Patient Information

Patient Forms, FAQ’s and Videos

Patient Review - Dr. Monica Puentes, DDS

A Positive Patient Experience

Building a foundation of trust by treating our patients as special individuals is vital to our success. We understand how uneasy some patients may feel about their dental visits, and how we can make a difference in providing a relaxing and positive experience. Our entire team is dedicated to providing you with excellent, personalized care and service to make your visits as comfortable and pleasant as possible.


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Payment Options

We accept all major Credit Cards including Care Credit


Frequently Asked Questions

We want to answer any questions you may have. Feel free to call in with any other questions.


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How often should I brush and floss?

Brushing and flossing can help control plaque and gum disease. Food debris and bacteria combine with saliva on a daily basis to form a sticky film, called plaque, on our teeth and gums. If not removed several times a day, plaque can harden and begin to destroy the gums and teeth and to develop periodontal (gum) disease. Brushing and flossing regularly, along with the regular use of other dental aids, can stop the continuous growth of plaque.

Tooth Brushing

Brush at least twice a day. The most important is before bedtime. The dental industry is booming with technology. Bristle designs help to get the right 45-degree angle, and help the brush to reach hidden areas of the mouth. Certain effective methods of brushing your teeth include:

Brush all surfaces of the teeth: the outer, the inner and the biting surface. Also, use the tip of the brush head to clean the inside of the front teeth. Brush the entire tongue, but especially at the back of the throat, where typically a lot of bacteria accumulate.

Electric toothbrushes have been designed to mimic the action normally required by the wrist; so simply holding the toothbrush over each area and letting the brush do the work can make brushing a joy, and can increase your desire to brush often.

How often should I have a dental exam or cleaning?

It is important to visit us on a regular basis so that we can identify potential problems early and take appropriate action. Tooth decay can, if left untreated, cause the total loss of a tooth within a year. For this reason it is important to visit us every six months. In some circumstances you may need more frequent visits.

While brushing and flossing daily will generally keep your mouth in good condition, regular visits will go a long way to prevent major tooth or gum disease, or catch it early, if it is developing. We will perform tests and use x-ray technology to see problems long before they can cause lasting damage to your mouth.

Examination of diagnostic x-rays (radiographs)

Radiographs are essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.

Oral cancer screening

At every visit, we always check the face, neck, lips, tongue, throat tissues and gums for any signs of oral cancer.

Your dental exam

During your exam Dr. Puentes will check your teeth for cavities and broken fillings or crowns. Dental decay may appear as a hole or sometimes as a dark shadow underneath the surface of the enamel. Special dental instruments can go a lot farther than the average toothbrush at removing calculus (tartar), probing beneath the surface, and checking the strength of existing fillings and crowns.

What is Plaque and why do I need to get rid of it?

Plaque is defined as a soft, sticky and colorless deposit that is continually forming on our teeth and gums. All of us “get” plaque, so all of us need to get rid of it. If plaque is allowed to grow, it can cause cavities and lead to gum disease. If plaque is not removed daily, it will harden and become tartar. Tartar is much harder to remove from the tooth; so why not “catch” it before it has a chance develop? (See Good Brushing Techniques, below.)

Dental teeth polishing will remove plaque, tartar, and stains from the teeth. It is a cosmetic procedure that removes surface stains on the crown part of the tooth or above the gum line so teeth will look and feel cleaner and brighter.

Oral Hygiene – Good Brushing Techniques

At our dentist office the entire team is dedicated to educate you on toothbrush choices, tooth paste, floss, rinses and fluoride options.

Review dietary habits

Your eating habits play a very important role in your dental health. So as you can see, there are many good reasons to make regular visits to our office. We are committed to making each one of your visits a valuable and lasting part of your dental care regimen.

What should I do if I have bad breath?

There are times when bad breath can occur regardless of the dental health of an individual’s mouth. Bad breath in a healthy mouth is largely a result of microbial deposits on various locations of the tongue, especially the back. In many cases, simply brushing the tongue can reduce bad breath by up to 70 percent.

What may cause bad breath?


Saliva contains enzymes that cleanse the mouth of bacterial growth. During sleep, saliva production slows or even stops altogether, producing a dry-mouth effect and causing bad breath.

Certain foods

Certain foods contain compounds that have a strong natural odor, such as onions or garlic which, upon entering the blood stream, are transferred into the lungs, then exhaled through the mouth.

