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Objectives: To assess if long-term treatment costs in periodontitis patients differ between stage III vs. IV and grade B vs. C according to the 2018 classification of periodontal diseases. Methods: A cohort of 231 periodontitis patients (followed over a mean of 18.4 years) was evaluated.
- Falk Schwendicke, Joachim Krois, Anne Sophie Engel, Miriam Seidel, Christian Graetz
- 2020
Periodontal treatment cost varies based on the type of procedure performed. LANAP cost ranges on average from $1,250 - $3,000 per quadrant of the mouth, and $5,000 - $12,000 for the entire mouth.
On a global scale, periodontitis is estimated to cost $54 billion in direct treatment costs and further $25 billion in indirect costs (GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, 2018). Periodontitis contributes significantly to the cost of dental diseases due to the need to replace teeth lost to periodontitis.
- Overview
- Who’s a good candidate?
- Preparation
- Procedure
- Recovery
- Cost
- Outlook
Overview
If you have a serious gum infection, known as periodontal disease, your dentist might recommend surgery. This procedure can:
•remove bacteria from beneath your gums
•make it easier to clean your teeth
•reshape the bones that support your teeth
•prevent future gum damage
People with severe or advanced disease around their gums and the tissues that support their teeth are usually candidates for periodontal surgery.
If you have gum disease, your symptoms might include:
•gums that are swollen, red, or bleeding
•deep pockets that form between your gums and teeth
•loose teeth
•pain when chewing
A couple of weeks before your procedure, you may need to stop taking certain medications, such as aspirin (Bayer, Bufferin), pain relievers, and blood thinners. Most dentists advise not smoking or drinking alcohol at least 24 hours before the procedure.
Your doctor might give you an antibiotic to take before your procedure to lower your chances of developing an infection.
You should also arrange for someone to take you home after your procedure is finished. The anesthesia, sedation, or other medications you’ll receive during the procedure might affect your reaction times. That means it may not be safe for you to drive afterward.
Follow your doctor’s specific instructions on how to prepare for your surgery.
Flap surgery
With this common procedure, surgeons make small cuts in your gum and lift a section of tissue back. Then, they remove tartar and bacteria from your tooth and from under your gums. The gums are sutured back, so the tissue fits firmly around your teeth. Once you heal, it will be easier to clean areas on your teeth and gums.
Bone grafting
If gum disease has damaged the bone surrounding your tooth root, your dentist might have to replace it with a graft. The bone graft can be made from small parts of your own bone, a synthetic bone, or donated bone. This procedure helps prevent tooth loss and may help promote natural bone regrowth.
Guided tissue regeneration
This technique involves placing a small piece of material between your bone and gum tissue to allow bone to regrow.
Your recovery depends on how severe your disease is, your overall health, and the type of procedure you had. Follow your dentist’s instructions carefully.
Typically, you can expect to have some minor bleeding and discomfort after any kind of dental surgery. You should be able to resume many normal activities about a day after your procedure.
Smoking can interfere with how your body heals after surgery. Try to avoid this habit for as long as possible after your periodontal procedure. Here are some tips to help you avoid cigarettes.
Your dentist might ask you to use a special mouth rinse or take an antibiotic after your surgery. You might not be able to brush or floss in certain areas of your mouth until they’ve healed.
Many doctors recommend eating soft foods for a week or two after the procedure. Some examples of suitable foods include:
•Jell-O
The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Gum disease treatments may cost between $500 and $10,000.
Many insurances companies will cover at least part of the cost of periodontal surgery. Talk to your doctor if you can’t afford the procedure. Sometimes, your dentist’s office staff can negotiate better payment options with insurance companies or set up a payment plan with you. It’s also important to remember that prolonging treatment can lead to more complex and expensive therapies in the future.
Maintaining healthy gums is important for your overall wellness. Having periodontal surgery can lower your chances of tooth loss and further gum damage. You may also be less likely to develop other health problems, such as:
•diabetes
•heart disease
•cancer
•osteoporosis
Talk to your dentist to see if this procedure could be beneficial.
Jan 3, 2024 · Gum graft surgery, typically used to address receding gums, may range from $600 to $1200 for a single tooth. Flap surgery, a more involved procedure for moderate to severe gum disease, could cost between $1000 and $3000. Your periodontist will discuss these options with you, ensuring transparency in your treatment plan.
Feb 24, 2023 · A periodontist is a dentist who specializes in gum disease. A dental hygienist may work with your dentist or periodontist as part of your treatment plan. The goal of treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding gum tissue and bone.
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Jun 9, 2022 · The goal of periodontal treatment is to eliminate dysbiotic plaque biofilm from the tooth surface and to establish an environment that allows the maintenance of health. This treatment of periodontal disease can be non-surgical or surgical with the optimal treatment being based on individual patient, site, and systemic factors.
