Many PM&R physicians choose to pursue additional advanced degrees (MS, PhD) or complete fellowship training in a specific area of the specialty. Fellowships are available for specialized study in such areas as musculoskeletal rehabilitation, pediatrics, traumatic brain injury, spinal cord injury, and sports medicine.
If you have advanced periodontitis, your gum tissue may not respond to nonsurgical treatments and good oral hygiene. In that case, periodontitis treatment may require dental surgery, such as: 1  Flap surgery (pocket reduction surgery).2  In this procedure, your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place. 2  After you heal, it's easier to clean these areas and maintain healthy gum tissue. 3  Soft tissue grafts.
The cost of treatment for gum disease (periodontitis) varies quite considerably according to how severe the disease is. At the one end of the spectrum, all that may be required is a simple scale and polish ITEM 114 which will set you back $75- $150.he ADA 2012 member dental fee survey found the average cost for ITEM 114 to be $107 (across all states). Some dentists will take the clean slightly under the gum if the periodontitis is mild. Here we are only talking shallowish pockets (of up to 4mm) and only if it is comfortable.