A patient guide from Dr. Bao Nguyen, DDS·Murrieta, CA·(951) 412-0127

Gum Treatment · Murrieta, CA

Full Mouth Deep Cleaning in Murrieta: $320 for All Four Quadrants

Scaling and root planing for gum disease, priced for the whole mouth instead of one quarter at a time.

If another office handed you a deep cleaning estimate that ran $600 or more, or you just heard the words "periodontal pockets" for the first time, this page is for you. I'll walk you through what a deep cleaning actually is, how I decide whether you need one, what the two appointments feel like, and why my fee for the full mouth is $320.

Full mouth deep cleaning (scaling and root planing) at Promenade Dental Care in Murrieta, CA
Scaling and root planing clears tartar from the root surfaces below the gumline so inflamed gums can tighten back up.
UCLA School of Dentistry10 years, U.S. Navy Dental CorpsMurrieta since 2010

Start Here

So You've Been Told You Need a Deep Cleaning

A deep cleaning isn't a fancier cleaning. It's the first treatment for an infection under your gums, and it should only be sold to people who have one.

Most people who walk into my Date Street office asking about a deep cleaning arrive with a piece of paper from somewhere else. It has a string of numbers on it, a treatment code they don't recognize, and a total that made them go home and search the internet. I understand that. Nobody explained what the numbers meant, and the price looked like a lot for a cleaning.

Here's the plain version. The medical name is scaling and root planing, usually shortened to SRP. It's what we do when gum disease has moved below the gumline and started forming pockets between the gum and the tooth. A regular cleaning can't reach the bottom of those pockets. Scaling removes the hardened tartar and bacteria stuck to the root down there, and root planing smooths the root so the gum has a clean surface to heal against. Cleveland Clinic's overview of scaling and root planing describes it the same way I explain it chairside: a nonsurgical first-line treatment for mild to moderate gum disease.

A "full mouth" deep cleaning means all four quadrants, the upper right, upper left, lower right, and lower left. At Promenade Dental Care that whole job is $320. I don't bill it one quadrant at a time.

Procedure
Scaling and root planing (SRP), all four quadrants
Our fee
$320 for the full mouth
Who it's for
Patients with periodontitis: pockets of 4 mm or deeper, bleeding, and tartar below the gumline
Comfort
Local anesthetic, so you feel pressure and vibration, not sharp pain
First step
$20 new-patient exam with digital X-rays and gum measurements
Office
26957 Date St, Suite B4, Murrieta, CA 92563 · (951) 412-0127
Hours
Mon, Tue, Thu 9:00 AM–5:00 PM · Wed, Fri 9:00 AM–3:00 PM · Sat: By appointment & emergencies · Sun: Closed

Pricing

Deep Cleaning Cost in Murrieta: What You'll Pay Here

Around Murrieta and Temecula, the initial deep cleaning is commonly quoted somewhere between $600 and $700. Part of the reason is how it gets billed. Insurance codes scaling and root planing per quadrant, so a lot of offices price it per quadrant too, and four quadrants add up fast. I set one fee for the whole mouth because that's how the work actually gets done, and because a patient shouldn't need a calculator to find out what their gums will cost.

$20

New-Patient Exam + Digital X-Rays

Gum measurements, X-rays, and a look at the findings with me before anything is recommended.

$320

Full Mouth Deep Cleaning

Scaling and root planing on all four quadrants, whether we finish in one appointment or two.

$240

Laser Gum Therapy, First Treatment

Optional, and only when your charting calls for it. Follow-up laser visits are $80 each.

Before anything starts, you'll get the plan and the fee in writing. If you have PPO dental insurance, what you pay depends on your plan's coverage percentage, your deductible, and any copay, so I can't give you one out-of-pocket number that fits everyone. What I can do is verify your benefits before your appointment. We accept all PPO plans and are in network with Delta Dental PPO, Cigna, MetLife, Guardian, Aetna, and United Concordia. CareCredit is available if you'd rather spread the cost out.

What I won't add to your bill. I don't place antimicrobial medication in the gums, so you won't see a per-tooth "site" charge stapled onto the estimate. And the $320 covers the full mouth. You won't get a second bill for the other side.

