Dental Care Archives — Mountainside Dental Group

Mountainside Dental Group

Category: Dental Care

  • Nightguards for Teeth Grinding: What to Expect

    Nightguards for Teeth Grinding: What to Expect

    A custom dental nightguard is a small oral appliance worn at night by patients who grind or clench their teeth. If a partner has mentioned grinding sounds, or you have noticed jaw soreness or wear on your teeth, your dentist may bring up a nightguard at your next exam. This guide walks through what a nightguard appointment generally looks like at Mountainside Dental. Anything specific to your symptoms or your appliance should be discussed with your dentist at your visit.

    Patient discussing jaw and nightguard options at Mountainside Dental
    Grinding and clenching often come up during a routine exam.

    Quick Facts: What a Nightguard Visit Looks Like

    Visit type
    In-office consultation and impression, plus a fitting visit
    Visits required
    Typically a consultation/impression visit and a fitting visit
    Anesthesia
    Not typically used for a nightguard
    Materials and approach
    Custom appliance fabricated by a dental lab from an impression or scan
    Eating after
    Nightguards are worn at night, not while eating; remove before meals
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Nightguard?

    A nightguard is a custom-fit oral appliance worn at night. It is shaped to fit the upper or lower teeth and is used by patients who grind their teeth (a habit called bruxism) or clench, particularly while sleeping. A custom dental nightguard is made from an impression or scan of your teeth and fabricated by a dental lab, which is different from over-the-counter options sold at a pharmacy that rely on boil-and-bite shaping at home.

    A nightguard is one tool a dentist may discuss when grinding or clenching is part of the picture. Grinding and jaw symptoms can also overlap with TMJ-related concerns, and your dentist may discuss both. For background on jaw pain, see our guide on TMJ and jaw pain. Whether a nightguard is the right step for your situation is something your dentist will determine after an exam.

    Why Patients Book a Nightguard Visit

    Patients often book when they notice things like:

    • Wear on the edges or chewing surfaces of their teeth
    • Jaw soreness in the morning that eases later in the day
    • A partner or family member mentioning grinding sounds at night
    • Headaches around the jaw or temples
    • A dentist pointing out signs of grinding at a routine exam
    • A previous nightguard that no longer fits or has worn down

    Whether a nightguard is the right next step is something your dentist will determine after an exam and a discussion of your history.

    Custom Nightguards and Over-the-Counter Options

    Patients sometimes ask how a custom dental nightguard differs from an over-the-counter option. A custom nightguard is shaped from an impression or scan of your own teeth and fabricated by a dental lab. Over-the-counter options come in stock shapes that are softened in hot water and bitten into for a rough fit at home. Your dentist will discuss which option fits your situation.

    Custom Dental Nightguard

    Made from your impression

    Shaped from an impression or digital scan of your teeth and fabricated by a dental lab. Your dentist checks the fit at a follow-up visit.

    Over-the-Counter Options

    Stock shape, fit at home

    Sold at pharmacies in a stock shape. Patients typically soften the appliance in hot water and bite into it to create a rough fit. Your dentist can discuss the trade-offs.

    The Nightguard Process: Step by Step

    Close-up of a therapist massaging a patient's neck for pain relief and relaxation.

    What Happens During Your Appointments

    1

    Consultation and Exam

    Your dentist asks about the symptoms you have noticed and examines your teeth, bite, and jaw, then discusses whether a nightguard fits your case.

    2

    Reviewing History

    The team reviews your medical and dental history. Mention any jaw injuries, sleep concerns, medications, or previous appliances.

    3

    Impression or Digital Scan

    Your dentist takes an impression or digital scan. The dental lab uses it to fabricate the custom appliance to your bite.

    4

    Lab Fabrication

    The impression or scan is sent to a dental lab, which fabricates the appliance. The wait between visits depends on the lab.

    5

    Fitting Visit

    Your dentist tries the appliance in and checks the fit and the bite. Small adjustments are made before you take it home.

    6

    At-Home Care Instructions

    The team will go over how to wear, clean, and store the appliance, and when to check in if something feels off.

    How Long Does a Nightguard Visit Take?

    A custom nightguard is generally not a same-day appliance because the lab fabricates it from your impression or scan. Most patients have a consultation and impression visit, then return for a fitting visit. The wait between visits depends on the lab. Your front-desk team can outline the plan when you book, and your dentist will confirm the steps at your first visit.

    What About Pain or Discomfort?

    The impression or scan and the fitting visits do not generally involve anesthesia. The appliance itself is worn at night and takes some getting used to. Everyone’s experience is different, and how a new nightguard feels in the first few nights can depend on your bite, your jaw, and what you are used to. Your dentist is the right person to discuss what to expect and to adjust the appliance if something does not feel right.

    If something feels off in the first few nights of wear, call the office. Small fit adjustments at the chair are common with new appliances.

    Before Your Appointment

    Dental professionals discussing patient images in a modern clinic setting.

    A nightguard visit requires very little preparation. A few notes:

    • Bring a list of symptoms you have noticed, including when they tend to happen.
    • Mention any previous nightguards and what worked or did not work about them.
    • Tell the office about jaw injuries, sleep concerns, or recent dental work that might affect the bite.
    • Bring your insurance card and a list of current medications.
    • If a partner has mentioned grinding sounds, share what they have observed.

    After Your Appointment

    Your dentist will go over specific instructions at the end of your fitting visit, including how to wear the appliance, how to clean it, and what to watch for. General reminders most patients receive include:

    1

    Wear It as Directed

    Your dentist will explain when to wear the appliance, which is typically while sleeping. Follow the specific guidance you receive at the fitting visit.

    2

    Clean It Each Morning

    Most patients rinse and brush the appliance with a soft toothbrush after use. Your dentist will explain what cleaner to use and what to avoid.

    3

    Store It in the Case

    Keep the appliance in its case when not in use. Pets sometimes find nightguards interesting, and leaving one out on a nightstand is a common way it gets damaged.

    4

    When to Call the Office

    If the fit feels off, the appliance cracks, or your symptoms change, call the office so the team can take a look and the dentist can adjust or replace it.

    Caring for Your Nightguard and When to Replace It

    Day-to-day care is fairly simple. Rinse the appliance when you take it out in the morning and brush it with a soft toothbrush. Your dentist will tell you which cleaner is appropriate and what to avoid, including very hot water and abrasive toothpaste. Store the appliance in its case, away from heat and pets.

    Signs that an appliance may need to be looked at include visible wear or thinning on the chewing surfaces, cracks or chips, a fit that feels loose or different, or new symptoms. These are reasons to call the office and schedule a check. Your dentist will examine the appliance, your teeth, and your bite and discuss the next step.

    Insurance and Payment Options

    Bright and cheerful portrait of a smiling woman in a red shirt, conveying warmth and confidence.

    The cost of a custom nightguard varies depending on the type of appliance, the lab, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your specific treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “Quality care and personal attention. They make it as pleasant of an experience as possible. I highly recommend Mountainside Dental.”

    Tom J., Rancho Santa Margarita, Google Review

    Mountainside Dental Locations

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    How is a custom nightguard different from an over-the-counter one?
    A custom nightguard is shaped from an impression or scan of your teeth and fabricated by a dental lab. An over-the-counter option comes in a stock shape that is softened in hot water and bitten into at home. Your dentist will discuss which fits your situation.
    How many visits does a nightguard take?
    Most patients have a consultation and impression visit, then return for a fitting visit after the lab has fabricated the appliance. The exact timing depends on the lab.
    Will I need anesthesia?
    Anesthesia is not typically used for nightguard visits, since the work involves an impression or scan and a fitting rather than a dental procedure on the tooth itself.
    My partner says I grind at night. Do I need a nightguard?
    Maybe. Bring it up at your next exam. Your dentist will examine your teeth, bite, and jaw and discuss whether a nightguard fits your situation.
    Is grinding the same as TMJ?
    They are related but not the same. Jaw symptoms can have other causes too. For background, see our guide on TMJ and jaw pain.
    How do I clean my nightguard?
    Most patients rinse the appliance and brush it with a soft toothbrush after use. Your dentist will tell you what cleaner to use and what to avoid.
    When should I replace my nightguard?
    Visible wear, cracks, a fit that feels different, or new symptoms are reasons to bring the appliance in for a check.
    My new nightguard feels strange. Is that normal?
    A new appliance often takes some getting used to. If something feels off after the first few nights, call the office so the dentist can check the fit.
    I am nervous about the visit. What are my options?
    Tell the front desk when you book. Many offices offer nitrous oxide, and our sedation dentistry guide covers other options.
    What if my situation feels urgent?
    If you have severe jaw pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Nightguard?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Dental Bridges: What to Expect

    Dental Bridges: What to Expect

    A dental bridge is one way to address a missing tooth. If your dentist has mentioned a bridge as an option, the questions tend to be practical. How many visits are typical? What happens to the neighboring teeth? This guide walks through what a bridge appointment generally looks like at Mountainside Dental. Anything specific to your case or your aftercare should be discussed with your dentist at your visit.

    Dental bridge treatment example at Mountainside Dental
    A dental bridge fills a gap by anchoring to the teeth on either side.

    Quick Facts: What a Bridge Visit Looks Like

    Visit type
    In-office procedure, typically across more than one visit
    Visits required
    Often a planning visit, a preparation visit, and a placement visit
    Anesthesia
    Local anesthesia commonly used during preparation; your dentist will discuss options
    Materials and approach
    Traditional fixed bridges and implant-supported bridges are both common
    Eating after
    Follow specific aftercare from your dentist; wait until anesthesia wears off
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Dental Bridge?

    A dental bridge replaces one or more missing teeth with a false tooth, called a pontic, supported by the teeth or implants on either side. The supporting structures are called abutments. In a traditional fixed bridge, the abutments are natural teeth prepared and topped with crowns connected to the pontic. In an implant-supported bridge, the abutments are dental implants placed in the jaw.

    A bridge is one of several options for addressing a gap. Others include a single dental implant and, in some situations, a removable partial denture. For background, see our implants vs dentures guide. Your dentist will discuss which option fits your case.

    Why Patients Book a Bridge Visit

    Patients often book when they notice things like:

    • A gap from a tooth that was extracted some time ago
    • A space that is making it harder to chew on one side
    • A tooth the dentist has already discussed removing and replacing
    • Neighboring teeth that seem to be shifting toward an open space
    • Concerns about how a visible gap affects their smile

    Whether a bridge is the right next step is something your dentist will determine after an exam and any imaging.

    Types of Bridges

    Two approaches come up most often at a consultation. Your dentist will discuss which fits your specific case.

    Traditional Fixed Bridge

    Anchored to natural teeth

    The teeth on either side of the gap are prepared and topped with crowns that are connected to a false tooth in the middle. The whole unit is cemented in place.

