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Things Your Dentists Checks For at Your Biannual Exam

December 26, 2025

Patient undergoing dental exam

Most people think of their regular dental checkups as an opportunity for their dentist to look for cavities and make sure their teeth are clean. While those things are certainly important, your routine visits involve much more than meets the eye. Behind the scenes, your dentist is carefully assessing your oral health, screening for early warning signs of disease, and making sure your smile — and your body — stay healthy in the long term.

Here are some of the lesser-known steps your dentist may be taking during your checkup.

Screening for Oral Cancer

One of the most important parts of a routine dental visit is an oral cancer screening. Your dentist will gently examine the soft tissues of your mouth, including your lips, cheeks, tongue, and the floor of your mouth, looking for unusual patches, sores, or changes in color or texture. They may also feel along your jaw, neck, and lymph nodes to check for lumps or swelling.

Many of these changes are painless and difficult for patients to detect on their own, which is why regular screenings are so valuable. Early detection greatly increases the chances of successful treatment, making this a critical part of every checkup.

Examining the Tongue, Salivary Glands, and Soft Tissues

Beyond your teeth and gums, your dentist also evaluates your tongue, salivary glands, and other oral tissues. They may check for dry mouth symptoms, lesions, inflammation, or signs of infection. Your tongue’s color and texture can sometimes reveal nutritional issues, systemic conditions, or irritation from habits such as clenching or grinding.

Your dentist also observes how well your salivary glands are functioning, since saliva plays an essential role in washing away food particles, neutralizing acids, and protecting your enamel.

Evaluating Your Gum Health

Even if your gums do not feel sore, your dentist is watching closely for early signs of gum disease. They may gently measure the spaces between your teeth and gums to check for inflammation or periodontal pockets. Redness, bleeding, or tenderness can indicate developing gum problems that might otherwise go unnoticed.

Catching these issues early helps prevent bone loss, tooth mobility, and other complications that can occur when gum disease progresses untreated.

Checking Your Bite and Jaw Function

Another part of your exam involves evaluating the way your teeth come together when you bite and chew. Your dentist may look for signs of uneven wear, clenching, or grinding, along with symptoms of TMJ discomfort such as jaw clicking or muscle tension.

Small bite irregularities can contribute to headaches, tooth fractures, and jaw strain over time. Identifying these patterns early allows your dentist to recommend preventive steps before they turn into larger problems.

Monitoring Changes Over Time

Your dentist also compares your current oral health to past visits, keeping track of changes in your teeth, gums, and tissues. This long-term perspective helps them identify trends such as enamel erosion, shifting teeth, or recurring inflammation.

Even if nothing feels “wrong,” these observations play an important role in protecting your smile and overall wellbeing.

A routine dental visit is much more thorough than most patients realize — and all of these quiet steps work together to support a healthier future.

About the Practice

The Mission Viejo community can count on Palm Dentistry for comprehensive preventive, restorative, and cosmetic dental care in a comfortable and patient-centered environment. Dr. Sienna Palmer takes a detailed, whole-health approach to routine checkups, monitoring oral health changes over time and providing personalized treatment plans to support long-term comfort, function, and confidence.

Call us at (949) 365-0951 or request an appointment online.