Is Pinhole Gum Surgery Covered By Insurance?

If your gums are receding, there’s a good chance that Pinhole Surgery will help you.

Before we can do the operation, we must first clean your teeth. So, a week before your treatment, make an appointment with our office for a cleaning. However, it is critical to schedule an appointment with our dentist. This meeting will allow us to explain the procedure to you and go through any post-operative instructions. It’s also critical that we figure out why your gums are receding. We need to figure out what’s causing your gum recession and come up with a remedy together.

Our dentist will numb the region he will treat using a local anesthetic. The operation should not cause any discomfort. Because the technique is non-invasive and does not involve suturing, there should be only minor discomfort following it. Talk to us about our sedation dentistry options if you have any additional concerns about discomfort or are anxious about your visit.

Because this is not a surgical treatment and the perforations in your gums will heal fast, your recovery period will be only one day.

Within hours following your treatment, things should be back to normal. When brushing for a few weeks, some people may experience minor irritation or discomfort, while others have experienced minor pain and inflammation. We’ll offer you instructions on what to do after your procedure and may advise you to refrain from brushing for a period of time. While you should be able to resume your regular diet the evening after your surgery, you may wish to restrict your diet for a few days to things that won’t irritate your gums.

The treatment can usually be finished in a single visit. For a single tooth, it takes about 10-20 minutes to treat the tissue. However, the amount of time it takes to complete treatment varies from person to person and is dependent on the number of teeth that need to be removed.

Pinhole Surgery is around the same price as a gum transplant. In other circumstances, however, it may be less expensive than a transplant. The severity of your disease and the number of teeth that need to be repaired are two criteria that will influence the cost of your operation. During your appointment, we can talk about your specific requirements.

Pinhole Surgery is covered by most insurance plans because it is a periodontal procedure. Prior to having the treatment done, we recommend that you contact your insurance provider. Ask what evidence will be required at the time of your claim, in addition to finding out if the operation is covered under your plan. You are welcome to call our office if you have any questions about your coverage or need assistance submitting a claim. Our office also offers a variety of financing solutions.

How much does pinhole gum surgery cost with insurance?

PST The cost of treatment varies depending on the number of teeth being treated; it might be as little as $600 per tooth or as high as $1400 per tooth. This, too, is dependent on the depth of the recession. Patients who have generalized recession on all of their teeth should expect to pay less per tooth. This is owing to the process and its advantages. Our expenses are simply lower when more teeth are treated at the same time since we can treat every tooth in your mouth at the same time. We can also execute the procedure significantly faster than traditional grafting because we are not constrained by the donor location limits of traditional surgery.

How much does pinhole gum treatment cost?

The cost of pinhole surgery to repair gum recession is determined by the degree of gum recession you’ve had and the number of teeth that need to be treated. The average cost of PST per quadrant is $3000. If your dental insurance covers periodontal procedures, it’s likely that pinhole surgery will be covered in part. Before your procedure, our office staff will provide you an estimate of your out-of-pocket costs.

Does dental insurance cover gum surgery?

If a gum transplant is performed for medical reasons rather than cosmetic reasons, dental insurance will usually pay at least a portion of the cost. Gum graft surgery might be partially reimbursed by medical insurance when it is required to cover exposed roots and prevent bone and tooth loss.

Medical and dental insurance might vary a lot depending on where you live, who you get it from, and what plan you have. To learn more about your plan and how much, if any, of your gum graft surgery is covered by insurance, you’ll need to contact your provider.

Gum grafts might be partially or completely reimbursed by insurance. The amount you’ll have to pay out of pocket is determined by your plan and coverage level.

How long does Chao pinhole last?

It’s difficult to know how long a technique will last until we look at the results several years later. Dr. Chao has always maintained that the treatment is permanent as long as patients maintain good oral hygiene and take care of their mouths. His prognosis appears to be right, as evidenced by patient testimonies on his website. Patients who were treated more than nine years ago are featured in two testimonials.

Doctor Chao believes that the treatment’s results will last a lifetime as long as the gums stay healthy and brushing is done gently. Gums will gradually retreat with age, but the impact will stay for a long time. Doctor Chao was the only doctor who could conduct the treatment at first, but thanks to rigorous training, dentists from all around the world can now do it.

How successful is pinhole gum surgery?

While any surgery carries some risk, the Pinhole Surgical Technique has an extremely high success rate of over 90%. When compared to traditional gum grafting, this is a similar success rate. It is vital to note that the level of oral hygiene practiced by the patient is a major element in the procedure’s long-term success.

Following the PST operation, patients are usually able to resume their normal daily activities right away. It is critical, however, to refrain from brushing or flossing for the first 24 hours after the surgery to allow the gums to heal properly. Patients are also advised to stick to a soft food diet for the first 24 hours after the surgery. Patients can begin reintroducing more firm foods after the 24-hour interval has passed. During this time, there may be some minor discomfort, but it is normally treated with an over-the-counter pain reliever.

While PST is a terrific therapy option for patients with gum recession that produces positive results, there are some circumstances when PST is not a viable therapeutic choice. This might happen when there is insufficient bone support for the tissue as a result of progressive bone loss. Before undergoing the operation, the patient must be clear of periodontal disease and inflammation.

It is also important to maintain proper oral hygiene practices after the operation in order to avoid things that may have contributed to the initial gum recession. This could involve things like brushing too hard or eating a bad diet. This ensures the procedure’s success while also preventing similar problems from arising in the future.