    Implant-Supported Bridge

    Anchored to implants

    Instead of relying on neighboring natural teeth, the bridge is supported by dental implants placed in the jawbone. This approach leaves the adjacent natural teeth untouched.

    Less common variations exist for specific situations, including bridges that bond to the back of adjacent teeth. Your dentist will explain whether one of those approaches applies to your case.

    The Bridge Process: Step by Step

    Close-up of a dental prosthetic on a reflective surface with a tooth model in the background.

    What Happens During Your Appointments

    1

    Planning Visit and Imaging

    Your dentist examines the area and may take X-rays or a 3D scan, then discusses whether a traditional or implant-supported bridge fits your case.

    2

    Preparing the Abutment Teeth

    For a traditional bridge, the teeth on either side of the gap are reshaped so the supporting crowns can fit over them. Local anesthesia is commonly used. For an implant-supported bridge, the preparation involves the implants instead.

    3

    Impression or Digital Scan

    The dentist takes an impression or digital scan. The dental lab uses it to fabricate the final bridge.

    4

    Temporary Bridge

    A temporary bridge is often placed to protect the prepared teeth while the lab makes the final restoration.

    5

    Fitting and Cementing the Final Bridge

    At a follow-up visit, the temporary is removed and the final bridge is tried in. Your dentist checks the fit, the color, and the bite before cementing or securing it in place.

    6

    Bite Check and Aftercare Review

    You bite down on a marking paper so the dentist can confirm everything meets correctly. The team then walks through how to clean around the bridge.

    How Long Does a Bridge Visit Take?

    A bridge is generally not a same-day procedure because the final restoration is fabricated by a dental lab. Most patients have a planning visit, a preparation visit, and a placement visit. The exact number of appointments and the time between them depend on the type of bridge, the lab’s schedule, and your specific case. Your front-desk team can outline the plan when you book, and your dentist will confirm the steps at your first visit.

    What About Pain or Discomfort?

    Local anesthesia is commonly used while the abutment teeth are being prepared so the area is numb during the procedure. Everyone’s experience is different, and how you feel during and after the visits can depend on the case, your sensitivity, and your anxiety level around dental visits. Your dentist is the right person to discuss what to expect.

    If you are nervous, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety, see our guide on sedation dentistry.

    Before Your Appointment

    Dentist polishing dentures with precision in a dental clinic setting.

    A few practical notes:

    • Eat before the appointment if you can. Your mouth may be numb afterward.
    • Take your regular medications on schedule unless instructed otherwise.
    • If you are nervous, tell the front desk when you book.
    • Bring your insurance card and a list of current medications.
    • Mention anything new in your health history (pregnancy, new prescriptions, allergies).
    • If your bridge involves implants, additional planning visits may be scheduled before the bridge work begins.

    After Your Appointment

    Your dentist will go over specific aftercare at the end of your visit. General reminders most patients receive:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with hot liquids. Your dentist will let you know when it is safe to chew normally.

    2

    Care for a Temporary Bridge

    If a temporary is in place, your dentist will explain what to eat, what to avoid, and how to clean around it.

    3

    Cleaning Around the Final Bridge

    Your dentist or hygienist will show you how to clean under and around the bridge using a floss threader or another tool that fits your situation.

    4

    When to Call the Office

    If your bite feels off, a temporary comes loose, or discomfort persists, call the office so the team can take a look.

    Cleaning Around a Bridge

    A bridge sits across the gap, which means a regular toothbrush and standard floss will not reach every surface. Most patients use a floss threader, a special floss designed for bridges, a water flosser, or a small interdental brush to clean under the pontic and around the abutments. Your dentist or hygienist will show you the technique at the appointment and at follow-up cleanings.

    How Long Does a Bridge Last?

    Close-up of dental veneers arranged neatly on a display rack in a dental office setting.

    Every bridge eventually needs to be looked at and, in some cases, replaced or repaired. How long a specific bridge holds up varies based on the type of bridge, the supporting teeth or implants, how the bridge is used day to day, and overall oral hygiene. Routine exams give your dentist a chance to check on the supporting teeth, the gum tissue around the bridge, and the bridge itself.

    Bridges, Implants, and Other Options

    A bridge is one option for replacing a missing tooth. A single dental implant is another. A removable partial denture is a third. Each has different implications for the neighboring teeth and the way the restoration is cared for at home. For an overview, see our implants vs dentures guide. If a bridge involves crown work, our dental crowns guide covers what that part of the appointment looks like.

    Insurance and Payment Options

    The cost of a bridge varies depending on the type of bridge, the number of teeth involved, the materials, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your specific plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “Mountainside Dental folks are always professional and friendly. The office runs smoothly. The hygienists are especially good with my special needs daughter. Their crowns are high quality.”

    Diana K., Yucaipa, Google Review

    Mountainside Dental Locations

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    How many visits does a bridge take?
    A bridge typically involves more than one visit because the final restoration is made by a dental lab. Most patients have a planning visit, a preparation visit, and a placement visit. Your dentist will outline the plan for your specific case.
    Will I need anesthesia for a bridge?
    Local anesthesia is commonly used while the supporting teeth are being prepared. Your dentist will discuss anesthesia options at your visit and explain what is being used and why.
    What is the difference between a traditional and an implant-supported bridge?
    A traditional bridge is anchored to the natural teeth on either side of the gap, which are prepared to receive crowns. An implant-supported bridge is anchored to dental implants in the jawbone instead of natural teeth. Your dentist will discuss which fits your case.
    Should I get a bridge or an implant?
    Both can address a missing tooth, and the right choice depends on the area, the surrounding teeth, and your goals. Your dentist will discuss the trade-offs at your exam.
    How do I clean around a bridge?
    Most patients use a floss threader, special bridge floss, a water flosser, or a small interdental brush. Your dentist or hygienist will show you the technique at the visit.
    Will the supporting teeth be drilled down?
    For a traditional bridge, the teeth on either side of the gap are reshaped to receive crowns. For an implant-supported bridge, the adjacent natural teeth are not prepared.
    What if my bridge feels off after the visit?
    Call the office. If your bite feels off or the bridge feels loose, the team would rather hear from you than have you wait.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit.
    I am nervous about the visit. What are my options?
    Tell the front desk when you book. Many offices offer nitrous oxide, and our sedation dentistry guide covers other options.
    What if my situation feels urgent?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Dental Bridge?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Wisdom Teeth Removal: What to Expect

    Wisdom Teeth Removal: What to Expect

    Wisdom teeth removal is one of the procedures most patients ask about by name. The questions are practical. Do all four need to come out at once? What does the visit look like? This guide walks through what a wisdom teeth visit generally looks like at Mountainside Dental. Anything specific to your teeth, your imaging, your sedation plan, or your aftercare should be discussed with your dentist at your visit.

    Panoramic dental X-ray used to evaluate wisdom teeth at Mountainside Dental
    A panoramic X-ray is often used to plan a wisdom teeth visit.

    Quick Facts: What a Wisdom Teeth Visit Looks Like

    Visit type
    In-office procedure
    Visits required
    Usually a single visit; a follow-up may be scheduled
    Anesthesia
    Local, oral sedation, or IV sedation depending on the case; your dentist will discuss the right option for you
    Approach
    Varies by tooth: erupted teeth may be removed like a routine extraction, impacted teeth involve additional steps
    Eating after
    Soft foods to start; follow specific aftercare from your dentist
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is Wisdom Teeth Removal?

    Wisdom teeth are the third molars at the back of the mouth. They are the last teeth to come in, and they do not always have the space or angle they need. Wisdom teeth removal is the procedure to take one or more of these teeth out of the socket. Some patients have all four removed in a single visit. Others have one or two taken out, often spaced over more than one appointment.

    Some wisdom teeth are fully erupted, meaning they have come through the gum line, and can be removed in a way similar to a routine tooth extraction. Others are impacted, meaning they are partially or fully covered by gum or bone, and the dentist will walk through the additional steps. Your dentist will explain which situation applies to your case.

    Why Patients Book a Wisdom Teeth Visit

    Patients often book an appointment when they notice things like:

    • A new ache or pressure at the back of the mouth
    • A tooth they can feel pushing through near the back of the jaw
    • Swelling or tenderness in the gum behind the last molar
    • Food catching in the area or a hard-to-clean spot near the back
    • A wisdom tooth their dentist has been watching on past X-rays

    These observations are what bring patients in. Whether a wisdom tooth needs to be removed, and how many, is something your dentist will determine after an exam and review of your imaging.

    The Wisdom Teeth Removal Process: Step by Step

    What Happens During Your Appointment

    1

    Exam and Imaging Review

    Your dentist reviews your imaging, examines the area, and walks you through what they see. The position of each tooth, whether it is erupted or impacted, and the plan for the visit are all discussed before anything begins.

    2

    Reviewing Health History and Comfort Options

    The team reviews your medications, allergies, and health history. Anesthesia and sedation options are discussed at this point. Mention any blood thinners, pregnancy, recent illness, or new prescriptions here.

    3

    Anesthesia and Sedation

    Wisdom teeth visits commonly use local anesthesia so the area is numb during the procedure. Depending on the case, oral sedation or IV sedation may also be part of the plan. Your dentist will explain what is being used and why.

    4

    Removing the Tooth or Teeth

    The dentist removes the wisdom tooth or teeth using the approach that fits the case. A fully erupted tooth may be lifted from its socket. An impacted tooth involves additional steps the dentist will walk you through. If multiple teeth are being removed in one visit, each is addressed in turn.

    5

    Cleaning the Sockets and Placing Gauze

    Each socket is cleaned and gauze is placed so a blood clot can form. Your dentist will explain how to manage the gauze at home and what to expect in the hours after the visit.

    6

    Aftercare Review and Next Steps

    Before you leave, your dentist or the team reviews aftercare in detail, schedules a follow-up if one is part of your plan, and answers any last questions. If sedation was used, a designated driver takes you home.

    How Long Does a Wisdom Teeth Visit Take?

    Portrait of a young woman feeling toothache, showing discomfort outdoors with a pained facial expression.

    Most wisdom teeth visits are a single in-office appointment. The time depends on how many teeth are being removed, whether they are erupted or impacted, and your specific situation. A case with one erupted tooth looks very different from a case with four impacted teeth. Your front-desk team can give you an estimate when you book, and your dentist will confirm the plan at the visit. A follow-up may be scheduled to check on healing.

    What About Pain or Discomfort?

    Local anesthesia is commonly used during a wisdom teeth visit so the area is numb during the procedure. Sedation options may be added depending on the case and your comfort level. We do not make specific comfort promises on the blog because every patient and every case is different. Your dentist is the right person to discuss what to expect during the visit and in the days that follow.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety or for more involved surgical cases, see our guide on sedation dentistry. Specific recommendations for your case should come from your dentist.