Why a lower fee doesn't mean a shortcut

People reasonably wonder whether half the price means half the work. It doesn't. The scaler, the hand instruments, and the anesthetic are the same ones everyone uses. What's different is overhead. I'm a solo practitioner in a Date Street shopping center, not a corporate office with a regional manager and a production target. I'd rather treat your gums early at a fair price than watch you put it off for a year because of a quote.

If a deep cleaning isn't what you need, you won't pay $320. You'll pay $95 for an ultrasonic teeth cleaning, and I'll tell you why.

Written treatment estimate for a full mouth deep cleaning reviewed with a patient at Promenade Dental Care in Murrieta
Every deep cleaning starts with a written plan and fee.

The Honest Part

How I Decide Whether You Need Scaling and Root Planing

I don't decide this by looking at your gums from across the chair. Red, puffy gums can be simple gingivitis that a regular cleaning fixes. Gums that look fine can be hiding 5 mm pockets, especially in smokers, because nicotine cuts down the bleeding that would normally warn you. So I measure.

1Pocket measurements

A thin, blunt probe reads the space between gum and tooth at six spots on every tooth. Healthy readings run 1 to 3 mm. Four millimeters and deeper, with bleeding, is where a regular cleaning stops being enough.

2Digital X-rays

X-rays show whether the bone around the roots has started to shrink. Bone loss is the line between gingivitis and periodontitis, and it's the main reason a deep cleaning gets recommended.

3Tartar below the gumline

Some of it shows on the X-rays as small ledges on the roots. Some I can feel with the instrument. If it's under the gum, a toothbrush and a $95 cleaning can't get it off.

4Your screen, your numbers

I put the chart and the images up where you can see them. You should be able to point at the reason for the treatment yourself before you agree to it.

Regular cleaning or deep cleaning? What the exam shows
What I find$95 ultrasonic cleaning$320 full mouth deep cleaning
Pocket depths1 to 3 mm4 mm or deeper in several areas
Bone on X-raysNormal heightEarly to moderate bone loss
Tartar locationAt or just under the gumlineDown on the root surfaces
NumbingUsually not neededLocal anesthetic
DiagnosisHealthy gums or gingivitisPeriodontitis
Next cleaningAbout every six monthsEvery three to four months
When you don't need one. If your pockets are 3 mm or less and the bone is at a normal height, you don't need scaling and root planing, no matter what an earlier estimate said. Bleeding gums with healthy bone is usually gingivitis, and gingivitis goes away with a regular cleaning and better home care. I'd rather lose the bigger fee than treat a problem you don't have.

The reverse happens too. Once in a while the numbers are worse than a deep cleaning can handle, pockets of 7 mm or more around several teeth, or teeth that already move. I'll still usually start with scaling and root planing, because it calms the infection and shows us how the tissue responds, but I'll tell you up front if I think you'll need more. The broader picture, from staging to surgery, is on the gum disease treatment page.

What to Expect

What Happens During a Full Mouth Deep Cleaning

For most people I split the full mouth into two appointments, right side and left side, so you're never numb on both sides at once and can still chew on the other side that evening. Each visit usually runs about an hour. If you'd rather get it done in one longer sitting, tell me. It's the same $320 either way.

1Numbing

A topical gel first, then local anesthetic for the side we're working on. After that you should feel pressure, water, and vibration. If you feel anything sharp, raise your hand and I stop.

2Ultrasonic scaling

The ultrasonic scaler breaks up the heavy tartar and flushes the pocket with water. It does most of the bulk removal without a lot of scraping.

3Root planing

Fine hand instruments reach the bottom of each pocket and smooth the root. This is the slow, careful part, and it's the part that makes the treatment work.

4Rinse and check

I flush the pockets, check that the roots feel smooth, and go over what to expect for the next couple of days before you leave.

Ultrasonic scaler and hand curettes used for scaling and root planing at a Murrieta dental office
Ultrasonic scaler for the heavy tartar, hand curettes for the root surfaces.

