Medically reviewed by Dr. Jeffrey Brenner, DMD · Last reviewed October 2026

How Much Does Gum Disease Treatment Cost? (And Is It Worth It?)

General Dentistry10 min read
The cost of gum disease treatment explained by Hampton Family Dental in Southampton PA

Gum disease treatment costs $75 to $200 for a regular cleaning at the gingivitis stage, $600 to $1,400 for a full-mouth deep cleaning (scaling and root planing), $1,500 to $4,000 for a Perio Protect tray system, and $600 to $3,000 per tooth for gum graft surgery. On whether it is worth it: catching gum disease early can save thousands, because untreated advanced periodontitis leads to tooth loss and implant replacement running $15,000 or more. At Hampton Family Dental in Southampton, PA, Dr. Jeffrey Brenner evaluates every case and offers Perio Protect.

The short version

  • Cost tracks the stage: regular cleaning $75–$200, full-mouth deep cleaning $600–$1,400, Perio Protect $1,500–$4,000, surgery $600–$3,000 per tooth or quadrant.
  • Treating gingivitis at around $150 versus advanced periodontitis at $5,000 or more is the single biggest financial decision in gum care. The cost compounds fast.
  • Gingivitis is reversible with cleaning and good home care. Periodontitis is manageable but not curable — the window between them is what matters.
  • Most dental PPO plans cover scaling and root planing at 50% to 80% when pocket depths measure 4mm or deeper and treatment is medically necessary.
  • Our in-house membership plan starts at $288/year and includes cleanings plus 15% off procedures, with no deductible, annual maximum, or waiting period.

How much does gum disease treatment cost?

What you pay depends on the stage of gum disease and which procedures you actually need. Early-stage treatment is relatively inexpensive. Advanced disease requires more intensive — and considerably more expensive — intervention.

TreatmentNational cost rangeWhen it's used
Regular cleaning (prophylaxis)$75–$200Gingivitis or healthy gums
Deep cleaning (SRP), per quadrant$150–$350Pocket depths of 4mm or more
Deep cleaning, all four quadrants$600–$1,400Full-mouth periodontal treatment
Perio Protect tray system$1,500–$4,000Ongoing periodontal maintenance
Gum graft surgery, per tooth$600–$3,000Significant gum recession
Osseous surgery, per quadrant$1,000–$3,000Advanced periodontitis needing bone recontouring
Sources: ADA Health Policy Institute, AAP, CareCredit. National averages without insurance — your actual cost depends on your exam.
Horizontal bar chart of gum disease treatment costs by stage — regular cleaning, deep cleaning per quadrant and full mouth, Perio Protect tray system, gum graft surgery and osseous surgery.
Gum disease treatment cost by stage

For more on routine cleanings specifically, see our page on professional cleanings in Southampton.

Why a deep cleaning costs more than a regular cleaning

A regular cleaning removes plaque and tartar from above the gumline during a routine visit: one appointment, 30 to 60 minutes, no anesthesia. A deep cleaning — scaling and root planing, or SRP — goes below the gumline to clear tartar and bacteria off the tooth roots. That difference is why it costs more.

  • Local anesthesia, because your gums need to be numbed
  • Two to four separate visits, usually one per quadrant of the mouth
  • Specialized hand instruments and ultrasonic scalers worked below the gumline
  • A follow-up visit to re-measure pocket depths and check healing

For more on how dentists identify when a deep cleaning is genuinely needed, see our guide on removing tartar and when you need a deep cleaning.

Gingivitis vs periodontitis: what's the difference?

Both are gum disease, but they differ in severity, in whether they can be reversed, and in what they cost to treat.

Gingivitis is the earliest stage. Gums are red, swollen, and bleed easily when you brush or floss, but there is no bone loss yet and pocket depths are typically 3mm or less. Treatment is a professional cleaning plus better home care, and gingivitis is fully reversible.

