Periodontal Disease Treatment and Costs: What You Need to Know - Dentistry

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Periodontal disease treatment


Hello, Doctor.
I recently visited a dental clinic, where the dentist discovered that I have periodontal disease.
They mentioned that I would need to use a self-paid gel (with a cost of NT$10,000 solely for the gel).
However, they did not assess the severity of my periodontal disease at that time.
During my follow-up appointment next week, the periodontal pocket measurements were approximately 2-5 mm, and treatment was scheduled.
I found information stating that only severe or frequently recurring periodontal disease requires the use of gel.
Additionally, according to the self-pay fee schedule for dental services in XX City, the cost for periodontal gel is NT$1,500 per application.
Therefore, I would like to ask if the self-paid gel is necessary and if this pricing is reasonable.
Furthermore, I discovered that the dentist is not a periodontal specialist.
Would you recommend switching dentists or hospitals for treatment? If so, would the new dentist need to perform another periodontal pocket examination? Thank you for taking the time to read my questions.

Ms. L, 20~29 year old female. Ask Date: 2022/12/28

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to visit a periodontal specialist at a medical center for a thorough examination and to inquire about the need for subsequent flap surgery and the use of antibiotic gel.
First, find a trusted physician, and then begin the subsequent surgical treatment.
A good doctor-patient relationship will lead to better treatment outcomes!

Reply Date: 2022/12/28

More Info


Understanding periodontal disease treatment and costs can be quite complex, especially when navigating through various treatment options and associated expenses. Here’s a comprehensive overview based on your questions and the context provided.


1. Necessity of Gel Treatment for Periodontal Disease
The use of periodontal gel, particularly in the context of treating periodontal disease, is often reserved for cases where there is significant inflammation or infection present. The fact that your periodontal pockets measure between 2-5mm indicates a moderate level of periodontal disease. Generally, pockets measuring 3mm or less are considered healthy, while pockets of 4mm or more may indicate the presence of periodontal disease.
In your case, the recommendation for a gel treatment may be justified if your dentist believes that the inflammation is significant enough to warrant additional intervention. However, it is essential to clarify with your dentist why they believe gel treatment is necessary at this stage, especially if your pockets are not classified as severe (which typically would be 6mm or more).

2. Cost of Gel Treatment
Regarding the cost of the gel treatment, it’s important to note that dental costs can vary widely based on location, the specific dental practice, and the materials used. The price you mentioned (10,000 for the gel) seems quite high compared to the standard fee of 1,500 per application as per your research. It would be prudent to discuss this discrepancy with your dentist. Ask for a breakdown of the costs and whether the gel treatment is indeed necessary at this stage of your periodontal disease.


3. Evaluating the Dentist’s Qualifications
You mentioned that the dentist you are currently seeing is not a periodontal specialist. While general dentists can treat periodontal disease, specialists (periodontists) have additional training and expertise in managing complex cases. If you have concerns about the treatment plan or the necessity of certain interventions, it may be beneficial to seek a second opinion from a periodontist.
If you decide to switch dentists, it is likely that the new dentist will want to conduct their own assessment, which may include measuring your periodontal pockets again. This is standard practice to ensure that they have the most accurate and up-to-date information regarding your periodontal health.


4. Treatment Timeline and Costs
The treatment timeline for periodontal disease can vary significantly based on the severity of the condition and the treatment plan. Typically, initial treatments may include scaling and root planing, which can take several appointments. If surgery is required, this can extend the timeline further.
Costs can also vary widely. Initial treatments may be covered partially by insurance, but advanced treatments, especially those involving surgery or specialized materials (like bone grafts or membranes), often require out-of-pocket expenses. It’s advisable to discuss your financial concerns with your dental office; many practices offer payment plans or financing options to help manage costs.


Conclusion
In summary, it is essential to have open communication with your dentist regarding the necessity and costs of treatments for periodontal disease. If you feel uncertain about the treatment plan or the qualifications of your current dentist, seeking a second opinion from a periodontist could provide clarity and reassurance. Remember, managing periodontal disease effectively is crucial not only for your oral health but also for your overall health, as periodontal disease has been linked to various systemic conditions. Always prioritize your health and well-being when making decisions about your dental care.

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