FAQ's

There are two types of stain that affect teeth. Extrinsic stain is acquired through our diet, habits, and environment. These types of stains can come from highly pigmented foods and beverages, tobacco use, and less than optimal hygiene. They can be removed/controlled by regular thorough brushing, use of electric toothbrush, and professional cleanings. Whitening toothpastes help with removing these types of stains. Intrinsic stains are deeper, inherent discoloration—yellow, brown, and gray tones. Theses can be lessened and in some cases removed with professional whitening products. Whitening products contain peroxide in a gel form that interacts with stain and pigments within the teeth. With repeated use for about 2 weeks most people will see the results of lighter, whiter teeth. There are professional strength gels that can be applied via custom fit trays made at our office. An alternative option with is more economical and convenient is Opalescence Go products which offer professional strength strips without the custom trays. We typically have these in stock. Whitening performed as instructed, with quality products will not harm enamel. Side effects such as gum irritation and tooth sensitivity are possible. These are generally short lived and manageable with proper precautions and desensitizing products.

We recommend electric toothbrushes, such as those made by Sonicare or Oral B. Manual toothbrushes work fine as well. Choose one with a soft bristle texture and appropriate size for good access to your back teeth. OTC toothpaste to some degree is quite similar, so go with your personal preference. Prescription toothpastes generally have 5000ppm fluoride concentration and some contain remineralizing agents that contain calcium-derived products. These types of toothpastes can prevent tooth decay and reverse smaller areas of early decay. For sensitive gums and soft tissues, look for a toothpaste such as Biotene, that is detergent/SLS-free.

Possible causes include worn/eroded tooth enamel, exposed root surfaces, worn fillings, tooth decay, cracked teeth. For sensitivity due to enamel erosion or gum recession, desensitizing gels and toothpastes can be helpful. OTC toothpastes that containing potassium nitrate (Sensodyne) can be helpful. Prescription toothpastes that contain higher fluoride concentration and remineralizing ingredients (Mi Paste, Clinpro 5000) can seal microscopic pores in teeth and make them harder.

Generally, bleeding gums are a sign of acute or chronic irritation that is a result local factors. These factors include plaque, calculus, deep, poorly adapted fillings and/or crowns. This inflammatory process is characterized as gingivitis. Regular brushing twice a day for at least 2 minutes each time and regular flossing should reduce nearly all bleeding if its done consistently. In some cases patients who take aspirin therapy or other blood thinners will see easier bleeding. Pregnant women are also more susceptible.

Dental implants are a permanent replacement for missing teeth. They can be used to replace single or multiple teeth, as well as support dentures. They are constructed out of surgical grade titanium and are placed by a surgeon into the jawbone. Afterwards a prosthetic, such as a crown, bridge, or denture can be attached to the implant fixture. The crowns are typically made of porcelain and can be very durable and esthetically pleasing. Implants are safe and predictable. Our office restores the prosthetic portion of the implant (crown, bridge, or denture). We work in concert with reputable local oral surgeons and periodontists.

Yes. We provide services such as veneers, tooth colored fillings (composites), and teeth whitening. For cosmetic gum tissue work, appropriate referrals can be made.

Controversy over what type of filling is better remains. Both materials have pros and cons. The United States FDA has continued to confirm the safety and effectiveness of dental amalgam. That being said, amalgam has a role, but it’s not for everyone and its use is becoming progressively smaller as composite materials and placement techniques improve. Composite is a great alternative, especially in situations where cosmetics are important and smaller tooth preserving preparations can be used.

Durability is comparable. Longevity depends on the individual tooth, patient’s overall dentition, and habits. More specifics can be discussed in person.

Crowns are necessary for the following reasons…1) to fix a fractured tooth; 2) prevent a fracture of a tooth with a large, failing filling; 3) protect and seal a tooth following root canal treatment. There are various types of materials that can be used to make the crown and the choice will depend on the location and the balance between durability and esthetics. Pros and cons of materials can be discussed in person. 

Gum Disease or Periodontal Disease is a chronic infection of the supporting structures of the teeth, which includes the gingiva (gums), periodontal ligament, and the jawbone. This chronic infection results leads to inflammation, which manifests as gum bleeding, gum recession, and bone loss. Gum disease can be caused by poor hygiene, and exacerbated other health and social factors. Diabetes and smoking are risk factors. Some believe there is a genetic susceptibility component to gum disease. Lack of dental care, poor dental care, and improper tooth alignment can also complicate things. Fortunately, gum disease can be treated. Regular and thorough cleanings to remove irritating deposits and inflamed tissue. Instructions in proper home care. In some cases, specialty referral is indicated.

Yes, our office welcomes children. Dr. DeAinza is comfortable and skilled at treating children for basic dental care. Dr DeAinza has worked in a pediatric dental setting prior to entering private practice. Generally, it is recommended to bring your child for their first visit around age 1 to evaluate the developing teeth. Recall approximately annually until about age 4-5 when we will begin teeth cleanings on a semi annual basis.

A detailed printout from the insurance company can be obtained to explain this in detail, along with annual limits and waiting periods. Our front office can assist you with this, or make a call on your behalf.

We will provide a treatment estimate, detailing costs, and any insurance coverage if applicable. Fees are set to be competitive with the area and offer value.

Yes. We welcome new patients. Most of our new patients are referrals from existing patients. We appreciate this.

A comprehensive exam of teeth and soft tissues. A review of medical and dental history. Any necessary x-rays or digital photos will be taken. In some cases, a dental cleaning will also be performed.

X-rays are necessary for any comprehensive exam. They are required prior to performing restorative treatment on any teeth. The amount and type will depend on the individual and what needs to be seen. In general, it’s the standard of care to obtain a full-mouth series or a panoramic and bitewing x-rays on new patients for comprehensive evaluation and periodic updates of the full series on approximately 5-7 year interval. If patients have relatively current x-rays from another office, those can be used. Going forward, the x-ray interval for “checkup” x-rays is individualized based on the patient’s history and risk level. 18 months is the average interval.

Cavities or dental caries are the breakdown of the enamel and dentin structure of the teeth. They are caused by acids produced by certain oral bacteria and made worse by dietary acids and sugars. Common problems that lead to tooth decay are poor, or inconsistent hygiene and a diet that includes lots of refined sugars and acidic items. Dry mouth mouth can be a risk factor for tooth decay as well. Controlling decay can be challenging for some individuals. It involves balancing risk factors and protective factors. Reducing risk factors involves good hygiene--electric toothbrush, flossing; a diet that avoids frequent exposures to refined sugars and acids; use of preventative and re-mineralizing products including specialized toothpastes and mouth rinses; products that neutralize acid and raise the pH of the saliva will promote a reduction in "bad" bacteria. Ask us about what strategies might be best for you and the preventative products that we offer.