How Much Does a Gum Graft Cost: With & Without Insurance
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Table of Contents
- Gum Grafts
- Cost of a Gum Graft
- Using Insurance Coverage
- Additional Payment Options
The cost of gum graft surgery will depend on how much area is affected and how much the gums have receded. On average, a gum graft can cost between $600 and $1,200 for a small area around one tooth.
Dental insurance often covers at least part of the cost of a gum graft. If it is deemed medically necessary, medical insurance may provide some coverage for gum graft surgery as well since it is a surgical procedure. There are also payment plans and additional options available to help cover the cost of a gum graft.
Gum tissue can recede, or wear away from the teeth, which can expose the root and cause increased sensitivity. Eventually, if not treated, it can lead to tooth loss. Gum graft surgery can use healthy tissue to build the area back up.
Nearly half (47.2 percent) of the adult population, ages 30 and older, in the United States have some form of gum disease, or periodontal disease. Periodontal disease can cause the gums to pull away from the teeth, which can cause both cosmetic and medical issues.
Tooth sensitivity and bone and tooth loss can be side effects of receding gums. Recession of gums is a process that often happens slowly over time, so you may not even notice it until it has gone too far.
A gum graft can help to fix a receding gum line and alleviate these issues. A gum graft is a dental surgery that is usually performed by a periodontist who uses tissue from your mouth or a donor to cover the areas that are exposed. Typically, tissue is harvested from the roof of your mouth for a gum graft, but it can also be taken from a donor or a cadaver.
Gum graft surgery can improve your smile as well as enhance your periodontal health by covering exposed roots and protecting your teeth from further decay.
Cost of a Gum Graft
Gum graft costs can vary widely depending on a number of factors, including:
- The area that needs to be grafted. This relates to the amount and severity of gum recession.
- The type of surgery done. If tissue is harvested from your mouth, it is usually less expensive. Using a donor often adds to the expense.
- The specialist performing the surgery. A periodontist generally charges more than a dentist.
- The location of the office. Costs can range greatly based on geographical area.
- If gum contouring is done at the same time. This procedure trims the gums for a more cosmetic appearance and increases the cost, often nearly doubling it.
If only one tooth and a small area is being grafted, a gum graft generally costs around $1,000. Larger areas and a more extensive surgery, especially if using a donor, will cost more.
Using Insurance Coverage
Dental insurance will regularly cover at least part of a gum graft procedure if it is done for medical reasons and not just cosmetic purposes. When gum graft surgery is needed to cover exposed roots and prevent bone and tooth loss, it can also be partially covered through medical insurance.
Medical and dental insurance can vary widely based on your location, the provider, and your specific plan. You will need to contact your provider to get the details on your plan and find out how much, if any, of your gum graft surgery insurance can cover.
With insurance, the gum graft can be partially to fully covered. The amount you will have to pay out of pocket depends on your specific plan and level of coverage.
Additional Payment Options
Whether or not insurance covers a portion of your gum graft, you could still be looking at out-of-pocket expenses in the hundreds of dollars. If your gum graft is considered to be cosmetic, and therefore elective, it is not likely to be covered by insurance at all. In this case, you will be responsible for the entire amount.
There are a number of ways to help pay for these out-of-pocket costs.
- Payment plans: Many dental and periodontal offices offer payment plans to allow you to pay for the procedure in installments over time.
- Financing: Dental offices regularly have financing options to aid with payments.
- Dental plans: There are a number of dental discount plans that are not the same as insurance, but they can offer you a deep discount on some dental procedures.
- Health savings accounts (HSA): Since a gum graft is often classified as a medical procedure, you can use funds from your tax-free account to cover the costs.
Consider a second opinion and shop around. Gum grafts can range in cost in different places and with different specialists.
Gum Tissue Graft Cost. (2021). CostHelper Health. Date Fetched: July 2, 2021.
Periodontal Disease. (July 2013). Centers for Disease Control and Prevention (CDC). Date Fetched: July 2, 2021.
Healing Progression of the Free Gingival Graft. (October 2020). The Journal of Multidisciplinary Care. Date Fetched: July 2, 2021.
Gum Graft Surgery. (2021). American Academy of Periodontology (AAP). Date Fetched: July 2, 2021.