Yes — AXA / GIG Gulf covers periodontal treatment, but the scope varies significantly by plan tier and treatment type. Routine gingivitis treatment (professional cleaning and scaling) is covered on all plans. Scaling and root planing (deep cleaning for periodontitis) is covered on Enhanced and Premium plans with pre-authorization. Advanced surgical periodontal treatment (gum flap surgery) is covered on Premium and International plans with clinical justification and pre-authorization.

Gingivitis: inflammation of the gum tissue without bone loss — treated with professional cleaning, which is covered on all AXA/GIG plans under routine dental benefits. Periodontitis: bone loss around teeth with deep periodontal pockets — requires deep cleaning (scaling and root planing, SRP) covered under periodontal/major dental codes on Enhanced and Premium plans with pre-authorization. Periodontitis requires more clinical documentation for coverage.

Scaling and root planing (SRP, D4341/D4342) — the therapeutic procedure for treating periodontitis — is covered on AXA Enhanced and Premium plans at 70-90% with pre-authorization. Basic and Essential plans have more limited SRP coverage. Pre-authorization requires clinical documentation of periodontal pocket depths (≥4mm), radiographic bone loss, and a diagnosis of periodontitis from a DHA-registered dentist or periodontist.

Periodontal surgery (gum flap surgery, osseous surgery) is covered on AXA Premium and International plans when conservative treatment (SRP) has failed and documented disease progression warrants surgical intervention. Coverage is typically 70-80% with pre-authorization and a requirement for prior SRP treatment attempt. Essential and Advantage plans generally do not cover periodontal surgery. A specialist periodontist's recommendation is required.

For patients who have completed active periodontal treatment (SRP or surgery), periodontal maintenance cleanings (D4910) every 3 months are covered on Enhanced and Premium AXA/GIG plans. This is distinct from routine prophylaxis (standard cleaning every 6 months). Periodontal maintenance is more thorough and clinically necessary to prevent disease recurrence. The transition from routine cleaning to periodontal maintenance requires clinical documentation of your periodontal diagnosis.

Yes. Specialist consultation with a DHA-registered periodontist is covered under dental specialist consultation benefits on AXA Enhanced and Premium plans. On Essential and basic plans, specialist consultations may require specific circumstances or referral. Bring your AXA/GIG card and a referral letter from your general dentist if required by your plan.

LANAP (Laser-Assisted New Attachment Procedure) is a laser-based alternative to traditional gum surgery. AXA/GIG coverage for LANAP is limited — most plans cover only traditional surgical approaches that have an established clinical evidence base. LANAP may be considered experimental or not within the standard of care under AXA/GIG's clinical review guidelines. Check with GIG Gulf specifically before planning LANAP treatment.

Bone grafting to repair periodontal bone defects (different from implant bone grafting) is covered on a case-by-case basis on Premium and International AXA/GIG plans. Clinical documentation of the defect, radiographic evidence, and specialist periodontist recommendation are required. Coverage is typically 70-80% with pre-authorization. This is distinct from implant-related bone grafting, which is commonly excluded.

Periodontal pre-authorization documentation: (1) Full periodontal charting showing pocket depths ≥4mm in multiple teeth. (2) Bitewing and periapical X-rays demonstrating bone loss. (3) Clinical diagnosis: generalized/localized gingivitis or periodontitis classification (mild/moderate/severe). (4) Treatment plan specifying which quadrants require SRP. (5) DHA dentist/periodontist license number. (6) For surgery: evidence that non-surgical treatment was attempted and failed.

Yes. Systemic antibiotics prescribed for periodontal infections (amoxicillin, metronidazole, azithromycin) are covered under your pharmaceutical benefit on all AXA/GIG plans. Locally applied antibiotics (Arestin microspheres, PerioChip) placed within periodontal pockets are dental procedure adjuncts — coverage depends on plan tier and whether they are included in the periodontal treatment authorization.

Dental implants to replace teeth that were lost due to periodontitis are covered on AXA Premium/International plans at 50% (same as implants for other reasons). However, active periodontal disease must be treated and stabilised before implant placement — you cannot get an implant while active gum disease is present. Your periodontist will confirm when your gums are healthy enough for implant treatment.

Routine cleaning (addressing gingivitis) has no waiting period on most AXA/GIG plans. Non-emergency periodontal treatment (SRP, surgery) may be subject to waiting periods of 3-6 months (group plans) or up to 12 months (individual plans) from the policy effective date. Emergency periodontal treatment (acute abscess, severe infection) generally bypasses waiting periods.

Both AXA/GIG and Daman cover routine cleaning on all plans and SRP on higher-tier plans. The key differences: Daman Gold/Platinum has more standardized SRP coverage across UAE employee populations; AXA/GIG Enhanced/Premium coverage levels depend more on the specific employer contract. For most UAE employees on standard group plans, Daman Gold offers comparable or slightly more consistent periodontal coverage than standard AXA/GIG group plans.

Aesthetic gum contouring (adjusting the gum line for a more attractive smile) is classified as cosmetic and is not covered on any AXA/GIG plan. Functional gum surgery — including gingivectomy for treating excessive gingival overgrowth (drug-induced or genetic hyperplasia) that interferes with oral hygiene — may be covered on Enhanced/Premium plans with clinical documentation.