    Before Your Appointment

    A wisdom teeth visit usually involves a few more practical notes than a routine procedure. Some general reminders:

    • If oral or IV sedation is part of your plan, your dentist will give you specific instructions about eating and drinking beforehand. Follow those instructions exactly.
    • Arrange for a friend or family member to drive you home if sedation is part of the plan.
    • If you are on blood thinners or have a heart condition, make sure the office has current information before the visit.
    • Bring your insurance card and a list of current medications.
    • Have soft foods, gauze, and ice packs on hand for after the visit.
    • Plan a quiet day at home after the appointment.

    After Your Appointment

    Patient sitting in a dental chair inside a modern clinic, ready for an examination.

    Your dentist will go over specific aftercare instructions at the end of your visit. Aftercare for a wisdom teeth visit matters more than it does for many routine procedures, and following the specifics from your dentist is the right call. General reminders most patients receive include:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with eating or drinking hot liquids. Your dentist will let you know when it is safe to chew and on which side.

    2

    Follow Your Dentist’s Instructions

    Specific guidance on gauze, ice, eating, rinsing, and rest after the visit should come from your dentist. Every case is different, and erupted versus impacted matters.

    3

    Normal Hygiene With Care Near the Site

    Most patients can continue brushing the rest of their teeth normally, with care around the extraction sites. Ask your dentist about what to do near the areas that were treated.

    4

    When to Call the Office

    If something feels off after your appointment, including bleeding that does not settle, swelling that does not ease, fever, or persistent discomfort, call the office so the team can take a look.

    Aftercare Basics and When to Call

    Healing from a wisdom teeth visit is something your dentist will walk you through in detail. The specifics depend on how many teeth were removed, whether they were erupted or impacted, and your overall health. Soft foods, gentle care around the sockets, and rest are part of most aftercare plans. We do not list specific recovery timelines on the blog because the range is wide and every case is different.

    If anything feels off in the days after the visit, call the office. If a follow-up is part of your plan, the front desk will schedule it before you leave. For situations that feel urgent, see our dental emergency guide.

    Insurance and Payment Options

    The cost of a wisdom teeth visit varies depending on the number of teeth being removed, whether they are erupted or impacted, the sedation plan, and your insurance benefits. Your front-desk team will provide an estimate based on your specific treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “First time I’ve enjoyed going to the dentist in 60 years.”

    Cynthia B., La Quinta, Google Review

    Mountainside Dental Locations

    High-tech panoramic dental x-ray machine in a modern clinic for dental health assessments.

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Do all four wisdom teeth need to come out at once?
    Not always. Some patients have all four removed in a single visit, others have one or two. The plan depends on what your dentist sees on imaging and at the exam.
    What is the difference between an erupted and an impacted wisdom tooth?
    An erupted tooth has come through the gum line. An impacted tooth is partially or fully covered by gum or bone. The approach to removal varies between the two. Your dentist will explain which applies to your case.
    Will I be awake during the procedure?
    It depends on the plan. Local anesthesia is commonly used so the area is numb. Oral sedation or IV sedation may also be part of the visit depending on the case and your preference. Your dentist will discuss the options at your consultation.
    Do I need someone to drive me home?
    If oral or IV sedation is part of your plan, yes. Local anesthesia alone usually does not require a driver, but check with the office when you book so you can plan accordingly.
    When can I eat normally again?
    Most patients start with soft foods after a wisdom teeth visit. Your dentist will explain when you can move back to your usual diet based on the specifics of your case.
    What if I take blood thinners?
    Tell the office about any blood thinners or other medications when you book and again at the visit. Your dentist can then plan the appointment accordingly and coordinate with your other providers if needed.
    What if something feels off after the visit?
    Call the office. If bleeding does not settle, swelling does not ease, you develop a fever, or anything else feels off, the team would rather hear from you than have you wait. For urgent situations, see our dental emergency guide.
    I am nervous about wisdom teeth removal. What are my options?
    Tell the front desk when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation, and our sedation dentistry guide covers other options. Your dentist will discuss what makes sense for your case.
    Could the dentist watch a wisdom tooth instead of removing it?
    In some cases, yes. Not every wisdom tooth needs to come out right away. Your dentist may decide to watch the tooth on imaging over time. The recommendation is always specific to what they see at the exam.

    Have Questions About Wisdom Teeth Removal?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Tooth Extractions: What to Expect

    Tooth Extractions: What to Expect

    A tooth extraction is a procedure most patients hope to avoid, but when a dentist recommends one, the questions are real. What actually happens in the chair? What is the difference between a simple extraction and a surgical one? What does the visit look like from check-in to walking out? This guide walks through what an extraction appointment generally looks like at Mountainside Dental. Anything specific to your tooth, your medical history, or your aftercare should be discussed with your dentist at your visit.

    Modern dental treatment room at Mountainside Dental
    A panoramic X-ray is often used to plan an extraction.

    Quick Facts: What an Extraction Visit Looks Like

    Visit type
    In-office procedure
    Visits required
    Usually a single visit; a follow-up may be scheduled
    Anesthesia
    Local anesthesia commonly used; your dentist will discuss sedation options if needed
    Approach
    Simple or surgical, depending on the tooth and your case
    Eating after
    Wait until anesthesia wears off; follow specific aftercare from your dentist
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Tooth Extraction?

    An extraction is the removal of a tooth from its socket. Some extractions are straightforward and described as simple extractions. Others involve a tooth that is more difficult to access or has not fully come in, and are described as surgical extractions. Which approach fits your case depends on the tooth and what the dentist sees on the exam and any imaging.

    Your dentist will examine the tooth, may take an X-ray, and explain whether an extraction is the right next step for your specific case. In many situations, the conversation also includes what comes next after the tooth is removed, including options like a dental implant or bridge. For more on full-arch options when multiple teeth are involved, see our guide on All-on-4 implants.

    Why Patients Book an Extraction Visit

    Patients often book an appointment when they notice things like:

    • A tooth that has been bothering them and the dentist has already discussed removal
    • A tooth that has broken at or near the gum line
    • A wisdom tooth that the dentist has been watching
    • A baby tooth that has not come out on its own and the dentist has discussed removal
    • A tooth the dentist has recommended removing as part of an orthodontic or restorative plan

    These observations are what bring patients in. Whether an extraction is the right step, and what kind, is something your dentist will determine after an exam.

    The Extraction Process: Step by Step

    What Happens During Your Appointment

    1

    Exam and Imaging

    Your dentist examines the tooth and reviews any imaging. They will walk you through what they see and explain the plan for the visit.

    2

    Reviewing Health History and Comfort Options

    The team reviews your medications and health history and discusses anesthesia and comfort options. Mention pregnancy, blood thinners, or new prescriptions here.

    3

    Numbing the Area

    Most extraction visits begin with local anesthesia so the tooth and the area around it are numb during the procedure. Sedation options may be discussed for certain cases.

    4

    Removing the Tooth

    The dentist removes the tooth using the approach that fits the case. A simple extraction lifts the tooth from its socket. A surgical extraction may involve additional steps the dentist will walk you through.

    5

    Cleaning the Socket and Placing Gauze

    The socket is cleaned and gauze is placed so a blood clot can form. Your dentist will explain how to manage the gauze at home and what to expect.

    6

    Aftercare Review and Next Steps

    Before you leave, your dentist or the team will review specific aftercare instructions and discuss next steps, including any restorative plan to replace the tooth.

    How Long Does an Extraction Visit Take?

    A woman in discomfort applying a cold compress to her cheek for relief from toothache pain.

    Most extractions are a single in-office visit. The time depends on whether the case is a simple or surgical extraction, how many teeth are being removed, and your specific situation. A follow-up may be scheduled to check on healing. Your front-desk team can give you an estimate when you book, and your dentist will confirm the plan at the visit.

    What About Pain or Discomfort?

    Local anesthesia is commonly used during an extraction so the area is numb during the procedure. Everyone’s experience is different, and how you feel during and after an extraction can depend on the tooth, the type of extraction, your overall sensitivity, and your anxiety level around dental visits. We do not make specific comfort promises on the blog because every patient and every case is different. Your dentist is the right person to discuss what to expect.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety or for certain surgical cases, see our guide on sedation dentistry. Specific recommendations for your case should come from your dentist.

    Before Your Appointment

    Extraction visits may require a few more practical notes than a routine procedure. Some general reminders:

    • Eat before the appointment unless your dentist has told you otherwise based on your sedation plan.
    • If you are on blood thinners or have a heart condition, make sure the office has current information before the visit.
    • If you are nervous, tell the front desk when you book so the team can plan extra time or comfort options.
    • Bring your insurance card and a list of current medications.
    • Plan for someone to drive you home if your dentist has discussed sedation options.
    • Have soft foods and gauze on hand for after the visit.

    After Your Appointment

    A dentist in green scrubs talks to a patient in a bright, modern dental clinic.

    Your dentist will go over specific aftercare instructions at the end of your visit. Aftercare for an extraction matters more than it does for many routine procedures, and following the specifics from your dentist is the right call. General reminders most patients receive include:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with eating or drinking hot liquids. Your dentist will let you know when it is safe to chew normally on that side.

    2

    Follow Your Dentist’s Instructions

    Specific guidance on gauze, eating, rinsing, and rest after your extraction should come from your dentist at the end of the visit. Every case is different.

    3

    Normal Hygiene With Care Near the Site

    Most patients can continue brushing the rest of their teeth normally, with care around the extraction site. Ask your dentist about what to do near the area that was treated.

    4

    When to Call the Office

    If something feels off after your appointment, including bleeding that does not settle, swelling that does not ease, or persistent discomfort, call the office so the team can take a look.

    Healing and When to Call

    Healing from an extraction is something your dentist will walk you through at the visit. The specifics depend on the tooth, the type of extraction, and your overall health. If anything feels off in the days after the visit, call the office. If a follow-up is part of your plan, the front desk will schedule it before you leave.

    If your extraction is part of a larger plan to replace the tooth, your dentist will walk through what comes next. Our guide on All-on-4 dental implants covers one option for cases involving multiple teeth.

    Insurance and Payment Options

    The cost of an extraction varies depending on the tooth, whether it is a simple or surgical case, sedation choices, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your specific treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “The team was great and supportive as I was very nervous and anxious.”

    Casey D., Rancho Santa Margarita, Google Review

    Mountainside Dental Locations

    Close-up of advanced dental chair setup with dental instruments in a clinic.

