Gingivectomy: Dental costs and coverage

A gingivectomy is a dental procedure that removes gum tissue around a tooth (or teeth). It can be performed by a general dentist with periodontal surgery training but is typically done by a periodontist or oral surgeon.

Who is a candidate for a gingivectomy?

Gingivectomies can be done to treat medical conditions like gingivitis, periodontal (gum) disease or other gum issues. Gingivectomies can also be done for cosmetic reasons, such as to improve the look of a smile by removing overgrown gum tissue.

According to the American Dental Association 2020 Survey of Dental Fees, a gingivectomy can cost between $210—$861. The total cost can depend on how many teeth are treated, the surgical method used and more.¹ 

Yes, a gingivectomy can be covered if it’s medically necessary. If your gingivectomy is only for cosmetic reasons, your insurance may not cover it. If you don’t have dental insurance, you can use a health savings account (HSA) or flexible spending account (FSA) to pay for a medically necessary gingivectomy. HSAs and FSAs allow you to save money in an account before it’s been taxed to pay for eligible medical expenses. 

To begin, your dentist or oral surgeon will likely numb your gums so you don’t feel any pain. Next, a scalpel or laser will be used to cut away the gum tissue. After the procedure is complete, bandages or a medical dressing may be placed over the gums for protection as they heal. 

It may take a few days to heal, during which you may have jaw pain, bleeding and swelling. This is normal and you can use ice, a cold compress or over-the-counter pain relievers to help with the pain.  

There 2 main types of gingivectomies: 

• Scalpel—Considered the traditional form of gingivectomies, a scalpel is used to cut away the gum tissue. The scalpel procedure may cost less than the laser procedure, but it can also be less accurate and require a longer recovery time. 
• Laser—The more expensive of the 2, a surgeon uses a handheld laser to remove excess gum tissue. The extra cost can result in a more precise treatment and shorter recovery time.  

If you need a gingivectomy, Humana can help. We offer a broad range of dental plans with varying levels of coverage, many with affordable monthly premiums. To explore plans and prices in your area, check out our Humana dental page.