Periodontitis is advanced gum disease. The bone and tissue supporting your teeth have been damaged, and pocket depths measure 4mm or deeper. Treatment usually means SRP, and advanced cases may need surgery. Periodontitis is manageable but not curable — the goal becomes stopping progression rather than reversing it.

Grouped bar chart comparing gingivitis and periodontitis on reversibility, bone loss, pocket depth, standard treatment and typical cost.
Gingivitis vs periodontitis

The window between those two stages is where catching it matters most. If you have been told you have gingivitis, that is genuinely good news — it is the stage where about $150 of professional cleaning and consistent home care prevents everything that would otherwise follow.

The cost of waiting: what happens if you don't treat it

Gum disease does not resolve on its own. It progresses — slowly at first, then faster as bone loss accelerates. Here is what the cost escalation typically looks like.

Bar chart showing how gum disease treatment cost escalates with waiting — gingivitis around $150, mild periodontitis $1,000, moderate periodontitis $2,500, advanced periodontitis $5,000, and tooth loss with implant replacement $15,000.
The cost of waiting
Infographic of the five-stage gum disease progression with the cost at each stage, from reversible gingivitis through to tooth loss and implant replacement.
The gum disease progression: what it costs at each stage
  • Stage 1 — Gingivitis (about $150). A regular cleaning plus better home care reverses it completely.
  • Stage 2 — Mild periodontitis (about $1,000). SRP is now required, and reversibility is lost.
  • Stage 3 — Moderate periodontitis (about $2,500). SRP plus maintenance visits every three to four months, possibly with Perio Protect.
  • Stage 4 — Advanced periodontitis (about $5,000). A gum graft or osseous surgery becomes likely, and some teeth may be lost.
  • Stage 5 — Tooth loss and replacement ($15,000+). Lost teeth are replaced with implants, bridges, or dentures. This is where the cost truly compounds.

The honest math: roughly $150 of early treatment against $15,000 of late-stage replacement — and insurance typically covers a greater share at the earlier stages. For the warning signs worth watching, see our guide on the early signs of gum disease.

What is Perio Protect?

Perio Protect is a prescription-tray system that delivers medication directly under the gumline — the area brushing and flossing cannot reach. It is used alongside professional cleanings to treat gum disease and maintain periodontal health between visits.

  • Your dentist takes impressions of your teeth and custom trays are made
  • You wear the trays at home with a prescribed gel for a few minutes each day
  • The trays create a seal that holds the medication against gum tissue below the gumline, where the bacteria live

Cost runs $1,500 to $4,000 for the initial tray fabrication plus the first supply of prescription gel, with ongoing refills an additional cost. Perio Protect does not replace professional cleanings or SRP — it complements them and helps hold the results. Hampton Family Dental is one of the few practices in the Southampton area that offers it.

Does insurance cover gum disease treatment?

Most dental plans cover scaling and root planing as a medically necessary procedure when pocket depths measure 4mm or deeper. Typical coverage patterns look like this:

  • SRP — 50% to 80% coverage after the deductible, up to the annual maximum
  • Periodontal maintenance cleanings every three to four months — often covered
  • Gum graft surgery — covered when medically necessary for significant recession
  • Osseous surgery — typically covered at a lower percentage, around 40% to 60%
  • Perio Protect — often partial coverage, and frequently out of pocket

Our team will verify your insurance benefits before treatment and give you a written breakdown of what is covered and what you will owe — no surprise bills.

What if I don't have insurance?

If you are uninsured, you have options beyond third-party financing. Our in-house membership plan starts at $288/year for children and $312/year for adults, and includes two professional cleanings, two routine exams with X-rays, an emergency exam, and 15% off other procedures including SRP, Perio Protect, and surgery. There is no deductible, no annual maximum, and no waiting period.

For most patients facing gum disease treatment without insurance, the membership plan works out simpler and often cheaper than financing. For larger treatment plans — full-mouth SRP with Perio Protect, or surgery — flexible monthly payment options are also available.