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Will I need anesthesia for an extraction?
    Local anesthesia is commonly used during an extraction. Sedation options may be discussed for certain cases. Your dentist will explain what is being used and why at your visit.
    What is the difference between a simple and a surgical extraction?
    A simple extraction removes a tooth that is fully visible and accessible. A surgical extraction involves additional steps and is used when the tooth is more difficult to access. Your dentist will explain which one applies to your case.
    Will I need to replace the tooth?
    It depends on the tooth and your situation. Your dentist will discuss whether a replacement option such as an implant or bridge fits your plan. For more on one option, see our All-on-4 guide.
    When can I eat after an extraction?
    Wait until the numbness from anesthesia has worn off before eating. Your dentist will share specific guidance on what to eat and what to avoid in the days after your visit.
    What if I take blood thinners?
    Tell the office about any blood thinners or other medications when you book and again at the visit. Your dentist can then plan the appointment accordingly and coordinate with your other providers if needed.
    What if something feels off after the extraction?
    Call the office. If bleeding does not settle, swelling does not ease, or you have any concerns after the visit, the team would rather hear from you than have you wait.
    Could I have a filling, root canal, or crown instead?
    In some cases, yes. Your dentist will discuss the options at the exam. For more on those procedures, see our guides on fillings and root canals.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Always tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit. Your dentist can then plan the appointment accordingly.
    I am nervous about an extraction. What are my options?
    Tell the front desk when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation, and our sedation dentistry guide covers other options. Your dentist will discuss what makes sense for your situation.
    What if my situation feels urgent?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About an Extraction?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Dental Cleanings: What to Expect at Your Visit

    Dental Cleanings: What to Expect at Your Visit

    A dental cleaning is the most routine visit in dentistry, and for most patients it is also the most regular touchpoint with the office. If it has been a while since your last cleaning, or you are coming in for the first time, the questions are still real. What actually happens during the visit? Who performs it? What is the difference between a routine cleaning and a deep cleaning? This guide walks through what a cleaning visit generally looks like at Mountainside Dental. Anything specific to your mouth, gums, or oral health history should be discussed with your dentist or hygienist at your visit.

    Modern dental operatory where cleanings are performed at Mountainside Dental
    A Mountainside Dental operatory set up for a cleaning visit.

    Quick Facts: What a Cleaning Visit Looks Like

    Visit type
    In-office hygiene visit
    Visits required
    Usually a single visit for a routine cleaning
    Anesthesia
    Not commonly used for a routine cleaning; your dentist will discuss options if needed
    Approach
    Hand instruments and ultrasonic scaler, followed by polishing
    Eating after
    Generally fine right after; your hygienist will note anything specific
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Dental Cleaning?

    A dental cleaning is a hygiene visit performed by a registered dental hygienist. The hygienist removes plaque and tartar from the surfaces of your teeth and around the gum line, then polishes the teeth. Your dentist will typically come in for an exam as part of the same visit.

    There is a difference between a routine cleaning (sometimes called a prophy) and a deep cleaning (scaling and root planing). The right one for you depends on what the hygienist and dentist see in your mouth that day. For more on the difference, see our guide on deep cleaning vs regular cleaning. If gum health is part of the picture, see our signs of gum disease guide.

    Why Patients Book a Cleaning Visit

    Most cleaning visits are scheduled as routine recare appointments. Patients also book a cleaning when they notice things like:

    • It has been a while since their last visit
    • A buildup they can feel along the back or inside of certain teeth
    • Gums that bleed when they brush or floss
    • An area that catches food more than the rest of the mouth
    • A new patient appointment after moving or switching offices

    What is actually going on, and which type of cleaning fits your situation, is something your dentist and hygienist will discuss at the visit.

    The Cleaning Process: Step by Step

    What Happens During Your Appointment

    1

    Health History and Updates

    The team reviews your health history, current medications, and any new updates. Mention pregnancy, new prescriptions, or recent health changes here.

    2

    Exam and Imaging if Needed

    The hygienist takes a look at your gums and teeth, and may take X-rays if you are due for them. Your dentist will come in for an exam at some point during the visit.

    3

    Scaling

    The hygienist removes plaque and tartar from the teeth using hand instruments and an ultrasonic scaler. They will work around each tooth and the gum line.

    4

    Polishing

    The teeth are polished with a rotating cup and a polishing paste to smooth the surfaces and remove surface staining.

    5

    Flossing and Final Check

    The hygienist flosses between the teeth and reviews any spots to keep an eye on at home. If a fluoride application is part of your plan, it happens here.

    6

    Dentist Exam and Recall Planning

    Your dentist checks your teeth and gums, talks through anything they see, and the team sets up your next recare visit before you leave.

    How Long Does a Cleaning Visit Take?

    Contemporary dental office interior with high-tech equipment and stylish design

    Most routine cleaning visits are a single in-office appointment. The exact time depends on whether X-rays are due, how much buildup is present, whether it is a new patient visit, and whether the dentist exam happens during the same appointment. Your front-desk team can give you an estimate when you book, and your hygienist will let you know what to expect at the visit.

    What About Pain or Discomfort?

    A routine cleaning generally does not involve anesthesia. Everyone’s experience is different, and how a cleaning feels can depend on the state of your gums, your overall sensitivity, the amount of buildup present, and your comfort level around dental visits. A deep cleaning is a different kind of visit, and your dentist or hygienist will discuss comfort options if that is recommended for you.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety, see our guide on sedation dentistry. Specific recommendations for your case should come from your dentist.

    Before Your Appointment

    Cleaning visits generally require very little preparation on your end. A few practical notes:

    • Brush and floss before the visit if you can. The hygienist will still clean everything, but it gives a clearer starting point.
    • Take your regular medications on schedule unless instructed otherwise by a healthcare provider.
    • Bring your insurance card and a list of current medications.
    • Mention anything new in your health history (pregnancy, new prescriptions, allergies) to the office before the visit.
    • If you are a new patient, plan a little extra time for paperwork and a full exam.

    After Your Appointment

    Vibrant portrait of a smiling woman with natural hair and radiant features.

    Your hygienist will go over notes and any home-care suggestions before you leave. General reminders most patients receive include:

    1

    Sensitivity Can Happen

    Some patients notice a little sensitivity right after a cleaning, especially around the gum line. If something feels persistent or unusual, mention it to the office.

    2

    Follow Home-Care Notes

    Your hygienist may point out specific areas to focus on with brushing or flossing. Specifics for your mouth should come from them at the end of the visit.

    3

    Resume Normal Hygiene

    Most patients can resume their normal brushing and flossing routine the same day. If a fluoride application was used, the hygienist will note any short waiting period before eating or drinking.

    4

    When to Call the Office

    If something feels off after your appointment, including bleeding that does not settle or persistent discomfort, call the office so the team can take a look.

    Cleaning Frequency and Home Care

    How often you come in for cleanings depends on your oral health history and what your dentist sees at exams. Some patients come in for routine recare, others are on a different schedule based on what their dentist has recommended. The right interval for you is a conversation to have at your visit.

    Home care is the other half of the picture. Your hygienist may walk through brushing technique, flossing, interdental brushes, or a specific product they want you to try based on what they see. If gum health is part of the conversation, our signs of gum disease guide covers what to watch for between visits.

    Insurance and Payment Options

    How a cleaning is billed depends on the type of visit (routine versus deep cleaning), whether X-rays are part of it, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your plan and the visit type before treatment.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan that includes routine cleanings, and we accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “As always, my dental cleaning was top notch. Nicole takes SUCH great care of me.”

    Barbara D., La Quinta, Google Review

    Mountainside Dental Locations

    Spacious dental clinic with modern equipment and clean, white design.

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Will I need anesthesia for a cleaning?
    A routine cleaning generally does not involve anesthesia. A deep cleaning may involve comfort options, and your dentist will discuss the right approach if that visit is recommended for you.
    What is the difference between a routine cleaning and a deep cleaning?
    A routine cleaning is the standard hygiene visit. A deep cleaning addresses areas below the gum line and is recommended when your dentist sees specific findings. For more, see our deep cleaning vs regular cleaning guide.
    How often should I come in for a cleaning?
    It depends on your oral health history and what your dentist sees at exams. The interval that fits you is a conversation to have at your visit.
    Will the cleaning include X-rays?
    X-rays are taken at specific intervals based on your case. Your dentist will let you know when you are due and explain what is being taken and why.
    My gums bled during the cleaning. Should I be concerned?
    Mention it to the hygienist and your dentist at the visit. They will look at your gums and discuss what they are seeing and what, if anything, to do next. Our signs of gum disease guide has more.
    Can I eat right after a cleaning?
    For a routine cleaning, generally yes. If a fluoride application is part of the visit, your hygienist will note any short waiting period before eating or drinking.
    Do I need a cleaning if I am not having any problems?
    Possibly. Cleanings and exams are how your dentist and hygienist keep an eye on things between issues. The right schedule for you should come from your dentist.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Always tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit. Your dentist can then plan the appointment accordingly.
    I am nervous about a cleaning. What are my options?
    Tell the front desk when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation, and our sedation dentistry guide covers other options.
    What if something feels urgent before my next cleaning?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Cleaning?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing

    Five Southern California locations. Find the one nearest you.

    When you are ready to schedule a cleaning, see MSD locations near you and book the office most convenient for you.

  • Dental Crowns: What to Expect at Your Appointment

    Dental Crowns: What to Expect at Your Appointment

    A dental crown is one of the most common ways to restore a tooth that needs more support than a filling can give. If your dentist has mentioned a crown, you probably have questions. What is a crown actually made of? How many visits does it take? What happens between the prep visit and the final crown? This guide walks through what a crown appointment generally looks like at Mountainside Dental. Anything specific to your tooth, your bite, or your treatment plan should be discussed with your dentist at your visit.

    Dental crown procedure at Mountainside Dental
    Dental crown placement at Mountainside Dental.

    Quick Facts: What a Crown Visit Looks Like

    Visit type
    In-office procedure
    Visits required
    Usually a prep visit and a seat visit; some offices may offer same-day crowns
    Anesthesia
    Local anesthesia commonly used; your dentist will discuss options
    Materials
    Porcelain, porcelain-fused-to-metal, zirconia, or metal
    Eating after
    Wait until anesthesia wears off; your dentist will share temp crown guidance
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Dental Crown?

    A crown is a custom-made cap that covers a tooth. It is fitted over the visible portion of the tooth above the gum line and is shaped to match the rest of your bite. Crowns are used when a tooth needs more coverage than a filling can offer, often after a root canal, a large restoration, or a fracture.

    Your dentist will examine the tooth, may take imaging, and explain whether a crown is the right next step for your specific case. For background on a related procedure that often leads to a crown, see our guide on what to expect from a root canal. For a broader look at crown materials and the procedure, see our existing dental crowns overview.

    Why Patients Book a Crown Visit

    Patients often book an appointment when they notice things like:

    • A tooth that has been treated with a root canal and the dentist recommended follow-up coverage
    • A tooth with a large old filling that the dentist wants to look at
    • A tooth that has cracked or chipped
    • A tooth that feels different when biting in one specific spot
    • A previously placed crown that has come loose or come out

    These observations are what bring patients in. Whether a crown is the right step, and which kind, is something your dentist will determine after an exam.

    The Crown Process: Step by Step

    What Happens During Your Appointment

    1

    Exam and Planning

    Your dentist examines the tooth and may take imaging. They will walk you through what they see and explain the plan for the crown.

