
Periodontal disease, also known as gum disease, is a common condition that can lead to bone and tooth loss if left untreated. A non-surgical treatment option for gum disease is a two-part procedure called scaling and root planing (SRP). SRP is a deep cleaning treatment that removes plaque and tartar from below the gum line, helping to manage and prevent the progression of gum disease. Dental insurance often covers SRP as it is typically considered a medically necessary treatment for gum disease. However, the extent of coverage can vary depending on the insurance provider and the specifics of the plan. Some insurance providers may cover up to 50% of the cost of SRP, while others may have different provisions. It is important for individuals to check with their specific insurance providers to understand their coverage and any out-of-pocket costs they may incur.
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What You'll Learn

Dental insurance coverage
The cost of periodontal scaling and root planing can vary depending on the severity of gum disease, the number of areas treated, and the patient's geographical location. The national average cost per quadrant is $242 but can range from $185 to $444. If only one quadrant of the mouth requires scaling, the cost may be closer to $400, while treating the entire mouth will be more expensive. Additional costs may include X-rays, antibiotics, and follow-up care.
It is important to check with your specific insurance provider to understand your out-of-pocket costs and coverage limits for this procedure. Some insurance providers may require X-rays and periodontal charting before approving coverage for scaling and root planing. It is also worth noting that dental discount plans are available as an alternative to traditional dental insurance. These plans offer discounted rates on dental services, but only with participating dentists.
Periodontal scaling and root planing is a non-surgical, deep-cleaning treatment for gum disease. It is designed to manage and prevent the progression of gum disease to more severe stages that could lead to bone and tooth loss. The procedure involves removing plaque and tartar from above and below the gum line, followed by smoothing the root surfaces to help the gums reattach to the teeth. It can be performed in a single treatment or over multiple appointments, depending on the severity of gum disease.
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Cost of treatment
The cost of periodontal scaling and root planing (SRP) can vary depending on several factors, including the location, the number of teeth being treated, the dentist's level of expertise, and the patient's insurance coverage.
SRP is typically considered a medically necessary treatment for gum disease, and dental insurance usually covers around 50% of the cost. The national average cost of SRP per quadrant is $242 but can range from $185 to $444. The average price for a dental deep cleaning, which involves SRP, is $315 per quadrant. However, it's important to note that additional costs may include X-rays, antibiotics, and follow-up care. X-rays can cost an additional $25-$250, while full-mouth debridement can add another $75 to $150 to the overall cost of treatment. A local anesthetic can increase the cost of treatment by approximately $300, and if antibiotic injections are necessary, they can cost an additional $30 to $90 per tooth.
The frequency of SRP treatments also depends on the severity of gum disease. For those with periodontal disease, therapeutic SRP may be recommended two times a year or more. It can also be administered as needed in specific areas of the mouth called quadrants: upper left, upper right, lower left, and lower right.
To minimize the cost of SRP, patients can consider using a dental discount plan, which offers discounted prices on dental services. Additionally, preventive scaling and root planing can help if gum disease is caught early, as it can prevent serious damage to the teeth and gums and reduce the need for more frequent treatments.
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Therapeutic scaling
Gum disease is a severe infection or inflammation of the tissues surrounding the teeth, caused by plaque buildup that can turn into tartar. This buildup can cause the gums to pull away from the teeth, forming pockets that harbour bacteria. Therapeutic scaling is performed to remove this plaque and tartar, reducing the risk of further infection and improving oral health.
The procedure is typically carried out using handheld instruments or ultrasonic devices. Ultrasonic scalers, for example, use vibrations and water to break up and flush out tartar. Local anaesthesia is usually administered to numb the treatment area and minimise discomfort.
It is important to note that therapeutic scaling may require multiple visits, depending on the severity of gum disease and the number of areas needing treatment. After the procedure, patients may experience pain and teeth sensitivity for a few days, along with bleeding and swollen gums. To prevent infection and aid healing, dentists may prescribe mouth rinses or antibiotics.
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Preventative scaling
During preventative scaling, a dentist or dental hygienist uses specialized instruments such as ultrasonic scalers or manual tools to remove plaque and tartar (also known as calculus) from the teeth and beneath the gum line. This build-up of plaque and tartar is common, especially in areas that are difficult to reach with regular brushing and flossing. If left untreated, it can lead to gum inflammation and the development of gum disease.
The procedure is often covered by dental insurance plans, which consider it a medically necessary treatment for gum disease. However, the extent of coverage can vary, and some plans may only cover a portion of the cost. It is always advisable to check with your insurance provider to understand your specific coverage and any out-of-pocket expenses you may incur.
In addition to insurance coverage, there are other options to help with the cost of preventative scaling. Dental discount plans, for example, offer discounted rates on dental services for an annual membership fee. Seeking treatment at a dental school, where procedures are supervised by licensed professionals, can also be a cost-effective option.
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Treatment procedure
Periodontal or tooth scaling and root planing are common dental procedures to treat gum disease. It is a non-invasive, non-surgical, deep-cleaning treatment designed to manage gum disease and prevent it from progressing to more severe stages that could lead to bone and tooth loss.
The treatment procedure for scaling and root planing is as follows:
Diagnosis
The dentist evaluates the extent of gum disease through an initial examination. They may measure pocket depth around each tooth or take X-rays to assess bone loss.
Scaling
The dentist removes plaque and tartar from the tooth surfaces and below the gum line. Specialized instruments such as ultrasonic scalers or manual tools are used to clean the deep pockets of bacteria that form between the teeth and gums. This step ensures that all disease-causing bacteria are cleaned out from beneath the gums.
Root Planing
Once the plaque is removed, the dentist proceeds to plane or smooth out the rough surfaces on the roots of the teeth. This step helps the gums reattach to the teeth. The same tools used for scaling may be used for root planing.
Anaesthesia
A local anaesthetic is usually administered to numb the treatment area and minimize discomfort.
Multiple Appointments
The treatment may require multiple appointments, depending on the severity of the gum disease and the number of areas that need to be treated.
Post-Treatment Care
The dentist schedules another visit to check how the gums have healed and measure the depth of the pockets. Good dental care at home is essential to prevent gum disease from recurring or becoming more severe.
Dental insurance often covers scaling and root planing as it is considered a medically necessary treatment for gum disease.
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Frequently asked questions
Perio scaling, or periodontal scaling and root planing, is a dental procedure that treats gum disease. It involves cleaning beneath the gum line to remove plaque and tartar.
Dental insurance often covers perio scaling as it is typically considered a medically necessary treatment for gum disease. However, the coverage amount and specific benefits may vary depending on your insurance provider and plan. It is recommended to check with your insurance provider to understand your out-of-pocket costs.
The cost of perio scaling depends on various factors, including the severity of gum disease, the number of areas treated, and the dentist's expertise. The national average cost per quadrant is $242 but can range from $185 to $444. Treating the entire mouth will be more costly, typically exceeding $400.
The frequency of perio scaling depends on the severity of gum disease. It may be recommended twice a year or more for those with periodontal disease. In some cases, it may be performed in a single treatment or over multiple appointments.











































