasive laser treatment that targets and removes diseased tissue while preserving healthy gum tissue. This FDA-approved procedure promotes gum regeneration and reduces pocket depths.

Pocket Reduction Surgery

Pocket Reduction Surgery reduces the size of the pockets between the teeth and gums, making it easier to keep the area clean and free from bacteria.

Bone Grafting

In cases of significant bone loss, bone grafting procedures can restore lost bone and provide a stable foundation for teeth or dental implants.

Guided Tissue Regeneration

Guided Tissue Regeneration encourages the growth of new bone and gum tissue in areas where it has been destroyed by periodontitis.

Preventing Periodontitis

Preventing periodontitis involves maintaining good oral hygiene and addressing risk factors:

  • Brush and Floss Regularly: Brush your teeth at least twice a day and floss daily to remove plaque and prevent gum disease.
  • Regular Dental Check-Ups: Schedule routine dental visits for professional cleanings and early detection of periodontal issues.
  • Healthy Diet: Consume a balanced diet rich in vitamins and minerals to support gum and bone health.
  • Quit Smoking: Avoid tobacco products to reduce the risk of periodontal disease.
  • Manage Health Conditions: Keep chronic conditions like diabetes under control to prevent complications that can lead to periodontitis.

Professional Dental Cleaning

Regular cleanings by our skilled hygienists remove plaque and tartar buildup that contribute to periodontitis. This helps maintain oral health and prevent further progression of the disease.

Contact Us

If you are experiencing symptoms of periodontitis or have concerns about your gum health, contact Schlueter Periodontics & Implants. Our experienced team is here to provide personalized care and effective treatment options to restore your oral health and prevent further damage. Schedule a consultation today and take the first step towards a healthier, more confident smile.

Feel free to contact us with any questions or to schedule an appointment. We look forward to helping you achieve optimal dental health.