    2

    Numbing the Area

    Most crown visits begin with local anesthesia so the tooth and the area around it are numb during the prep. Your dentist will explain the steps and comfort options.

    3

    Preparing the Tooth

    The dentist shapes the tooth so the crown can fit over it. The exact preparation depends on the tooth, the material being used, and how much structure is present.

    4

    Taking an Impression or Digital Scan

    A model of the tooth is captured, either with traditional impression material or a digital scanner. This is what the lab or in-office system uses to make the final crown.

    5

    Placing a Temporary Crown

    If your final crown is being made off-site, the dentist places a temporary crown to protect the tooth between visits. Your dentist will share care notes for the temporary.

    6

    Seating the Final Crown

    At the seat visit, the dentist removes the temporary, checks the fit and color of the final crown, adjusts the bite, and cements it in place. Final aftercare is reviewed before you leave.

    How Long Does a Crown Visit Take?

    Faceless crop dentist in latex gloves holding box with burs for dental drill while working in modern clinic

    Most crown cases involve a prep visit and a separate seat visit. Some offices offer same-day crown options for certain cases. The total time depends on the tooth, the material, whether a buildup or other prep is needed, and the workflow your dentist uses. Your front-desk team can give you an estimate when you book, and your dentist will confirm the plan at the visit.

    What About Pain or Discomfort?

    Local anesthesia is commonly used during the prep portion of a crown so the area is numb during the procedure. Everyone’s experience is different, and how you feel during and after the visit can depend on the tooth, your overall sensitivity, and your anxiety level around dental visits. We do not make specific comfort promises on the blog because every patient and every tooth is different. Your dentist is the right person to discuss what to expect.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety, see our guide on sedation dentistry. Specific recommendations for your case should come from your dentist.

    Before Your Appointment

    Crown visits generally require very little preparation on your end. A few practical notes:

    • Eat before the appointment if you can. Your mouth may be numb afterward.
    • Take your regular medications on schedule unless instructed otherwise by a healthcare provider.
    • If you are nervous, tell the front desk when you book. The team can plan extra time or schedule additional comfort options.
    • Bring your insurance card and a list of current medications.
    • Mention anything new in your health history (pregnancy, new prescriptions, allergies) to the office before the visit.
    • Plan for someone to drive you home if your dentist has discussed sedation options for the visit.

    After Your Appointment

    Close-up of a dental x-ray displayed on a monitor in a dental office.

    Your dentist will go over specific aftercare instructions at the end of your visit. General reminders most patients receive include:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with eating or drinking hot liquids. Your dentist will let you know when it is safe to chew normally on that side.

    2

    Follow Your Dentist’s Instructions

    Specific eating, chewing, and brushing guidance after your crown should come from your dentist at the end of the visit. Temporary crowns may have separate care notes.

    3

    Resume Normal Hygiene

    Most patients can resume their normal brushing and flossing routine, with care around any temporary crown. Ask your dentist about anything specific to that tooth.

    4

    When to Call the Office

    If something feels off after your appointment, including a bite that does not feel right, a temporary that comes loose, or persistent discomfort, call the office so the team can take a look.

    Caring for a Crown Over Time

    A crown is cared for the same way as the rest of your teeth: regular brushing, flossing, and routine exams. The lifespan of any specific crown varies based on the tooth it is on, the material, your bite, habits like grinding, and your overall oral hygiene. Routine exams let your dentist watch for wear, fit, and any signs to keep an eye on. If you have a history of grinding or clenching, mention it. Your dentist may have suggestions specific to your case.

    Insurance and Payment Options

    The cost of a crown varies depending on the tooth being treated, the material, the complexity of the case, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “The folks at Mountainside Dental understood my situation and treated me with compassion and patience. Best dental experience ever!”

    Christine H., La Quinta, Google Review

    Mountainside Dental Locations

    Close-up of a dental veneer being applied to a woman's teeth at a clinic.

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Will I need anesthesia for a crown?
    Local anesthesia is commonly used during the prep portion of a crown. Your dentist will discuss anesthesia and comfort options with you at your visit and explain what is being used and why.
    How many visits does a crown take?
    Most crown cases involve a prep visit and a separate seat visit. Some offices offer same-day crown options for certain cases. Your dentist will explain the plan that fits your tooth.
    What is a temporary crown?
    If the final crown is being made off-site, the dentist places a temporary crown to protect the prepped tooth between visits. Your dentist will share specific care guidance for it.
    What materials are crowns made of?
    Common options include porcelain, porcelain-fused-to-metal, zirconia, and metal. The right one for your tooth depends on the location, your bite, and other factors your dentist will explain.
    Do I need a crown after a root canal?
    Many root-canaled teeth are protected with a crown afterward, but whether yours needs one is a conversation to have with your dentist. For more on root canals, see our root canal guide.
    What if my crown feels different afterward?
    Call the office. If your bite feels off, the crown feels loose, or you have any concerns after the visit, the team would rather hear from you than have you wait. Your dentist can take a look and discuss next steps.
    What is the difference between a crown and a filling?
    A filling restores part of a tooth, while a crown covers the visible portion of the tooth above the gum line. Your dentist will explain which one is appropriate for your specific situation. For more on fillings, see our guide on what to expect from a filling appointment.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Always tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit. Your dentist can then plan the appointment accordingly.
    I am nervous about a crown. What are my options?
    Tell the front desk when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation, and our sedation dentistry guide covers other options. Your dentist will discuss what makes sense for your situation.
    What if my situation feels urgent?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Crown?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Root Canal Therapy: What to Expect at Your Appointment

    Root Canal Therapy: What to Expect at Your Appointment

    Root canal therapy has a reputation that often runs ahead of the actual visit. If a dentist has mentioned the words to you, the questions are real. What happens inside the tooth? How many visits does it take? This guide walks through what a root canal appointment generally looks like at Mountainside Dental. Anything specific to your tooth, your symptoms, or your treatment plan should be discussed with your dentist at your visit.

    For a Rancho Santa Margarita patient guide that also covers cost considerations and recovery, see our root canal in Rancho Santa Margarita overview.

    Mountainside Dental root canal therapy treatment room
    Root canal therapy at Mountainside Dental.

    Quick Facts: What a Root Canal Visit Looks Like

    Visit type
    In-office procedure
    Visits required
    Usually one to two visits, depending on the case
    Anesthesia
    Local anesthesia commonly used; your dentist will discuss options
    Approach
    Access the inside of the tooth, clean, fill, and seal
    Eating after
    Wait until anesthesia wears off
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Root Canal?

    A root canal, also called endodontic therapy, is a procedure that treats the inside of a tooth. Each tooth has an inner space that houses tissue called the pulp, along with nerves and blood vessels. When a dentist recommends a root canal, the goal is to clean that inner space, fill it with a sealing material, and close the tooth so it can keep doing its job.

    Your dentist will examine the tooth, may take an X-ray, and explain whether root canal therapy is the right next step for your specific case. If you have read our guide on tooth fillings, the difference is roughly this: a filling restores the outer surface of a tooth, while a root canal addresses the inner chamber.

    Why Patients Book a Root Canal Visit

    Patients often book an appointment when they notice things like:

    • A persistent ache in a specific tooth that does not go away on its own
    • A noticeable change in the tooth when eating or drinking certain foods
    • A tooth that feels different when biting down
    • Tenderness in the gum near a single tooth
    • A tooth that looks darker than the ones next to it
    • A small bump on the gum near the tooth

    These observations are what bring patients to the office. What is actually going on inside the tooth, and whether a root canal is the right step, is something your dentist will determine after an exam.

    The Root Canal Process: Step by Step

    What Happens During Your Appointment

    1

    Exam and Imaging

    Your dentist examines the tooth and may take an X-ray to see the inner structure. They will walk you through what they see and explain the plan for the visit.

    2

    Numbing the Area

    Most root canal visits begin with local anesthesia so the tooth and the area around it are numb during the procedure. Your dentist will explain the steps and the comfort options available.

    3

    Accessing the Inside of the Tooth

    A small opening is made in the top of the tooth to reach the inner chamber. The exact approach depends on the tooth and the case.

    4

    Cleaning and Shaping the Canals

    The dentist cleans the inside of the tooth and shapes the canals so they can be sealed properly. Specialized instruments are used during this step.

    5

    Filling and Sealing

    The cleaned inner space is filled with a sealing material, and the access opening is closed with a temporary or permanent filling. Your dentist will discuss which is used and why.

    6

    Follow-Up and Crown Planning

    Your dentist will explain next steps, which often includes scheduling a crown to protect the tooth. Specifics for your situation are discussed at the visit.

    How Long Does a Root Canal Visit Take?

    Dentist examining patient's teeth with tools in a modern clinic setting.

    Root canal therapy is often completed in one to two visits, depending on the case. Some teeth are treated in a single appointment. Others are split into two visits, with cleaning and a temporary filling at the first visit and the final seal at the second. Your front-desk team can give you an estimate when you book, and your dentist will confirm the plan at the visit.

    What About Pain or Discomfort?

    Local anesthesia is commonly used during a root canal so the area is numb during the procedure. Everyone’s experience is different, and how you feel can depend on the tooth, your overall sensitivity, and your anxiety level around dental visits. We do not make specific comfort promises on the blog because every patient and every tooth is different. Your dentist is the right person to discuss what to expect.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety, see our guide on sedation dentistry. Specific recommendations for your case should come from your dentist.

    Before Your Appointment

    Root canal visits generally require very little preparation on your end. A few practical notes:

    • Eat before the appointment if you can. Your mouth may be numb afterward.
    • Take your regular medications on schedule unless instructed otherwise by a healthcare provider.
    • If you are nervous, tell the front desk when you book. The team can plan extra time or schedule additional comfort options.
    • Bring your insurance card and a list of current medications.
    • Mention anything new in your health history (pregnancy, new prescriptions, allergies) to the office before the visit.
    • Plan for someone to drive you home if your dentist has discussed sedation options for the visit.

    After Your Appointment

    A sleek, modern dental X-ray machine with a blue filter, suitable for clinical use.

    Your dentist will go over specific aftercare instructions at the end of your visit. General reminders most patients receive include:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with eating or drinking hot liquids. Your dentist will let you know when it is safe to chew normally on that side.

    2

    Follow Your Dentist’s Instructions

    Specific eating, chewing, and brushing guidance after your root canal should come from your dentist at the end of the visit. Everyone’s situation is a little different.

    3

    Resume Normal Hygiene

    Most patients can resume their normal brushing and flossing routine. Ask your dentist about anything specific to the tooth that was treated.

    4

    When to Call the Office

    If something feels off after your appointment, including a bite that does not feel right or persistent discomfort, call the office so the team can take a look.

