Setting up dental appointments for simple procedures is often put off for the elusive time period of “tomorrow”. This may be caused by the ever-present fear of the dentist, but also by the fear of the dental bill.
Scaling and root planing costs $200-$300 on average. On top of that, there are additional visits to the dentist you must remember about. So what exactly increases the hit to your budget?Creative Commons
The cost of scaling and root planing explained
Scaling and root planing is more commonly known as a “deep dental cleaning”. There are two types: preventive and therapeutic. The biggest factor determining the cost for this treatment is whether you have the former or latter.
Preventive scaling and root planing (SRP) is charged per quadrant of the mouth, while therapeutic SRP is charged per the entire mouth.
The price is also dependent on whether a periodontist or a general dentist is performing the procedure.
|Scaling and root planing type||Average cost||Cost range|
|Preventive, 1 to 3 teeth per quadrant||$200||$150-$300|
|Preventive, 4 or more teeth per quadrant||$300||$200- $450|
|Therapeutic, full mouth||$200||$100- $350|
Have a look at the calculator below. Play around with the options. The estimated price will change as you do so.
Preventive SRP costs $200 on average for 1 to 3 teeth per quadrant and $300 for four or more teeth.
Scaling and root planing (SRP) is a preventive treatment. This procedure is meant for those with active periodontal disease, and it’s the only one needed to treat it. In more complex cases time-release antibiotics might be injected to fight bacteria for a longer time.
Periodontal disease can be caused by not visiting the dentist for a cleaning regularly. Doing this at least twice a year could save you money.
Dr. Matthew Stewart
Generally SRP is done on one or two quadrants at a time. Most insurances and therefore most dentists do not do more than two per visit.
In terms of dental health, it doesn’t make much of a difference whether you get your teeth done at once, or over a longer period. Long-term effects are comparable. What’s more, not all of your teeth may need SRP.
The average price of a therapeutic SRP for a full mouth is $200.
If the patient displays moderate to severe inflammation on more than 30% of the mouth the SRP is no longer considered “preventive”. Symptoms of such a situation include swollen, bleeding, or inflamed gums.
Dr. Matthew Stewart
The most common “group” of people that need SRP are people that have not seen the dentist in a long time. I would say most adults 40+ that haven’t seen the dentist for 5 years or more will need it.
In such a case the procedure can only be conducted after an oral examination, which could be an additional cost. A dentist must first assess what state the mouth is in.
|Procedure||Average cost||Cost range|
|Localized delivery of an antimicrobial agent||$90||$40-$170|
|Periodontal maintenance||$150||$100-$300||Bitewing X-ray||$35||$25-$50|
A number of procedures might be required before or after your scaling and root planing. Your dentist will make the final decision on what is necessary.
The dentist will want to assess whether you are a good candidate for scaling and root planing. A dental exam is a great opportunity to do so.
He or she will review your medical and dental history and perform an exam. The exam will include a periodontal probing. You will also be informed of any existing dental conditions such as cavities or underlying infections.
A dentist might suggest any procedures you might need to maintain your oral health. All costs of X-rays or other treatments should be quoted at this time as well.
The price range is quite big. This is because regular patients usually pay a bit less ($50 on average). New patients or patients who haven’t been to the office for a long time will have to pay about $150.
It might turn out at this stage that you will need full-mouth debridement before scaling and root planing.
This procedure is performed on those who have poor oral hygiene and have not been to the dentist for a long time. This sets it apart from regular teeth cleaning, with which it is sometimes confused.
Debridement is recommended for extreme cases where the gums are highly inflamed or swollen. It is also common when there is so much plaque that it is difficult to judge what actually needs to be done in the mouth.
After a full-mouth debridement is performed you must wait four to six weeks for your next appointment. The hygienist will give you instructions on how to care for your mouth.
This treatment uses water to minimize the amount of bacteria between the teeth and the gums, as well as between the teeth themselves.