Patient Testimonials

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joan krygiel
18 September 2026
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Dr. Schlueter is a fantastic Dr. I have been treated with the best care I could have ever had.
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Wanda Gillman
17 September 2026
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The level of care and concern is outstanding. Took the time to answer questions and is attentive to my concerns while figuring out a treatment plan.
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cozy Bailey
17 September 2026
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Super polite and sensitive. Learned alot of things in just one visit after 53 years of living
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Kathleen Arink
10 September 2026
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I had a procedure done yesterday and I had another great experience with this provider and the staff. Holly, front desk, greeted me with her smile and compassion. Holly is the best person to represent what the practice is all about, kindness, patience and compassion. Dawn prepped me for the doctor, she expanded everything she was doing and answered all my nervous questions. Dawn is so kind, awesome and compassionate. She was there during the entire procedure talking to me and even singing softly. Dr. Schlueter came in with a cheerful good morning before he started. He was awesome. I'm so thankful I found this practice I even followed them when they moved there last year. I honestly can't even suggest and changes, they all do that great of a job. They're patient is first and foremost on all they do. Thank you!
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Jonathan Shanker
3 September 2026
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This is a high quality office with high standards. I’m in the dental field and I completely trust them.
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Louisa Dean
3 September 2026
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The staff, doctors, assistants and everyone I met here were so friendly and professional. The office is nice and clean. I felt confident with the work they did on my teeth and the follow up care has been great. I would recommend Schlueter Periodontics
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Tom Torretti
31 August 2026
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As always, my experience at Schlueter Periodontics was great.
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Sabrina Hurtgen
26 August 2026
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Thanks for taking such good care of our daughter, she really likes every one there.
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Kristen McNair
26 August 2026
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Dr Schlueter is great! Everyone there is thorough, pleasant and professional.
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Carol Belt Niemuth
26 August 2026
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Dr. Schlueter was very professional and courteous. He listened and answered my questions and made me feel comfortable with the plan that he recommended. His staff Is friendly and efficient. I am so happy that I chose this practice.
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Donna Pieber
20 August 2026
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From the moment I stepped into the office my nerves were settled. I just knew this was going to be terrible. I’ve had dental hysteria since I was a child. I’m 64 now so quite a welcomed surprise. I completely put all my trust in Dr. Schlueter. He was amazing and don’t use these words lightly. I a harsh critic. Every employee was so kind. I had a choice of three I planned to chose from. LOOK NO FURTHER, I found the best in my very first consultation. I didn’t have anyone to help choose my Dr. your lucky because you have me to eliminate some of the fears I had. I’m not worried at all about procedures done by him. Thanks Dr. Schlueter for calming 64 years of nightmares. I’m a LIFER!
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Sarah Stevener
17 August 2026
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Excellent care and fantastic staff. They helped restore my daughter's smile after a bad accident. They made her feel comfortable during and after the procedure. We highly recommend Dr. Schleuter and his staff.
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Clay Keeney
5 August 2026
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Shannon my hygienist was great, all of my experiences with Schlueter Periodontics have been very professional and a job well done.
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Shelley Penrod
27 July 2026
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Referred by general dentist for unusual gum issue. Timely appt. Thorough exam. Answers re my gum problem & treatment plan. Great staff. Thanks.
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Mary Zielinski
24 July 2026
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It was very good Especially with Hillary my dental assistant She made me feel more assured with my upcoming g dental surgery I am glad she will be assisting and to be with me. Hats off to Hillary I feel so much better now.
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Lois W
24 July 2026
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10 stars!!!! Always!! Staff, hygienists and Drs at this place are EXPERTS in their field. I am a high maintenance patient, a 59 year old, and they make me feel safe and comfortable. I don’t cry anymore 🎉. My insurance helps pay for it because I have periodontal disease which must be treated to save my teeth. I highly recommend them for whatever periodontic issue you have or even just routine cleaning! I have had scaling treatments, gum graft, and I am pleased - my gums are much healthier- I even had a loose tooth that firmed up!! I prefer this office over my regular hygienist, so I come here for extra cleanings even if it is an out of pocket cost. The hygienists here are experts in cleaning at the gum line and in between and are careful to my sensitive areas. My Dr is Dr Schlueter, but I have met both providers, and they are kind and personable. I was taught me how to clean my teeth better and I am so thankful my dentist referred me here. I have been going here for several years. The staff are professional, respectful and empathetic 🌟🌟🌟🌟🌟#keepyourteeth.
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Brenda Salas
22 July 2026
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I love SCHLUETER periodontics and have been a faithful patient for over 20yrs! I wouldn’t trust anyone else!
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Katie Jansen
11 July 2026
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So grateful and thankful for Schlueter Periodontists and Implants for their kindness and support during my journey in and out of their office. Staff are professional and courteous during decision time and with help making appointments work with you. We all have our story for why we need a periodontist. I’ve never had anyone tell me, “You have pretty teeth.” Now I have. I am definitely grateful for the work they did.
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Pat Mulligan
2 July 2026
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I have had multiple procedures by Dr. Trinity Bozco and she’s very professional, caring and patient with each procedure. I trust her recommendations and follow through with them. The staff is also professional and caring. I recommend Schlueter Periodontics
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daron chillers
30 June 2026
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Super nice super cool they make you feel so comfortable and relaxed they are very accommodating to people who are sensitive and a little nervous or scared
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Chloe Steger
29 June 2026
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Consultation for implant. Very kind and accommodating. Very patient with the many questions my family and I had.
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Diana Turner
25 June 2026
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I would recommend this practice 100% I had a gum graft and everything about it went exactly as planned with excellent results. For Dental Hygienist Shannon, absolutely the best I have ever experienced (and I am really old)!
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Jonathan Riethmeier
17 June 2026
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Wonderful treatment and follow-up care. Thanks for taking such good care of me.
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Jordan Garrett
12 June 2026
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Had my son come in for a gum graft. They did so well and helped him so much. Everyone should go here!
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Laura Mears
4 June 2026
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My daughter needed a gum graft and we were referred here by her orthodontist. We were so impressed with everything from start to finish. The office is beautiful and clean. The receptionist was so welcoming and able to answer all my questions. The assistants and doctors were able to explain everything well so my daughter wasn’t nervous and was confident that she was getting exceptional care. Thank you for making this experience the best it could possibly be.
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Terri Gibson
3 June 2026
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Dr. Schlueter and staff are the best! I have had numerous procedures and they all went very well. I highly recommend.
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Lila Huelster
2 June 2026
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Dr. Schleuter and his staff are great. So far I’ve had two appointments with them, a referral/exam consultation and then my gum graft procedure. I have several follow up appointments to come. I had 3 areas/4 teeth done, and the procedure was very smooth. Him and his staff are very friendly and make you feel comfortable. I highly recommend them!
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Carter Parks
2 June 2026
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I had a wonderful experience with Dr. Schlueter and his team. Everyone was extremely helpful and welcoming, reducing any anxiety I had coming in. Thank you!!
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Richard
1 June 2026
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Had Shannon as my hygienist and was quite pleased on how she answered any question I asked. She puts you at ease and is truly a real professional. In fact I asked for her on my next visit.
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MaryAnn Scheider
1 June 2026
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The best Care and Kindness from whole team. Gentle in cleaning and explaining the process and plus the extra mile on how to do maintenance on the work that was done. On the procedures to bring my mouth and smile back. Thanks so very much for everything 😎
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Steve Schuerman
27 May 2026
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Dr Schlueter was very patient and thorough with me. He took the time to explain in detail, the 3 options available to me for my implant repair and bone loss rejuvenation. Compliments to my dental hygienist Meaghan, she was awesome! Very skilled, thorough, friendly and efficient. She put me at ease with her confidence. I was a little nervous going into my deep cleaning but the entire procedure was pain free during and the next day after the procedure.
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Mary Ostertag
27 May 2026
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I cannot say enough good things about Dr. Schlueter. After dealing with a failed implant and bone loss from previous treatment elsewhere, he immediately identified the issue and created a clear plan to fix it. His expertise and attention to detail gave me so much peace of mind. The entire staff was amazing and kind. I’m extremely grateful I found this practice.
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Terry
20 May 2026
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Shannon always does a very good job
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Sarah Hornsey
14 May 2026
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Dr. Schlueter is wonderful, very detail oriented, and cares about patients.
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mary jung
11 May 2026
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After my former periodontist retired I came to Schlueter Periodontal. That was 20+ years ago and I have always been extremely happy with the service and care I have received. I can testify not all periodontal doctors are the same and Dr. Schlueter has taken great care of me.
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henry foppe
23 April 2026
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I had an excellent experience with Dr. Trinity Boszko. She was very professional and did a great job of informing me what the problem was and the potential solutions. The procedure was painless and I had a quick recovery. 10/10
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Max Steib
23 April 2026
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Got an implant done with Dr. Schlueter and would highly recommend. His team assisting him was always very kind and a pleasure to work with. I just completed my 2 year check up and very happy with how it’s all gone. Thanks!
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Robert Crowell
21 April 2026
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Dr. Schlueter and his staff are awesomely friendly which put me at ease - Dr. Schlueter and the hygienists do careful work on my teeth - they are really tops!
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James Hoefer
8 April 2026
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Great to work with and friendly staff. Highly recommend!!
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Ken Barrows
2 April 2026
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Great new location, same friendly, professional experience.