Thank you for your post. The standard procedure is for you to have an exam and diagnosis first. There are many treatment options, and ultimately which option you choose will dictate the expenses involved.

Juvenile Onset Periodontitis, although rare, is typically localized to the first molars and mandibular anterior teeth. Bacterial culturing is used to confirm the diagnosis as there is a strong correlation between this condition and Actinobacillus actinomycetemcomitans (Aa) (now classified in the Haemophilus family). If diagnosed in the early stages, this condition can be resolved with Tetracycline / Doxycycline antibiotic treatment. However, if left untreated it can result in severe bone loss around those teeth and possible tooth loss.

Dental implants are the preferred way to replace missing teeth. Most insurance companies do not cover dental implants; greed being the only plausible explanation for that. However, as a general rule, males should not have implants placed till they are 18 years possibly younger depending on where they are in puberty. Females can are usually eligible for dental implants once they begin menstruation. Both of those relate to when the mandible and maxilla have dimensionally matured. In males growth will continue through puberty whereas in females this is usually true at the commencement of menstruation. The above is not certain for every male and female it is just a strong guideline. Other tests can be used such as a hand radiograph.

I would recommend that you have your son diagnosed by a Periodontist, to determine the diagnosis and prognosis of the involved teeth. If tooth loss is a reality, then dental implants are the preferred method to replace the teeth. Juvenile periodontitis can evolve to a more generalized condition so it should be treated with conventional treatment and antibiotic treatment. Your son’s condition should be managed with 3 to 4 month hygiene recalls alternating between your dentist and periodontist.