High Patient Satisfaction

The Pinhole Surgical Technique not only has a high success rate for the treatment, but it also has a high patient satisfaction rate. This is partly owing to the procedure’s minimum invasiveness (it doesn’t require sutures or scalpels) and the fact that it produces almost instantaneous cosmetic improvements. Because the surgery is less invasive, there is a much lower risk of experiencing surgical adverse effects.

Is Pinhole Surgical Technique Right For Me?

While PST has a high success rate, there are a few more variables to consider before considering whether PST is ideal for you. If you meet any of the following requirements, talk to your dentist about your choices to see if you’re a good candidate for the PST procedure:

  • Have you experienced major tooth loss and want to improve the appearance of your smile?
  • There is enough gum tissue next to the sites of recession.
  • Prefer a method that is minimally invasive, has a shorter recovery period, and has a high success rate.

Proper Self-Care and Improved Success Rates

While PST has a high overall success rate, good dental hygiene and lifestyle habits that are maintained after the operation are significant factors in deciding how beneficial the procedure is. This is especially true for people who are undergoing PST because of periodontal disease. Follow the oral hygiene best practices listed below to lower your chances of suffering similar problems in the future:

  • Brush and floss your teeth twice a day: Brushing your teeth twice a day and flossing once a day are two effective ways to maintain good oral health and prevent gum recession. It’s also crucial to practice proper brushing methods. Gum recession can be caused by brushing too hard or too often. Consider using a soft-bristle toothbrush if you have acquired gum recession as a result of forceful or frequent brushing.
  • Avoid foods that are starchy or heavy in sugar to help reduce your chance of gum recession. If you must drink a sweet beverage, make it a practice to drink it via a straw whenever feasible and to rinse your mouth with water afterward.
  • Regular dental visits: In addition to maintaining excellent personal practices, scheduling regular dental checks is a crucial step to avoid getting gum recession. These exams should be done every six months for most patients, or more frequently as needed. These monthly exams allow the dentist to monitor your general dental health and properly manage any abnormalities that are found, in addition to having a thorough cleaning.

Following these suggestions following the PST operation increases the chances of a successful therapy greatly. These tips can also help you lower your chances of having gum recession in the future.

What is pinhole gum rejuvenation?

Traditional gum surgery has been replaced with pinhole gum rejuvenation, which is an innovative option. By modifying the gum tissue surrounding the teeth, the pinhole technique removes the need for tissue transplants, scalpels, and invasive therapy.

Specialized tools are inserted through a microscopic “pinhole” formed just above the tooth in the Pinhole method. The gums are then fixed in place with microscopic collagen strips, and the tissue is repositioned over the teeth. Pinhole Gum Rejuvenation can be done in only one consultation, with rapid results and little downtime or recuperation.

How much does it cost to fix a receding gum line?

As a general rule, the best gum recession therapy will cost you more than you expect, with more advanced diseases necessitating the most expensive surgeries. A common skin graft might cost anything from $600 to $1,200 for a single procedure.

Are gum grafts usually covered by insurance?

The price of gum grafting varies depending on the severity of the condition and the number of teeth involved. Fortunately, most insurance plans cover this operation, lowering your out-of-pocket costs dramatically. If your insurance plan is part of the Affordable Care Act, you might be able to get this operation for free.

Before committing to a gum graft operation, speak with your dentist or periodontist about the expected costs and whether they provide additional treatment options for gum recession, such as scaling and root planing or the Pinhole Surgical Technique.

Added Costs

When calculating the total cost of your gum graft, keep in mind that there are a few other fees that could add to your total price. One of these expenses is the periodontal examination that most patients have prior to the gum grafting treatment. These examinations may or may not include X-rays, as well as a deep cleaning. The overall cost of this examination will vary based on where you live and which clinic you visit.

Payment Options

As previously said, insurance plans often cover gum grafts; nevertheless, if you do not have insurance, you should be informed of other payment possibilities.

Patients who have a Flexible Spending Account (FSA) can contribute up to $2,600 per year to their account. If you plan on having additional operations done in conjunction with your gum transplant, it’s ideal to schedule it near the end of the year so that finances are accessible at the beginning of the next.

Each year, patients with HSAs can contribute $3,400 per person and $6,700 per family. This is tax-free money that can be used to pay for things like gum grafting. Patients who choose this option should talk to their periodontist about payment expectations before arranging the operation. Some dentists require direct payment, while others can pay your dentist immediately.

Although it is not guaranteed, we may be able to offer a payment plan to ensure that our patients receive the care they need. These plans usually require a down payment (usually 50%) and then allow for lower payments over a set period of time.

Does Delta Dental cover pinhole surgery?

Though the technique varies depending on each patient and their specific demands, the usual cost of this operation is roughly $700-$1000, though this price might fluctuate depending on the severity of your situation. It’s also crucial to be aware that patients who require PST may incur additional fees, including as a first periodontal visit, which can cost anywhere from $150 to $400 and often includes x-rays. Prior to your operation, your dentist or periodontist may recommend a thorough cleaning, which can cost $75-$150 or more depending on how long it has been since your last deep cleaning.

Our practice accepts most dental insurance policies, including non-managed care, indemnity (conventional), PPO out-of-network, and Delta Dental in network, though not all insurers cover the pinhole surgical procedure. Our staff would gladly submit a pre-treatment estimate to your insurance carrier so that you can calculate your benefits. Our team will be pleased to explore additional payment arrangements if you are not currently covered by insurance or have concerns about the final cost.