If your dentist or hygienist has recommended a “deep cleaning,” one of the first questions is usually: how much is this going to cost? It’s a fair question. A deep cleaning costs more than a routine cleaning, and it helps to know why and what you can expect to pay before your visit. Here’s a clear, honest guide from our team at First Class Smiles Bethesda.
What is a deep cleaning?
A deep cleaning (the clinical name is scaling and root planing) treats gum disease. A regular cleaning polishes the teeth above the gumline. A deep cleaning goes below the gumline to remove hardened plaque (tartar) and bacteria from the pockets that form around the roots, then smooths the root surfaces so your gums can heal and reattach.
It is usually recommended when gum pockets measure 4 millimeters or deeper, when X-rays show tartar under the gums, or when your gums bleed easily and look swollen.
How much does a deep cleaning cost?
Deep cleanings are priced per quadrant: your mouth is divided into four sections (upper right, upper left, lower right, lower left). Many patients need only one or two quadrants treated, and others need all four.
Across the U.S., typical fees without insurance fall roughly in these ranges:
- Per quadrant: about $150–$350+
- Full mouth (all four quadrants): about $600–$1,400+
- Follow-up periodontal maintenance visits: often $120–$250 each, typically every 3–4 months at first
Your exact cost depends on how many quadrants need treatment, how deep the pockets are, whether local anesthetic or an antibiotic placed in the gums is needed, and your insurance plan. We always give you a written estimate before treatment begins, so there are no surprises.
Does insurance cover a deep cleaning?
In many cases, yes. Most dental plans treat scaling and root planing as a “basic” service, and many cover a significant share of it after your deductible. This is different from the 100% coverage many plans give for routine cleanings. Coverage varies widely between plans, so our team is happy to check your benefits for you before your appointment.
No insurance? Ask us about payment options and financing on our Insurance & Finance page.
Why is it worth it?
Untreated gum disease doesn’t stay the same. It can lead to bone loss, loose teeth, and eventually tooth loss. Replacing a single tooth with an implant costs many times more than a deep cleaning. Treating gum disease early is one of the best investments you can make in your smile and your overall health.
What to expect at your visit
- We numb the area so you stay comfortable. Most patients feel pressure, not pain.
- Treatment usually takes one to two visits, often one or two quadrants at a time.
- Your gums may be tender for a few days. Our guide on foods to avoid after a deep cleaning will help you through recovery.
- We’ll recheck your gums in a few weeks to measure healing.
Frequently asked questions
Is a deep cleaning really necessary, or is it an upsell?
It’s a fair question to ask any dentist. A deep cleaning is recommended based on measurable signs: pocket depths, bleeding, and X-rays. We’re glad to show you your measurements and explain exactly why we’re recommending it.
Can I just get a regular cleaning instead?
A regular cleaning can’t reach tartar below the gumline, so if gum disease is present, the infection would keep progressing.
Do you see patients who speak Spanish?
Yes. Se habla español.
Get a personalized estimate in Bethesda
If you’ve been told you need a deep cleaning, or your gums are bleeding when you brush, we’d love to help. First Class Smiles Bethesda is located at 7201 Wisconsin Ave, Suite 370, Bethesda, MD 20814, a short walk from the Bethesda Metro. Call or text (301) 264-5015 or request an appointment online.