    After a Root Canal: Crowns and Follow-Up

    Many root-canaled teeth are protected with a crown after the procedure. Whether your tooth needs one, and what type, is a conversation to have with your dentist based on which tooth was treated and how much structure is left. For more on what a crown visit involves, see our guide on dental crowns. Your treatment plan, including the timing of the crown and any follow-up visits, will be explained at your appointment.

    Insurance and Payment Options

    The cost of a root canal varies depending on the tooth being treated, the complexity of the case, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we offer an in-house savings plan and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “Always friendly and gentle. Dr. Wolfram is thorough, gentle, and takes the time to explain what he is doing. He goes above and beyond to make sure patients are comfortable.”

    Hannah S., Yucaipa, Google Review

    Mountainside Dental Locations

    Female dentist in uniform and sterile mask touching tablet screen while standing near female patient sitting on medical

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Will I need anesthesia for a root canal?
    Local anesthesia is commonly used during root canal therapy. Your dentist will discuss anesthesia and comfort options with you at your visit and explain what is being used and why.
    How many visits does a root canal take?
    Usually one to two visits, depending on the case. Some root canals are completed in a single appointment, others are split into two. Your dentist will explain the plan after examining the tooth.
    When can I eat after a root canal?
    Wait until the numbness from anesthesia has worn off before eating, since you may not feel your cheek or tongue clearly. Your dentist will share more specific aftercare guidance at the end of your visit.
    Will I need a crown after the root canal?
    Many root-canaled teeth are protected with a crown afterward, but whether yours needs one is a conversation to have with your dentist. They will look at the tooth and explain the recommendation.
    What if my tooth feels different afterward?
    Call the office. If your bite feels off, something feels unusual, or you have any concerns after the visit, the team would rather hear from you than have you wait. Your dentist can take a look and discuss next steps.
    Can a root canal save any tooth?
    It depends on the case. Your dentist will assess the tooth after an exam and imaging. If a tooth is not a candidate, they will discuss alternatives with you.
    What is the difference between a root canal and a filling?
    A filling restores the outer surface of a tooth, while a root canal addresses the inside of the tooth. Your dentist will explain which one is appropriate for your specific situation. For more on fillings, see our guide on what to expect from a filling appointment.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Always tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit. Your dentist can then plan the appointment accordingly.
    I am nervous about a root canal. What are my options?
    Tell the front desk when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation, and our sedation dentistry guide covers other options. Your dentist will discuss what makes sense for your situation.
    What if my situation feels urgent?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Root Canal?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • Tooth Fillings: What to Expect at Your Appointment

    Tooth Fillings: What to Expect at Your Appointment

    A tooth filling is one of the most routine procedures in dentistry, but if it is your first one, the questions are real. What actually happens in the chair? What are the materials called? What does the visit look like from check-in to walking out? This guide explains what a filling appointment generally looks like at Mountainside Dental so you can walk in informed. Anything specific to your tooth, your medical history, or your recovery should be discussed with your dentist at your visit.

    Composite tooth filling restoration at Mountainside Dental
    A composite filling matched to the natural tooth color.

    Quick Facts: What a Filling Visit Looks Like

    Visit type
    In-office procedure
    Visits required
    Usually a single visit
    Anesthesia
    Local anesthesia commonly used; your dentist will discuss options
    Materials
    Composite, amalgam, or glass ionomer
    Eating after
    Wait until anesthesia wears off
    Cost
    Varies by case and insurance. See our Insurance and Financing page.

    What Is a Dental Filling?

    A filling is a common dental restoration. Your dentist will examine the tooth and explain whether a filling is the right next step for your specific case based on their findings.

    Patients often book an appointment when they notice things like:

    • A noticeable change when eating or drinking certain foods
    • A visible spot, pit, or rough area on a tooth
    • An area that feels different when biting
    • Food catching in the same spot between teeth
    • An edge they can feel with their tongue

    Regular dental exams are the best way to know what is happening in your mouth. For a comparison of how routine and deep cleanings differ, see our guide on deep cleaning vs regular cleaning.

    Types of Fillings

    Three filling materials are used regularly today. The choice depends on the size and location of the cavity, your bite, your insurance, and how visible the tooth is.

    Composite (Tooth-Colored)

    Most common

    A resin material that can be matched to your natural tooth color. Often chosen for visible teeth and smaller restorations.

    Amalgam (Silver)

    Traditional option

    A traditional metal-blend material with a silver appearance. Used in dentistry for many decades.

    Glass Ionomer

    Specific cases

    Used in certain situations, including below the gum line and on primary teeth.

    Gold and porcelain inlays exist for larger restorations, but those are usually classified as inlays or onlays rather than standard fillings. If a tooth has more extensive damage, your dentist may discuss other options such as a crown. The right material for your specific tooth is a conversation to have with your dentist at your visit.

    The Filling Process: Step by Step

    What Happens During Your Appointment

    1

    Numbing the Area

    Most filling visits begin with local anesthesia. Your dentist will explain the steps and let you know what to expect during the visit.

    2

    Removing the Decay

    The dentist removes the affected tissue from the tooth. The exact instrument and approach depend on the case.

    3

    Cleaning and Preparing the Tooth

    The area is cleaned and prepared so the filling material can bond properly. Preparation steps vary by material.

    4

    Placing the Filling Material

    The chosen material (composite, amalgam, or glass ionomer) is placed and shaped to fit the tooth. Your dentist will discuss which material is being used and why.

    5

    Adjusting Your Bite

    You bite down on a marking paper so the dentist can check how the filling meets the opposing tooth and make adjustments as needed.

    6

    Polishing and Aftercare Instructions

    The filling is polished, and your dentist will go over aftercare instructions specific to your visit.

    How Long Does a Filling Visit Take?

    Close-up of a man undergoing a dental x-ray scan at a clinic, focusing on oral health.

    Most filling appointments are a single in-office visit. The exact time depends on the size and location of the cavity, how many fillings are being placed, and whether you are a new or returning patient. Your front-desk team can give you an estimate when you book, and your dentist will confirm the plan at the visit.

    What About Pain or Discomfort?

    Local anesthesia is commonly used during a filling so the area is numb during the procedure. Everyone’s experience is different, and how you feel during and after a filling can depend on the depth of the cavity, your overall sensitivity, and your anxiety level around dental visits.

    If you are nervous about the visit, let the front desk know when you book. Many of our offices offer nitrous oxide for patients who prefer extra relaxation. For patients with higher levels of anxiety, see our guide on sedation dentistry. Specific recommendations for your situation should come from your dentist.

    Before Your Appointment

    Fillings generally require very little preparation. A few practical notes:

    • Eat before the appointment if you can. Your mouth may be numb afterward.
    • Take your regular medications on schedule unless instructed otherwise by a healthcare provider.
    • If you are nervous, tell the front desk when you book. The team can plan extra time or schedule additional comfort options.
    • Bring your insurance card and a list of current medications.
    • Mention anything new in your health history (pregnancy, new prescriptions, allergies) to the office before the visit.

    After Your Appointment

    A modern dental clinic interior featuring a dental chair and equipment with a minimalist design.

    Your dentist will go over specific aftercare instructions at the end of your visit, including how to handle the numbness, eating recommendations, and when to follow up. General reminders most patients receive include:

    1

    Watch for the Numbness to Wear Off

    While your mouth is still numb, be careful with eating or drinking hot liquids. Your dentist will let you know when it is safe to chew normally.

    2

    Follow Your Dentist’s Instructions

    Specific eating, drinking, and brushing guidance after your filling should come from your dentist at the end of the visit. Everyone’s situation is a little different.

    3

    Resume Normal Hygiene

    Most patients can resume their normal brushing and flossing routine. Ask your dentist about anything specific to the tooth that was treated.

    4

    When to Call the Office

    If something feels off after your appointment, including a bite that does not feel right or persistent discomfort, call the office so the team can take a look.

    How Long Do Fillings Last?

    Every filling, regardless of material, eventually needs to be looked at and replaced. How long a specific filling lasts varies based on the material, the size of the original restoration, how the tooth is used day to day, and your overall oral hygiene. Routine exams help your dentist catch wear or early signs of new decay around an existing filling before it becomes a larger issue.

    Insurance and Payment Options

    The cost of a filling varies depending on the material, the size and location of the cavity, and your insurance plan. We do not list per-procedure pricing on the blog because every case is different. Your front-desk team will provide an estimate based on your specific treatment plan and benefits.

    We accept most major dental insurance carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare. For patients without insurance, we also offer an in-house savings plan and accept third-party financing through CareCredit. Full details and the verification process are on our Insurance and Financing page. See our dental financing guide for more on how CareCredit works.

    “Dr. Jason Chen is fantastic! I came in for two fillings, he was extremely accommodating with scheduling. He was professional, caring, and somehow able to numb me up completely pain free. He was very gentle and explained every step of the procedure.”

    Mountainside Dental patient, Google Review

    Mountainside Dental Locations

    Close-up of 3D printed dental models showcasing realistic tooth replicas for dental restoration purposes.

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Will I need anesthesia for a filling?
    Local anesthesia is commonly used during a filling. Your dentist will discuss anesthesia options with you at your visit and explain what is being used and why.
    When can I eat after a filling?
    Wait until the numbness from anesthesia has worn off before eating, since you may not feel your cheek or tongue clearly. Your dentist will share more specific aftercare guidance at the end of your visit.
    What should I do if a filling comes out?
    Call the office as soon as you can so the team can schedule a visit and the dentist can take a look. Save the piece if you find it.
    What filling materials does Mountainside Dental use?
    Our offices work with the commonly used filling materials, including composite, amalgam, and glass ionomer. Your dentist will discuss the options at your visit and the reason for the recommendation.
    My tooth feels different after the filling. Should I call?
    Yes. If your bite feels off, something feels unusual, or you have any concerns after the visit, call the office. The team would rather hear from you than have you wait.
    Can a filling repair a chipped tooth?
    In some cases. Your dentist will examine the tooth and discuss whether a filling, bonding, crown, or another option is the best approach for that specific situation.
    Do I need a filling if I do not feel any pain?
    Possibly. Cavities and other issues are not always something you notice. Regular checkups are how your dentist identifies things early. The recommendation is always specific to what your dentist finds at your exam.
    What if I have a special health situation (pregnancy, medications, etc.)?
    Always tell the office about any medications, pregnancy, or recent health changes when you book and again at the visit. Your dentist can then plan the appointment accordingly.
    What if my situation feels urgent?
    If you have severe pain, swelling, or a tooth-related concern that feels urgent, call the office or see our dental emergency guide for what to do.

    Have Questions About a Filling?

    Our front-desk team can walk you through what an appointment looks like, verify your insurance benefits, and book you with the dentist closest to home.