What’s more, if you are suffering from halitosis (bad breath) despite brushing regularly, this treatment might flush away the food particles which your toothbrush can’t reach.
The stream of water will also contain antimicrobials. These will kill bacteria left behind after scaling and root planing in hard-to-reach places.
There are irrigators that you can buy and use at home, but they will not be as effective. Moreover, your dentist will be able to see into your mouth better than you can yourself.
The cost provided above concerns one quadrant of the mouth.
Localized delivery of an antimicrobial agent
If tartar has made its way below the gumline it acts as an irritant for the gums. These will become swollen and inflamed, making pockets that are hard to reach. This is called periodontitis.
After clearing the pockets of plaque and tartar buildup an antibiotic is inserted. It will activate in a matter of hours and work for a few days. It will systematically fight off bacteria between the gums and teeth.
Your dentist will instruct you on how to care for your teeth at this time.
The cost range provided above concerns one tooth.
Periodontal maintenance is a treatment designed to target causes of irritation and inflammation. If your periodontal disease has resulted in:
- bone loss,
- gum “pockets” deeper than 4 millimeters,
- bleeding gums,
- or exposed root surfaces
This treatment is done after scaling and root planing or other periodontal procedures to help maintain the status of gums and bone after initial healing.
It is recommended three to four times a year if needed. It is considered a basic service by insurance carriers, but it is always a good idea to check.
To determine whether you are a good candidate for scaling and root planing you might have to pay for a few dental X-rays. They can detect decay happening on the inside of your tooth, tartar in between the teeth and below the gumline, as well as the state of the roots and the condition of the crown.
Some X-rays you can expect to have before an SRP appointment are:
- a bitewing,
- a periapical or a panoramic X-ray,
- or an FMX.
Does insurance cover scaling and root planing?
Insurance policies may cover about 50% of the costs of scaling and root planing. SRP is considered “deep” cleaning. This is because it involves cleaning below the gumline. Local anesthetic is also used for SRP, unlike regular dental cleanings. These procedures are not always refunded.
Regular scaling and root planing is usually refundable once every two years. In the case of the presence of inflammation, two procedures a year are anticipated. This may be subject to change under particular circumstances, but you will have to check your policy.
|Features||Dental Blue for Individuals: Core Plan||Cigna Dental 1000||Renaissance Dental: MAX Choice Plus Plan|
|Fee per person per month||$35.95 (if you’re under 65)||$30 or more||$89.49|
|Periodontic services||50% (50% coinsurance)||50% (50% coinsurance)||20% (80% coinsurance)**|
|Waiting period||12 months||12 months*||No waiting period|
*If you’ve not had dental insurance for the past 12 consecutive months. Waiting periods are waived at Cigna if you’ve had valid dental insurance for a year. ** First year.
Some providers might refuse to cover SRP unless an X-ray, usually an FMX, is performed. They might even require a probing chart, conducted during a periodontal probing procedure.
Dr. Jack Lawrence
Probing depths are taken as far as diagnosis, which are measurements of the depth of the gingival pockets around a tooth or the space between the gum and tooth (vertically). This determines a need for treatment as well.
Another thing you must remember about is that each procedure is limited to a number of teeth. In combination with yearly maximums, it might be problematic to have the whole mouth treated. One strategy is to have two quadrants done in December and two in January.
What affects SRP cost the most?
The price depends on whether you are having preventive or therapeutic SRP. Preventive is less cost-effective as it is not performed on the whole mouth. The cost will also be higher if you have a periodontist do the job rather than a general dentist.
How is the price of preventive and therapeutic SRP different?
Preventive SRP is actually less cost-efficient than the therapeutic kind, but this treatment might be all that is required. Your dentist will determine whether it is enough.
The preventive procedure is charged by quadrants, while the one performed on patients with active gum disease is charged per the whole mouth.
Either way, you will spend about $200-$300 on SRP.
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