Comprehensive dental care is known for its high quality, but it also comes at a cost. Common dental procedures performed for gingivitis and periodontitis include professional scaling and root planing. These procedures are not just cosmetic, but therapeutic—the goal is to stop advanced inflammation, protect teeth, and prevent tooth loss.
What are the procedures?
Scaling involves removing hard deposits of tartar and bacterial plaque above and below the gums. It’s a deep-rooted procedure that’s often done over several visits.
Root planing is a more detailed and invasive procedure. A dental hygienist or doctor will smooth the root surfaces of the tooth, removing bacteria and toxins, and allowing the gums to reattach firmly to the teeth. Together, these procedures form the basic treatment for periodontal disease.
Typical cost for scaling and root planing
The cost of these procedures varies significantly, depending on:
- Geographical location (urban vs. rural),
- Extent of involvement (number of teeth, depth of periodontal pockets),
- Expertise and reputation of the dental specialist,
- Use of local anesthesia or other adjunctive methods (e.g. laser therapy),
- Whether or not you have dental insurance.
Generally, scaling and root planing are billed by quadrant – the oral cavity is divided into four parts (right/left, upper/lower). Prices are therefore often quoted “per quadrant”.
Approximate prices for scaling and root planing
Without insurance: Scaling and root planing cost around $150–$400 per quadrant, meaning the entire treatment can cost $600–$1,600 or more.
With insurance: If you have dental insurance, some of the cost is usually covered. Depending on your insurance plan, you will pay 20–50% of the cost, which will reduce the cost to, for example, $75–$200 per quadrant.
Additional costs
It is important to note that additional fees may be added to the total cost of the procedure, such as consultation and x-rays before treatment ($50–$250), anesthetic or sedation for added comfort ($25–$150), and follow-up visits or additional treatments after the procedure (e.g., polishing, fluoridation).
Reimbursement Options
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Dental Insurance
Most dental insurance plans in the US (e.g. Delta Dental, MetLife, Aetna) cover scaling and root planing as part of “periodontal treatment”. With PPO plans, it is common for the patient to pay only a copay and the insurance company pays the rest. However, annual coverage limits can quickly run out, especially if the procedure costs hundreds of dollars per quadrant.
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Dental Discount Plans
If you don’t have traditional insurance, you can take advantage of so-called dental discount programs, which offer significant discounts on common procedures at participating providers.
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Payment Plans
Many dental offices offer installment plans, especially for more expensive procedures. Companies like CareCredit allow you to spread your payment over several months without interest.
Conclusion
Scaling and root planing aren’t cheap, but they are essential for maintaining healthy gums and teeth. The cost can range from $600–$1,600 for the entire treatment, without insurance. Although the costs are high, investing in periodontal treatment is worth it, not only because it helps prevent tooth loss, but also because oral health is closely linked to overall health. Early diagnosis, prevention, and finding affordable treatment options can significantly reduce costs and health risks. Call us today to talk about your care plan and financing options.