    View Insurance & Financing
    Five Southern California locations. Find the one nearest you.
  • 9 Specialists Under One Roof: Why Mountainside Dental La Quinta Is Different

    9 Specialists Under One Roof: Why Mountainside Dental La Quinta Is Different

    Mountainside Dental La Quinta staffs nine dental specialists in a single office at 78461 CA-111. Patients across the Coachella Valley , from Indian Wells and Palm Desert to Indio and Bermuda Dunes , can see a periodontist, endodontist, prosthodontist, pedodontist, orthodontist, and general/cosmetic dentists without driving between separate offices or waiting weeks for outside referrals.

    Why 9 Specialists in One Office Matters

    Most dental practices employ one or two general dentists who refer patients elsewhere for specialty work. A root canal goes to one office. Gum treatment goes to another. Implants require a third. Each referral means a new intake form, a new set of X-rays, a new waiting room, and a gap in communication between providers.

    At our La Quinta office, we have eliminated that fragmentation. Our nine doctors , spanning six distinct dental disciplines , share the same charts, the same imaging systems, and the same hallways. When a patient needs a root canal followed by a crown, the endodontist and the general dentist coordinate the plan together. When a periodontal case requires implants, the periodontist and prosthodontist discuss the approach before treatment begins.

    This model reduces delays, prevents miscommunication between providers, and allows us to offer same-day specialist consultations in many cases. For families with children and adults under one roof, it means one location handles everything from pediatric checkups to orthodontics to complex restorative work.

    Meet Our La Quinta Dental Team

    Each specialist on our team completed additional training beyond dental school in their respective discipline. Here is who you will find at Mountainside Dental La Quinta and what they treat.

    The Full Roster

    1. Dr. James Gorman, DDS — General/Cosmetic Dentist
    2. Dr. Steven M. Wolfram, DDS — General/Cosmetic Dentist
    3. Dr. Steven Haddad, DDS — General/Cosmetic Dentist
    4. Dr. Tyler Hendry, DDS, MS — Periodontist
    5. Dr. Amit Batheja, DDS — Endodontist
    6. Dr. Scott Adishian, DDS — Prosthodontist
    7. Dr. Ron Jurgensen, DDS — Pedodontist
    8. Dr. Morris, DDS — Orthodontist
    9. Dr. Deborah Huh, DDS — General Dentist

    General and Cosmetic Dentistry

    Dr. James Gorman, Dr. Steven M. Wolfram, Dr. Steven Haddad, and Dr. Deborah Huh

    Our four general dentists handle the full range of preventive and restorative care: exams, cleanings, fillings, cosmetic dentistry, teeth whitening, veneers, and crowns. They are often the first doctors you see at Mountainside Dental, and they coordinate with the specialists on our team when your treatment plan extends beyond general care.

    Drs. Gorman, Wolfram, and Haddad also practice cosmetic dentistry, including porcelain veneers, composite bonding, and smile design. If you are looking for both routine dental care and aesthetic improvements, these doctors handle it without a referral.

    Preventive Care

    Exams, cleanings, digital X-rays, oral cancer screening, and fluoride treatments

    Cosmetic Dentistry

    Veneers, bonding, whitening, and full smile makeovers

    Restorative Work

    Fillings, crowns, bridges, and same-day emergency appointments

    Periodontics: Gum Disease and Gum Grafting

    A dentist in Belgrade offers a friendly consultation to a smiling patient in a modern clinic. - Specialists

    Dr. Tyler Hendry, DDS, MS — Periodontist

    A periodontist specializes in the structures that support your teeth: gums, bone, and the connective tissue between them. Dr. Hendry completed a master’s degree and additional residency training in periodontics beyond dental school.

    Gum disease affects roughly half of American adults over 30, according to the CDC. Early-stage gum disease (gingivitis) causes redness and bleeding during brushing. Advanced gum disease (periodontitis) destroys the bone that holds teeth in place, leading to tooth loosening and eventual loss.

    Dr. Hendry treats all stages of gum disease with scaling and root planing, pocket reduction surgery, and regenerative procedures. He also performs gum grafting for patients with receding gumlines and places dental implants when teeth cannot be saved. Because Dr. Hendry works alongside our prosthodontist and general dentists in the same office, implant cases move from surgical placement to final restoration without delays between providers.

    Endodontics: Root Canals and Tooth Preservation

    Dr. Amit Batheja, DDS — Endodontist

    An endodontist focuses on the interior of the tooth , the pulp, nerves, and root canals. Dr. Batheja completed advanced residency training in endodontics and treats complex root canal cases that general dentists typically refer out.

    Root canal therapy removes infected or inflamed tissue from inside a tooth, cleans and shapes the canal system, and seals the space to prevent reinfection. The procedure preserves the natural tooth rather than extracting it. Dr. Batheja also performs retreatment of previously treated root canals and apicoectomy (surgical root-end procedures) when standard retreatment is not sufficient.

    Having an endodontist on-site means patients with severe toothaches or dental infections can often see a specialist the same week , sometimes the same day. After the root canal, the patient walks down the hall to their general dentist for the final crown. No referral paperwork. No second office.

    Prosthodontics: Implants, Dentures, and Full Mouth Reconstruction

    Dr. Scott Adishian, DDS — Prosthodontist

    A prosthodontist is a specialist in replacing and restoring teeth. Dr. Adishian completed advanced training in prosthodontics, which covers dental implant restorations, implant-supported dentures, full and partial dentures, crowns, bridges, and full mouth reconstruction.

    Patients who have lost multiple teeth, suffered dental trauma, or need extensive restorative work benefit from seeing a prosthodontist. Dr. Adishian designs treatment plans that account for bite alignment, jaw function, facial aesthetics, and long-term durability.

    Full mouth reconstruction cases illustrate why having specialists under one roof matters. Dr. Adishian works with Dr. Hendry (periodontist) for implant placement, Dr. Batheja (endodontist) for any root canals needed before crowns, and Dr. Morris (orthodontist) if teeth need repositioning before restoration. These conversations happen in person, over shared imaging, with all providers reading from the same chart.

    Pediatric Dentistry

    Professional dentist consulting with a patient in a modern dental clinic setting. - Specialists

    Dr. Ron Jurgensen, DDS — Pedodontist

    A pedodontist (pediatric dentist) specializes in dental care for infants, children, and adolescents. Dr. Jurgensen completed additional residency training in pediatric dentistry, including behavioral management, growth and development, and treatment of childhood dental conditions.

    Children have different dental needs than adults. Their teeth are still developing, their jaws are growing, and their comfort level in a dental office requires a specific clinical approach. Dr. Jurgensen provides preventive exams, sealants, fluoride treatments, and restorative care for young patients.

    For families in La Quinta, Indian Wells, and surrounding communities, having a pedodontist in the same office as the adult dentists means one trip handles the entire family. Parents see Dr. Gorman or Dr. Wolfram while their kids see Dr. Jurgensen , same building, same morning.

    Orthodontics: Invisalign and Braces

    Dr. Morris, DDS — Orthodontist

    An orthodontist specializes in correcting tooth alignment and bite problems. Dr. Morris provides both traditional braces and Invisalign clear aligners for teens and adults at our La Quinta location.

    Orthodontic treatment addresses crowded teeth, gaps, overbites, underbites, crossbites, and other alignment issues. Straight teeth are easier to clean, reduce the risk of gum disease and decay, and distribute chewing forces more evenly across the jaw.

    Dr. Morris works closely with the rest of the team when orthodontics is part of a larger treatment plan. Patients who need braces before implant placement, or who need gum treatment during orthodontic care, stay within our office for every step.

    “I have been coming here for over 20 years. The team has been great. In 20 years I have not had a complaint.”

    — Hilda S., Google Review

    How Coordinated Care Works in Practice

    A single dental problem often crosses specialty lines. Consider a few scenarios that our team handles regularly:

    • A patient with gum disease and a cracked molar: Dr. Hendry (periodontist) treats the gum infection first. Dr. Batheja (endodontist) performs the root canal on the cracked tooth. The general dentist places the final crown. Three specialists, one office, one coordinated plan.
    • A teenager finishing braces who needs wisdom teeth evaluated: Dr. Morris (orthodontist) completes the orthodontic treatment. The general dentist evaluates the wisdom teeth and handles extraction if needed , all in the same location.
    • An older adult needing full mouth reconstruction: Dr. Adishian (prosthodontist) designs the overall plan. Dr. Hendry places the implants. Dr. Batheja saves any teeth that can be preserved with root canals. The work proceeds in stages with all providers aligned.
    • A family with a child, a teen in braces, and a parent needing implants: Dr. Jurgensen sees the child. Dr. Morris manages the teen’s orthodontics. The parent sees Dr. Adishian and Dr. Hendry for implant work. One office, one schedule, one morning.

    In a traditional referral model, each of these scenarios would require two to four separate offices, separate intake processes, and separate billing. At Mountainside Dental La Quinta, the treatment stays in one place.

    No Outside Referrals

    All six dental disciplines are represented on staff. Complex cases stay in-house from start to finish.

    Shared Records and Imaging

    Every provider sees the same digital X-rays, 3D scans, and treatment notes. No duplicated imaging. No lost records between offices.

    Faster Treatment Timelines

    Specialist consultations can happen the same week, sometimes the same day. No waiting 4-6 weeks for an outside referral appointment.

    One Location for the Whole Family

    Pediatric dentistry, orthodontics, and adult care under one roof. Schedule the entire family in a single visit.

    “Outstanding visit, clean office, gentle hygienist. I highly recommend Mountainside Dental.”

    — Vera Z., Google Review

    About Mountainside Dental La Quinta

    Dentist performing an examination using a microscope in a bright dental clinic. - Specialists

    Mountainside Dental has operated since 2014, with the La Quinta location opening in 2017. We hold memberships in the American Dental Association (ADA), California Dental Association (CDA), and Academy of General Dentistry (AGD). We are a certified Invisalign provider and accept CareCredit financing.

    Our La Quinta office has earned a 4.9-star rating from more than 250 Google reviews. Patients consistently note the coordination between providers, the convenience of having specialists on-site, and the attentive front office team.

    La Quinta Office Details

    Address: 78461 CA-111, La Quinta, CA 92253
    Phone: 760-492-7993
    Hours: Monday — Thursday, 8am — 5pm | Friday, 8am — 2pm
    Services: General dentistry, cosmetic dentistry, dental implants, periodontics, endodontics, prosthodontics, pediatric dentistry, orthodontics, Invisalign, emergency care

    Serving the Coachella Valley

    Our La Quinta dental office is located on Highway 111 with convenient access for patients across the eastern Coachella Valley. We see patients from:

    La Quinta
    Indian Wells
    Palm Desert
    Indio
    Bermuda Dunes
    Coachella Valley

    Mountainside Dental also operates offices in Yucaipa, Rancho Mirage, Rancho Santa Margarita, and Lake Forest. The La Quinta location is our flagship Coachella Valley office and the only one with all nine specialists on staff.

