Five Point Preventative Exam You're a new patient or have been a patient for five years, you get the same personalized treatment and Five-Point Preventative Exam that includes the following: Screening for oral cancer - Even if you don't smoke you're at risk for oral cancer, which starts as a small, unnoticed spot in the mouth. Evaluation of your bite - A misaligned bite can cause ringing in the ears, difficulty chewing, headaches, and other issues. (See TMJ Assessment) Evaluation of gum and tissue health - Certain medications or a change in the body's health can sometimes cause episodic periodontal disease - even if you've had perfect gum health in the past. Examination of the teeth - The exam includes X-rays (if necessary) and evaluation of existing fillings and other dental work Your input - Dr. St. Germain values your feedback and will ask if you're experiencing any problems, difficulty in eating or chewing, sensitivity to hot and cold, etc. If you desire cosmetic changes, Dr. St. Germain will discuss options with you. Once the exam is complete, Dr. St. Germain will devise a treatment and financial plan for you should additional work be necessary, and then one of his hygienists will then expertly clean your teeth.