Poor oral hygiene habits

Food particles can remain in the mouth, promoting growth of bacteria.

Periodontal (gum) disease

Inflammation of the gums can often indicate bacterial infections and food particles collecting in hard-to-reach areas.

Dental cavities or ill-fitting dental appliances

Cavities in the tooth or ill-fitting appliances can foster bad breath by allowing hidden areas for bacterial growth and food particle collection.

Dry mouth (Xerostomia)

Dry mouth may result from certain oral medications, salivary gland issues, or sinus problems resulting in excessive mouth breathing. Tobacco products can also dry the mouth and contribute to bad breath. Drinking water throughout the day can keep the mouth clean and moist.


Certain diets can cause ketosis in the body, which produces chemicals called ketones that may be released into the breath as the body burns fat.

Some medical conditions or illnesses

Bad breath can be the body’s response or simply a symptom of such conditions as liver or kidney problems, diabetes, chronic sinus infections, bronchitis and even pneumonia.

If you keep a journal of what and when you eat, you may be able to identify the cause of bad breath. Discuss your current medications, any recent surgeries, or illnesses with your dentist.


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What can I do to prevent bad breath?

Practice good oral hygiene

Brush at least twice a day with an ADA-approved fluoride toothpaste and toothbrush. Floss daily to remove food debris and plaque from in between teeth and under the gum line. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every two to three months (more frequently if you are ill). If you wear dentures or removable bridges, clean them thoroughly and place them back in your mouth in the morning.

See us regularly

Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, we may recommend more frequent visits.

Stop smoking/chewing tobacco

If you are concerned about your breath and your overall good health, we may be able to recommend some ways to help you break the habit.

Drink water frequently

Water will hydrate your mouth, as well as your whole body, and will help wash impurities from your system.

  • Use carefully selected mouthwash/rinses
  • Some over-the-counter rinses taste and feel like they are effective, but have only a temporary effect. Ask your dentist which of the rinses will clean your mouth and kill the bacteria that cause bad breath.

How can I tell if I have gum disease?

Statistically speaking, four out of five people who have periodontal disease don’t even know it, because it is usually painless in the early stages. Having your dentist perform regular check-ups can go a long way to preventing any lasting occurrence of periodontal disease.

Periodontal disease begins with the accumulation of plaque, which is a sticky colorless film of bacteria, food debris, and saliva. When this film is not brushed away well each day, the accumulation of bacteria and food particles held in the plaque can inflame the gums and destroy the bone over time.

Infrequent brushing is only one of a few risk factors contributing to the development of periodontal disease. Other factors include:

  • Some medications: Steroids, cancer therapy drugs, blood pressure medications, and oral contraceptives
  • Systemic diseases such as diabetes and AIDS, etc.
  • Smoking or chewing tobacco: higher incidence of periodontal disease is seen in people who smoke or chew
  • Pregnancy or oral contraceptives
  • Life changes such as puberty
  • Positioning of teeth or crowding of teeth can make it very difficult to reach some areas regardless of proper brushing and flossing techniques
  • Ill-fitting crowns or other appliances, such as partials, can allow food to accumulate in specific areas, leading to periodontal disease regardless of good oral habits.

Signs you may have Periodontal Disease

  • Red, swollen, bleeding or even receding gums
  • Bad mouth odors
  • Loose teeth or large gaps
  • Tender or painful gums
  • Pus around gums or teeth
  • Receding gums (thinning gum tissue and/or pulling away from the tooth — which indicates bone loss)

Are amalgam (silver) fillings safe?

Because we are committed to providing the best dental care, our office has chosen not to use amalgam (silver) fillings, in most circumstances. Amalgam fillings require the destruction of larger amounts of healthy tooth than necessary. This, in return, can lead to cracking of the tooth and the possibility of needing a crown. Instead, we choose to use resin (tooth-colored) fillings. In addition to being more aesthetically pleasing, resins (also called composites) are bonded to the tooth. This allows the dentist to remove only unhealthy tooth structure.

Numerous options are available including gold, porcelain, and composite filling material and any such options can be made available on request. We will help you make the choice that is right for you and best for your unique circumstances.

Call : (562) 861-3181

11116 Rives Ave, Downey, CA 90241

Working Hours

Monday:  9AM-5PM
Tuesday:  9AM-5PM
Wednesday:  9AM-5PM
Thursday:  9AM-5PM
Friday: Closed
Saturday: Closed
Sunday: Closed


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