    Frequently Asked Questions About Dental Specialists in La Quinta

    What dental specialists does Mountainside Dental La Quinta have?
    Mountainside Dental La Quinta has nine doctors across six dental disciplines: three general/cosmetic dentists (Dr. Gorman, Dr. Wolfram, Dr. Haddad), one additional general dentist (Dr. Huh), a periodontist (Dr. Hendry), an endodontist (Dr. Batheja), a prosthodontist (Dr. Adishian), a pedodontist (Dr. Jurgensen), and an orthodontist (Dr. Morris).

    Do I need a referral to see one of the specialists?
    No. You can schedule directly with any specialist at our La Quinta office by calling 760-492-7993. In many cases, your general dentist at Mountainside Dental will recommend a specialist during your regular visit, and we can often schedule the specialist consultation the same day or the same week.

    What is the difference between a periodontist and a general dentist?
    A periodontist completes an additional 2-3 years of residency training beyond dental school, focusing on the gums, bone, and supporting structures of the teeth. Our periodontist, Dr. Hendry, treats gum disease, performs gum grafting, places dental implants, and handles bone regeneration procedures. A general dentist provides comprehensive care including exams, fillings, crowns, and preventive treatment.

    Can my whole family be seen at Mountainside Dental La Quinta?
    Yes. Our pedodontist (Dr. Jurgensen) treats children. Our orthodontist (Dr. Morris) provides braces and Invisalign for teens and adults. Our general and cosmetic dentists see adult patients for routine and restorative care. Families often schedule appointments for multiple family members on the same morning.

    What are the office hours for Mountainside Dental La Quinta?
    Our La Quinta office at 78461 CA-111 is open Monday through Thursday from 8am to 5pm and Friday from 8am to 2pm. Not all specialists are available every day, so we recommend calling 760-492-7993 to schedule with a specific provider.

    Does Mountainside Dental La Quinta accept dental insurance?
    Yes. We accept most dental insurance plans and submit claims on behalf of our patients. We also offer CareCredit financing for patients who want to spread the cost of treatment over monthly payments. Our front office verifies your benefits and provides a cost estimate before treatment begins.

    What is a prosthodontist and when would I need one?
    A prosthodontist is a dentist with 2-3 years of additional residency training in replacing and restoring teeth. You would see our prosthodontist, Dr. Adishian, if you need dental implant restorations, full or partial dentures, full mouth reconstruction, complex crown and bridge work, or any case involving significant tooth replacement or rehabilitation.

    Schedule With Our La Quinta Specialists

    Nine doctors. Six dental disciplines. One office. Call us or schedule online to see the right specialist for your needs.

    Schedule Your Appointment

    Mountainside Dental | 78461 CA-111, La Quinta, CA 92253 | 760-492-7993

    Mountainside Dental La Quinta provides comprehensive dental care with 9 specialists under one roof. Serving La Quinta, Indian Wells, Palm Desert, Indio, and Bermuda Dunes since 2017. 4.9-star rating from 250+ reviews. ADA, CDA, and AGD member practice. Invisalign provider. CareCredit accepted.

  • Does Medi-Cal Cover Dental for Adults? 2026 Guide

    Does Medi-Cal Cover Dental for Adults? 2026 Guide

    California restored full adult dental benefits through Medi-Cal in January 2022, reversing cuts in place since the 2009 recession. Eligible adults can use the Denti-Cal program for preventive care, restorative treatment, oral surgery, and emergencies. Below is what the program covers in 2026, what it does not cover, and how delivery works.

    Mountainside Dental Is Not a Medi-Cal Provider

    Mountainside Dental does not accept Medi-Cal or Denti-Cal at any of our five Southern California locations. We are a private practice with our own insurance and financing options, including in-network coverage with most major dental insurance carriers and an in-house savings plan for patients without insurance. This article is informational only. To use Medi-Cal benefits, find a Denti-Cal provider at dental.dhcs.ca.gov or call 1-800-322-6384.

    Modern dental office in Southern California

    Medi-Cal Adult Dental Coverage Overview

    The California Department of Health Care Services administers Medi-Cal dental benefits through the Denti-Cal program. Coverage was reduced to emergency-only services from 2009 to 2014, partially expanded in 2014, and fully restored on January 1, 2022.

    Adult Medi-Cal members now receive a comprehensive benefit package: no deductibles, no annual maximums, and minimal or no copays for covered services.

    What Medi-Cal Dental Covers for Adults

    ✓

    Preventive and Diagnostic Care

    Oral exams (typically twice yearly), cleanings, X-rays (bitewing, periapical, panoramic), fluoride treatments, and oral cancer screenings.

    ✓

    Restorative Care

    Fillings (amalgam and composite), crowns (with prior authorization), root canal therapy, and core buildups and posts.

    ✓

    Oral Surgery

    Simple and surgical extractions, impacted wisdom tooth removal, abscess drainage, and infection treatment.

    ✓

    Tooth Replacement

    Full and partial dentures, denture relines and repairs, and fixed bridges with prior authorization.

    ✓

    Periodontal Care

    Scaling and root planing, periodontal maintenance, and gum surgery with authorization.

    ✓

    Emergency Care

    Emergency exams and X-rays, pain management, emergency extractions, and infection treatment.

    What Medi-Cal Does Not Cover

    Denti-Cal excludes several categories of care, even for eligible adults:

    • Cosmetic procedures such as whitening and veneers
    • Adult orthodontics in most cases (braces, clear aligners)
    • Dental implants outside of rare medical exceptions
    • Services that exceed plan frequency limits
    • Treatment provided by non-enrolled providers
    • Procedures performed without required prior authorization

    How Denti-Cal Delivery Works

    Fee-for-Service

    Most counties

    Patients can visit any enrolled Denti-Cal provider without a referral. The state pays the provider directly.

    Managed Care

    Specific counties

    Used in Sacramento, Los Angeles, and a few others. Patients choose a dentist within the plan’s network.

    Costs to Patient

    $0 to $3

    No deductibles or annual maximums. Most services have no copay. Some managed care plans charge $1 to $3.

    Prior Authorization: How It Works

    Authorization Process

    1

    Dentist Identifies the Need

    Procedures like crowns, fixed bridges, dentures in some cases, periodontal surgery, and certain oral surgeries require advance approval from Denti-Cal.

    2

    Treatment Authorization Request (TAR) Is Submitted

    The dental office prepares and submits the request with supporting documentation (X-rays, diagnostic notes, treatment plan).

    3

    DHCS Reviews

    The Department of Health Care Services reviews the request. Standard turnaround is days to a few weeks depending on complexity.

    4

    Approval or Modification

    Once approved, the dentist can schedule treatment. If modified or denied, the office can submit additional information or pursue an appeal on your behalf.

    Eligibility and Enrollment

    Denti-Cal benefits are included automatically with Medi-Cal coverage. If you are already enrolled in Medi-Cal, your dental benefits are active with no separate enrollment step.

    To check eligibility or apply for Medi-Cal, visit coveredca.com or your county’s social services office. Once you have coverage, our guide to finding a dentist that accepts Medi-Cal in California walks through the provider search step by step.

    Children’s Coverage

    For children from birth through age 20, Medi-Cal dental benefits are delivered under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. Children’s coverage includes everything adult coverage offers, plus:

    • Sealants on permanent molars
    • Space maintainers
    • Medically necessary orthodontics
    • More frequent preventive visits as needed

    Mountainside Dental’s Insurance and Payment Options

    Mountainside Dental is not enrolled in Medi-Cal or Denti-Cal. For patients comparing alternatives, our practice offers three paths, all detailed on our Insurance and Financing page.

    1. Private dental insurance: We accept most major carriers, including Delta Dental, Aetna, Cigna, Blue Cross Blue Shield, MetLife, Guardian, Humana, Ameritas, and United Healthcare.

    2. In-house savings plan: For patients without insurance, our in-house savings plan covers preventive care and discounts other procedures. This is a private membership program run directly by our practice, not government insurance. There are no networks, claim forms, deductibles, or annual maximums.

    • 2 professional cleanings per year
    • Routine exams and X-rays
    • 1 emergency exam per year
    • 10% off all other procedures

    Pricing: $27 to $36 per month depending on location, with periodontal plans available for patients managing gum disease. Same-day enrollment, benefits begin immediately.

    3. Self-pay with financing: We accept CareCredit and similar third-party financing for larger treatments. Our guide to dental financing breaks down how it works.

    “In 50 years of going to the dentist I had never enjoyed my visit as much as I did today.”

    Darrin K., Rancho Santa Margarita

    Mountainside Dental Locations

    La Quinta

    78461 CA-111
    760-492-7993

    Yucaipa

    11834 Bryant St., Ste. #104
    909-378-8934

    Rancho Mirage

    42500 Bob Hope Dr STE 1
    760-412-8373

    Rancho Santa Margarita

    29941 Aventura, Suite B
    949-368-0193

    Lake Forest

    23731 El Toro Rd. Unit D
    949-881-4928

    Frequently Asked Questions

    Does Mountainside Dental accept Medi-Cal?
    No. Mountainside Dental does not accept Medi-Cal or Denti-Cal at any of our five Southern California locations. We are a private practice. To use Medi-Cal dental benefits, find a Denti-Cal provider at dental.dhcs.ca.gov or by calling 1-800-322-6384.
    When were adult dental benefits restored under Medi-Cal?
    January 1, 2022. Governor Gavin Newsom signed legislation restoring comprehensive coverage that had been limited since the 2009 recession.
    Does Medi-Cal cover dental implants?
    Implants are not a routine Denti-Cal benefit. Approval is limited to specific medical situations where dentures cannot be worn for anatomical reasons. Your dentist would need to submit a Treatment Authorization Request for review.
    How many cleanings does Medi-Cal cover per year?
    Two exams and cleanings per year for adults under most circumstances. Children may be eligible for additional preventive visits under EPSDT.
    Are there annual maximum limits on Medi-Cal dental?
    No. Unlike most private dental insurance, Denti-Cal has no annual benefit cap for covered services. Frequency limits still apply to certain procedures.
    What is the difference between fee-for-service and managed care Medi-Cal?
    Fee-for-service is available in most counties and allows visits to any enrolled Denti-Cal provider. Managed care is used in select counties like Sacramento and Los Angeles and requires choosing a dentist within the plan’s network.
    If I do not have Medi-Cal, what does Mountainside Dental offer?
    We accept most major private dental insurance carriers, offer a private in-house savings plan starting at $27 per month, and accept third-party financing through CareCredit. Full details are on our Insurance and Financing page. The in-house plan is a private membership program, not Medi-Cal or any form of government insurance.

    Looking for a Private Dental Practice in Southern California?

    If you do not have Medi-Cal coverage and want to compare insurance, in-house savings, or financing options, our Insurance and Financing page lays everything out.

    View Insurance & Financing

    Mountainside Dental is not a Medi-Cal or Denti-Cal provider.