Last updated: March 2026
How Much Does Pocket Reduction Surgery (Osseous Surgery) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Osseous Surgery (per quadrant) | $1,000 – $2,500 | $400 – $1,000 |
| Osseous Surgery (full mouth) | $3,000 – $8,000 | $1,200 – $3,200 |
| Osseous Surgery with Bone Graft | $1,500 – $4,000 | $600 – $1,600 |
CPT/ADA Code: D4260
What Affects the Cost
- Geographic location (urban areas cost 20-40% more)
- Dentist experience and specialization
- Type of dental insurance plan (PPO vs HMO/DHMO)
- Whether the procedure is classified as preventive, basic, or major
- Lab and material costs
- Number of teeth or surfaces involved
Insurance Coverage
Typical coverage: Major periodontic — typically 50% after deductible
Most dental PPO plans have an annual maximum of $1,000-$2,500. Preventive care (cleanings, exams, X-rays) is typically covered at 100%. Basic procedures (fillings, simple extractions) at 70-80%. Major procedures (crowns, bridges, implants) at 50%. Many plans have a 6-12 month waiting period for major work.
How to Save Money
- Dental schools offer procedures at 50-70% discount
- Dental discount plans save 20-50% for $80-$200/year
- Ask about payment plans — many dentists offer CareCredit 0% financing
- Community health centers provide sliding-scale pricing
- Get quotes from 2-3 dentists in your area
- Consider dental tourism for expensive procedures
Related Procedures & Costs
Frequently Asked Questions
Pocket reduction surgery (osseous surgery) reduces the depth of periodontal pockets around teeth by reshaping the bone. Deep pockets harbor bacteria that cause gum disease progression.
Initial healing takes 1-2 weeks. Full recovery takes several months. You will be on a soft food diet for the first week and should avoid strenuous activity.
The surgery is performed under local anesthesia. Post-operative discomfort is moderate and managed with prescribed pain medication. Most patients return to normal activities within a few days.