The ultrasonic doesn't replace the hand work. I've seen too many "deep cleanings" that were really a quick ultrasonic pass with some numbing thrown in. Tartar on a root surface is stubborn, and the only way I know it's gone is to feel the root with an instrument afterward.

If you're nervous, say so when you book. I'd much rather know ahead of time. Nitrous oxide and oral sedation are available, and the dental anxiety page explains how we pace visits for patients who've had bad experiences somewhere else.

The Next Few Days

Recovering From Scaling and Root Planing

Most people go back to work the same day. The numbness wears off in a few hours. After that, expect your gums to feel tender for a day or two, and expect some cold sensitivity. That sensitivity catches people off guard, so here's why it happens: the tartar was covering part of the root, and now the root is clean and exposed to air and cold water. It usually settles over the next few weeks as the gums tighten and the root surface calms down.

Eat once the numbness is gone. You don't want to bite your cheek or tongue without feeling it. Soft, lukewarm food is easiest the first evening.
Keep brushing. Use a soft brush and go gently, but don't skip the treated areas. Plaque sitting on freshly cleaned roots undoes the work.
Warm salt water. A gentle rinse a few times a day helps sore spots settle.
Sensitivity toothpaste. A potassium nitrate toothpaste helps with cold sensitivity if you start it right away.
Skip smoking and vaping. At least for a few days. Nicotine slows gum healing more than anything else you can do.
Over-the-counter pain relief. Most people need it for a day, if at all.

Don't be alarmed if your gums look a little lower a few weeks later, or if a tooth feels slightly loose for a while. Swollen gums shrink back when the infection clears, which can show a bit more tooth. Firm, pink gum that sits a little lower is healthier than puffy gum that bleeds.

Call the office if bleeding hasn't slowed by the next day, swelling gets worse after day two, you notice pus or a bad taste that won't rinse away, or you run a fever. Those aren't normal healing, and swelling with pus can be an abscess that needs to be seen the same day. The emergency dentist page explains how we handle urgent visits.

Add-Ons, Honestly

Laser Gum Therapy and What I Don't Offer

Laser gum therapy is a separate treatment from the deep cleaning. The first laser treatment is $240, and each follow-up laser visit after that is $80. I use it selectively, mostly in pockets that stay inflamed or for patients where bleeding makes instrumentation harder. It isn't a replacement for scaling and root planing, and I won't pretend it is.

That matches what the specialists say. The American Academy of Periodontology's page on non-surgical treatments notes that controlled studies have found laser results similar to other non-surgical options, including scaling and root planing by itself. The American Dental Association's clinical guideline lands in the same place: scaling and root planing is the starting treatment for periodontitis, and add-ons need to earn their place case by case.

So if the deep cleaning does the job, and for a lot of patients it does, you're done with active treatment. If a few areas are still bleeding when I re-measure, we talk about the laser for those areas, and you'll see the fee before we do it. The details of how I use it are on the laser gum disease treatment page.

What I don't offer is antimicrobial therapy, the medicated chips or gels some offices place in each pocket after cleaning. You won't find it on my estimates. If deep pockets don't respond to treatment, the next step I discuss is laser therapy or a referral to a periodontist, not a per-tooth medication charge.

Dental laser used for gum therapy after a deep cleaning at Promenade Dental Care in Murrieta, CA
Laser therapy is an option for stubborn pockets, not a standard add-on.

After Treatment

Keeping Your Gums Healthy After a Deep Cleaning

A deep cleaning treats the infection. It doesn't make you immune to it. The bacteria that caused the pockets are still in your mouth, and deep pockets refill faster than shallow ones. The National Institute of Dental and Craniofacial Research names smoking as the biggest risk factor for gum disease and notes it can make treatment less successful, which is why I'll bring it up at your re-check if it applies.

4–6 weeks
until I re-measure your pockets and check how the gums healed
3–4 months
between cleanings after a deep cleaning, instead of six
4 quadrants
covered by the $320 full mouth fee

At the re-check, the goal is simple: fewer bleeding spots and shallower readings. Pockets that were 5 mm often come back at 3 or 4 once the swelling goes down. From there you move to a cleaning every three to four months for a while. If your numbers stay stable for a year or more, we can talk about stretching that interval. I'll give you the fee for those visits in writing at the re-check.

