How Much Does Periodontal Treatment Cost?

When patients ask, “How much does periodontal treatment cost? near Dallas, TX,” the answer involves a range of factors specific to the DFW metroplex. In 2026, the Periodontitis treatment cost without insurance in Dallas typically starts between $200 and $500 per quadrant for non-surgical scaling and root planing, though many local clinics offer full-mouth “deep cleaning” specials ranging from $500 to $655 for self-pay patients.

Conversely, the Periodontal treatment cost with insurance is significantly lower; most Dallas-area providers accept PPO plans that cover 50% to 80% of the procedure, often leaving patients with an out-of-pocket balance of just $50 to $150 per quadrant.

Average Costs of Periodontal Treatment in 2026

Periodontal care is rarely a “one-size-fits-all” price. Dentists typically bill by the quadrant (one-quarter of your mouth).

Note: These figures represent national averages. Prices in major metropolitan areas like Dallas-Fort Worth may be slightly higher than rural regions, but are often offset by competitive local “new patient” specials.

Breaking Down the Procedures

1. Non-Surgical: Scaling and Root Planing (SRP)

Often called a “deep cleaning,” this is the first line of defense. The hygienist removes plaque and tartar from below the gum line and smooths the tooth roots to help gums reattach. Most patients require 2 to 4 quadrants of treatment.

2. Advanced: Periodontal Surgery

If deep cleaning doesn’t resolve the infection, surgery may be necessary:

• Osseous Surgery: A traditional method where the gum is flap-opened to clean the bone and reshape it.

• LANAP (Laser-Assisted New Attachment Procedure): A modern, less invasive alternative. While often more expensive upfront, many patients prefer it due to the shorter recovery time and lack of sutures.

3. Regenerative: Bone and Tissue Grafts

In cases of severe bone loss or gum recession, your specialist may need to “build back” what was lost. Bone grafts typically range from $500 to $1,200 per site, plus the cost of any membranes or growth factors used.

Factors That Influence the Final Bill

Several variables can shift your out-of-pocket costs:

• Severity of Disease: Early-stage gingivitis is much cheaper to treat than advanced periodontitis involving bone loss.

• The Specialist’s Expertise: A board-certified periodontist may charge more than a general dentist due to their specialized training in gum health.

• Anesthesia & Sedation: If you opt for IV sedation or nitrous oxide (laughing gas), expect to add $200 to $600 to the total.

• Diagnostic Tools: Initial exams, digital X-rays, or 3D CT scans can add $150 to $400 to your starting costs.

Does Insurance Cover Periodontal Treatment?

Most dental insurance plans recognize periodontal treatment as medically necessary.

• Preventive vs. Therapeutic: Regular cleanings are often 100% covered. Periodontal treatments are classified as “Basic” or “Major” services.

• Coverage Rates: Insurance typically covers 50% to 80% of scaling and root planing. Surgical procedures are often covered at 50%.

• Annual Maximums: Most plans have an annual limit (usually $1,500 – $2,500). If your treatment exceeds this, you are responsible for the remainder.

The True Cost of Delay

It is tempting to postpone treatment due to cost, but periodontal disease is progressive. Untreated gum disease is the leading cause of adult tooth loss. Replacing a single lost tooth with a dental implant and crown can cost between $3,500 and $6,000, which is far more expensive than early periodontal intervention.

Would you like me to help you draft a list of specific questions to ask your dentist during your consultation to ensure you get the most accurate quote?