Is gum disease treatment painful?

Local anesthesia is used for scaling and root planing, so you should not feel pain during the procedure itself. Some sensitivity and mild soreness for a day or two afterwards is normal, and most patients manage it with over-the-counter pain relief.

Perio Protect tray treatment is painless — you are simply wearing custom trays with a prescribed gel for a few minutes a day at home. Surgical procedures such as gum grafts and osseous surgery are performed under local anesthesia with sedation available, and recovery typically means one to two weeks of soft foods and over-the-counter pain management. Most patients find it less uncomfortable than they had braced for.

How Hampton Family Dental approaches gum disease care

Every patient gets a periodontal evaluation during their routine exam. Dr. Jeffrey Brenner measures pocket depths, assesses gum colour and bleeding, and reviews X-rays for signs of bone loss. If gum disease is found, you leave with a written treatment plan setting out exactly what is recommended and why — not a sales pitch.

  • Dr. Brenner has provided periodontal care in Southampton for over 20 years
  • Perio Protect, a prescription-tray system few local practices offer
  • Clear written treatment plans with cost estimates before any procedure begins
  • Insurance verification included, so you know what you will pay before you commit
  • A membership plan option for uninsured patients, from $288/year

We see patients from Southampton, Richboro, Feasterville, Holland, Churchville, Ivyland, Huntingdon Valley, Warminster, and Newtown. You can also explore our full range of general dentistry services.

Worried about your gums?

Request a periodontal evaluation. We'll measure your pocket depths, check your insurance coverage, and give you a written plan with costs before anything begins.

Got Questions?

Frequently asked questions

Quick answers to what patients ask us most about the change.

Deep cleaning (scaling and root planing) typically costs $150 to $350 per quadrant without insurance. Most patients need all four quadrants treated, bringing the total to roughly $600 to $1,400. The exact cost depends on how much tartar sits below the gumline and how many visits are required.
Many dental plans cover scaling and root planing as medically necessary when pocket depths measure 4mm or deeper, typically at 50% to 80% after the deductible and up to the annual maximum. Perio Protect may be partially covered under some plans but is often out of pocket. Ask your dentist to verify your specific benefits before treatment begins.
Gingivitis, the earliest stage, is reversible with professional cleaning and consistent home care. Periodontitis, the more advanced stage, can be managed and controlled but is not curable. The window between the two is where early treatment makes the biggest difference, both clinically and financially.
Gum graft surgery typically costs $600 to $3,000 per tooth without insurance, depending on the type of graft and the tissue source. Some plans cover gum grafts when they are medically necessary due to significant recession. Your dentist will discuss the specific procedure and expected cost before treatment.
Gingivitis is gum inflammation without bone loss, and it is reversible with professional cleaning and good home care. Periodontitis is advanced gum disease where the bone and tissue supporting the teeth have been damaged — manageable with treatment but not fully curable. Pocket depth is the key measurement: 3mm or less is healthy or gingivitis, while 4mm or more typically indicates periodontitis.
Perio Protect tray systems typically cost $1,500 to $4,000 for the initial tray fabrication plus the first supply of prescription gel, with ongoing gel refills an additional cost. It is used alongside scaling and root planing to maintain gum health between visits rather than as a replacement for professional care.
Local anesthesia is used for scaling and root planing, so you should not feel pain during the procedure. Some sensitivity and mild soreness are common for a day or two afterwards. Perio Protect tray treatment is painless at home. Surgical procedures use local anesthesia or sedation and typically involve one to two weeks of recovery discomfort.
You can decline any dental procedure. But if your dentist recommends scaling and root planing based on pocket depths of 4mm or deeper, declining means the gum disease will keep progressing — potentially toward tooth loss and much higher costs later. If you are unsure, ask for a written treatment plan showing your pocket-depth measurements and the clinical reasoning behind the recommendation.
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