Home care matters more after a deep cleaning, not less. I'll show you, on your own teeth, which spots the brush is missing. For most people that means an interdental brush for the spaces floss doesn't reach, and more attention to the back teeth and the inside of the lower front teeth. If recession has already exposed root surfaces, the gum recession treatment page covers what can be done about it.

Who Wrote This

Reviewed by Dr. Bao Nguyen, DDS

Dr. Bao Nguyen, DDS, owner of Promenade Dental Care in Murrieta, CA, UCLA School of Dentistry graduate and U.S. Navy veteran
Dr. Bao Nguyen, DDS, has treated gum disease in Murrieta since 2010.

I trained at the UCLA School of Dentistry and then served ten years in the U.S. Navy Dental Corps, including an Advanced Education in General Dentistry residency at Naval Hospital Camp Pendleton and deployments to Kuwait and Iraq. Deployed sailors and Marines don't get regular cleanings, so a lot of my Navy work was gum treatment on people who'd gone months without one. That's where I learned to trust the probe and the X-rays over how the gums look, and to judge how much treatment a mouth really needs.

I opened Promenade Dental Care in 2010 and still see every patient myself. Patients from Murrieta, Temecula, French Valley, Menifee, and Winchester tend to mention the same thing in their reviews: I explain what I see before I recommend anything, and I don't push work they don't need. That's how I want a deep cleaning conversation to go, too.

More about Dr. Nguyen and the practice

Related Care

Related Gum Care at Promenade Dental Care

A deep cleaning is one step in treating gum disease. These pages cover the steps around it.

Gum Disease Treatment

Staging, laser therapy, and what happens when pockets don't respond to a deep cleaning.

Gum disease treatment in Murrieta

Gingivitis Treatment

Bleeding gums with healthy bone. Usually fixed with a regular cleaning, not a deep one.

Gingivitis treatment

$95 Ultrasonic Cleaning

The routine cleaning for healthy gums, with no scraping and a published price.

Ultrasonic teeth cleaning

$20 Exam & X-Rays

Where every deep cleaning decision starts: pocket measurements and bone levels.

Dental exam & X-rays

Gum Recession Treatment

When gums have pulled back and roots are showing, from monitoring to grafting.

Gum recession treatment

Sedation for Nervous Patients

Nitrous oxide and oral sedation for anyone who's been putting off gum treatment out of fear.

Sedation dentistry

Patient Reviews

What Murrieta Patients Say About Honest Treatment Here

Deep Cleaning FAQs

Full Mouth Deep Cleaning: Questions Patients Ask Me

How much does a full mouth deep cleaning cost at Promenade Dental Care?

My fee for a full mouth deep cleaning is $320. That covers scaling and root planing on all four quadrants. It starts with a $20 new-patient exam with digital X-rays and pocket measurements, which is how I confirm you actually need it. If you have PPO insurance, your out-of-pocket cost depends on your plan, and we verify your benefits before the appointment. CareCredit is available.

Is the $320 per quadrant or for the whole mouth?

The whole mouth. $320 covers all four quadrants: upper right, upper left, lower right, and lower left. Many offices quote deep cleanings per quadrant, which is why estimates elsewhere can look much higher once all four are added up. Most patients here have it done over two visits, one side at a time, and the fee is the same whether it takes one appointment or two.

Why do other offices charge $600 or more for a deep cleaning?

Mostly billing structure and overhead. Insurance codes scaling and root planing per quadrant, so many offices price it that way, and four quadrants add up. Some also add medication charges per tooth. I'm a solo practitioner with lower overhead than a corporate office, I set one full mouth fee, and I don't offer antimicrobial add-ons. The instruments and the technique are the same.

Does a deep cleaning hurt?

Not during the procedure, because the area is numbed with local anesthetic. You'll feel pressure, water, and vibration. If anything feels sharp, raise your hand and I stop and add more anesthetic. Afterward, most patients have tender gums for a day or two and some cold sensitivity for a few weeks. Over-the-counter pain relief is usually enough.

