Diagnosis cost

£50–£150

Treatment cost

£150–£800

Ongoing cost

£20–£60 per month

Severity

Moderate

Treatable

Manageable

Species

Dogs

What is periodontal disease?

Periodontal disease is the most common dental condition in dogs, affecting the gums and supporting structures around the teeth. It begins with plaque build-up that hardens into tartar, leading to inflammation (gingivitis) and eventually infection that destroys the gum tissue and jawbone. Left untreated, bacteria can enter the bloodstream and affect the heart, liver, and kidneys. Small and toy breeds are especially prone because their teeth are crowded into smaller jaws, making plaque accumulation worse.

Symptoms to watch for

See a vet soon
  • Bad breath (halitosis) that doesn’t go away
  • Red, swollen, or bleeding gums
  • Yellow or brown tartar build-up on the teeth
  • Difficulty chewing or dropping food
  • Pawing at the mouth or rubbing the face
  • Loose or missing teeth
  • Reduced appetite or reluctance to eat hard food
  • Drooling more than usual

How is periodontal disease diagnosed?

Treatment options and costs

Professional dental cleaning (scale and polish)

£150–£500

Performed under general anaesthetic, this removes plaque and tartar above and below the gumline. Suitable for mild to moderate periodontal disease. Most dogs need a dental cleaning every 1–2 years to prevent progression.

Tooth extractions

£200–£800

Severely affected teeth that are loose, infected, or causing pain need to be extracted. The cost depends on the number and type of teeth removed. Dogs adapt well to eating after extractions and are typically much more comfortable.

Ongoing home dental care

£20–£60 per month

Daily tooth brushing with dog-specific toothpaste, dental chews, water additives, and prescription dental diets. Essential for slowing the return of periodontal disease after professional treatment.

Ongoing costs

Estimated ongoing management cost

£20–£60 per month

monthly

Breeds most at risk

Does pet insurance cover periodontal disease?

Most pet insurance policies cover dental treatment that results from an accident or illness, including extractions for periodontal disease. However, many policies exclude routine dental cleaning (scale and polish) unless it’s directly treating diagnosed periodontal disease. Some insurers impose waiting periods for dental claims. Always check your policy wording carefully, as dental exclusions vary widely between providers.

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