How long does a full mouth deep cleaning take?

Plan on about an hour per side. Most patients here come in twice, once for the right side and once for the left, so they're never numb on both sides at the same time. If you'd rather do the whole mouth in one longer appointment, that can often be arranged. Then there's a short re-check visit about four to six weeks later to measure how the gums healed.

Can I go back to work after a deep cleaning?

Yes. Most people go straight back to work or their normal day. The numbness lasts a few hours, so wait to eat until it wears off so you don't bite your cheek. You can drive yourself unless you chose oral sedation, in which case you'll need someone to take you home.

What can I eat after scaling and root planing?

Anything that doesn't hurt, once the numbness is gone. Soft, lukewarm foods are easiest the first evening: eggs, pasta, soup that has cooled a bit, yogurt. Go easy on very hot, very cold, spicy, or crunchy foods for a day or two while the gums are tender. There are no stitches, so there's no special diet beyond comfort.

Why are my teeth sensitive to cold after a deep cleaning?

Tartar had been covering part of the root, and once it's removed the clean root surface is exposed to cold air and water. As the gums tighten and the root settles, the sensitivity usually fades over a few weeks. A potassium nitrate sensitivity toothpaste helps if you start it right away. Sensitivity that gets worse instead of better, or turns into a lingering ache, should be checked.

Why does a tooth feel loose after my deep cleaning?

Heavy tartar can act like a splint between teeth, and swollen gums can hold a tooth snugly even when the bone underneath has been lost. When both are cleared away, a tooth can feel a little looser for a while. As the gums heal and tighten, that usually improves. If a tooth stays loose at the re-check, we look at the bone support and talk about options.

Will I need another deep cleaning in the future?

The goal is no. If the gums heal well and you keep up with home care and cleanings every three to four months, many patients never need a second one. Gum disease can come back, though, especially with smoking, diabetes, or skipped visits. If pockets deepen again later, a repeat deep cleaning on the affected areas may be needed, and I'll show you the measurements first.

What do D4341 and D4342 mean on my insurance estimate?

They're the dental billing codes for scaling and root planing. D4341 is used for a quadrant with four or more affected teeth, and D4342 for a quadrant with one to three affected teeth. Insurance plans pay per quadrant using those codes, so the estimate may list up to four lines. Our fee is still $320 for the full mouth, and we check what your plan covers before you schedule.

Another dentist said I need a deep cleaning. Can you give me a second opinion?

Yes, and it's a reasonable thing to ask for. Book the $20 new-patient exam, and bring any X-rays or pocket charts you already have. I'll take my own measurements, show you the numbers and images on the screen, and tell you plainly whether you need scaling and root planing or a regular cleaning. Sometimes I agree with the first office. Sometimes a $95 cleaning is all you need.

Will you put antibiotics or medication in my gums after the cleaning?

No. I don't offer antimicrobial therapy, the medicated chips or gels some offices place in the pockets after a deep cleaning, so it won't appear on your estimate. Antibiotic pills aren't routine after scaling and root planing either. They're reserved for specific situations, like a spreading infection or certain medical conditions, and I'll discuss them with you if that applies.

Can a deep cleaning save a tooth that's already loose?

Sometimes. If the looseness comes mostly from inflamed gums, the tooth often firms up as the tissue heals. If most of the bone around the root is already gone, a deep cleaning can stop the infection from spreading but can't rebuild that bone. I'll show you on the X-ray how much support is left and give you a straight answer about whether the tooth is worth fighting for.

Find Out If You Really Need a Deep Cleaning

Start with a $20 exam and digital X-rays. If your gums need scaling and root planing, the full mouth is $320, in writing before we begin. If they don't, I'll tell you that too.

(951) 412-0127 Request an Appointment Online

Promenade Dental Care · Dr. Bao Nguyen, DDS
26957 Date St., Suite B4, Murrieta, CA 92563
Serving Murrieta, Temecula, French Valley, Menifee, Wildomar & Winchester