Frequently Asked Questions

Honest, complete answers to every question we get asked, organized by topic.

Honest answers to every question patients ask us. Can't find what you need? Call (972) 852-2222 or book a consultation.

Yes, we welcome new patients any day we're open. You can book online or call (972) 852-2222. Same-day appointments are available for dental emergencies.

Monday: 10:00 AM – 7:00 PM  |  Tuesday: 8:30 AM – 4:00 PM  |  Wednesday: 10:00 AM – 7:00 PM  |  Thursday: Closed  |  Friday: 8:00 AM – 3:00 PM  |  Saturday: First Saturday of each month by appointment only, call (972) 852-2222 to schedule  |  Sunday: Closed.

We're at 14228 Midway Rd, Suite 100, Dallas TX 75244, on the North Dallas Tollway corridor, easily accessible from Addison, Farmers Branch, Carrollton, and Irving. Free parking is available on site with ground-level, accessible entry.

Yes, se habla español. We have Spanish-speaking team members and can fully accommodate Spanish-speaking patients. Our website is also available in Spanish, look for the 'Español' link in the navigation.

Spring Valley Dental Associates was founded in 1994 by Dr. Shokooh Aletaha. We've been caring for North Dallas families for over 30 years, and many of our patients have been with us since the very beginning.

Dr. Shokooh Aletaha, DDS is our founding dentist and practice owner, a Baylor College of Dentistry graduate with 30+ years in North Dallas specializing in cosmetic and restorative dentistry. Dr. Nicole Houshmand, DDS is a partner and practice owner, a Texas A&M College of Dentistry graduate certified in conscious sedation dentistry. Learn more about our team.

We accept most PPO dental insurance plans including Delta Dental, Cigna, Aetna, MetLife, United Concordia, Guardian, BlueCross BlueShield, Humana, Ameritas, Lincoln Financial, and Principal. Before your appointment, we verify your benefits and explain exactly what's covered so you know what to expect. We do not accept HMO dental plans.

We offer our in-house Spring Valley Membership Plan three tiers to fit your needs: Child Complete ($250/yr for ages 13 and under), Adult Complete ($325/yr for ages 14+), and Perio ($600/yr for ages 14+). Each plan covers preventive care plus 20% off all other services. Benefits start immediately. No waiting periods, no deductibles, no claim forms.

Never. We review all costs and your insurance coverage with you before any treatment begins. If something changes mid-treatment, we stop and discuss before proceeding. Every time. This is one of our core commitments.

Yes. We offer CareCredit and Cherry Financing, both allow you to spread treatment costs over time with low monthly payments. Many patients qualify even with less-than-perfect credit. Ask us about current promotional rates. View all financing options.

We verify your insurance benefits before your appointment and provide a clear estimate of what your plan will cover and what you'll owe. No surprises. If your actual treatment differs from the estimate, we let you know before we proceed.

You can book online fill out the form and we typically confirm within one hour during office hours. Or call us directly at (972) 852-2222. We're a real office with real people answering the phone.

We hold emergency slots open every day we're open. Call (972) 852-2222 as early in the day as possible. Most emergency patients are seen within 2–4 hours of calling.

We ask for at least 24 hours' notice if you need to reschedule. We understand life happens, just give us a call and we'll find another time that works.

Absolutely. We care for patients of all ages. Many of our long-term adult patients have been bringing their children and grandchildren to see us for years. We're a true family practice.

Please bring a valid photo ID, your insurance card (if you have one), a list of current medications, and any previous dental X-rays if available. Arrive 10–15 minutes early to complete your intake forms. Full new patient guide.

Most new patient appointments run 60–90 minutes. This includes a comprehensive oral exam, digital X-rays, a full dental cleaning, and time to discuss your dental history and any concerns. We never rush.

Modern dentistry is far more comfortable than most people expect. We use the latest anesthetics, take our time, and check in with you throughout every procedure. For patients with significant anxiety, Dr. Houshmand offers certified conscious sedation.

Conscious sedation uses safe, medically supervised medication to help you feel deeply relaxed during your appointment. You remain conscious and can respond, but most patients remember very little of the procedure. It's an excellent option for dental anxiety, sensitive gag reflexes, or complex procedures. Dr. Houshmand is certified in this technique. Learn more.

Common signs include a persistent toothache, prolonged sensitivity to hot or cold, a darkening tooth, or swelling in the nearby gum. A root canal relieves pain, it doesn't cause it. Modern root canals are typically as comfortable as a filling. Learn more about root canals.

A single implant including the post, abutment, and crown typically ranges from $3,000–$5,000 in the Dallas area. We provide an exact cost at your consultation. CareCredit and Cherry Financing are available. Some PPO plans now cover portions of implant treatment. Learn more about implants.

Most adult cases take 6–18 months. Dr. Aletaha will give you a realistic timeline at your consultation using a digital 3D preview, you see your result before committing. Learn more about Invisalign.

Most adults benefit from professional cleanings every 6 months. Patients with gum disease, higher cavity risk, or certain medical conditions may benefit from more frequent visits, typically every 3–4 months. We'll recommend a schedule tailored to your specific needs.

A filling restores a small-to-moderate portion of a damaged tooth. A crown covers the entire visible portion of the tooth, providing more protection for teeth with extensive decay, cracks, or fractures. If more than 50% of the tooth structure is compromised, a crown is usually the better long-term solution.

Yes, this is one of our specialties. Dr. Houshmand is certified in conscious sedation dentistry and has helped hundreds of patients who avoided dentistry for years finally get the care they need. Just tell us you're nervous when you book, that's all we need to know. Read more about our approach to anxious patients.

Never. We hear this every single week. Our response is always the same: we're glad you're here. We start with a thorough assessment, explain exactly what we see, and work with you on a realistic, prioritized plan at your pace. No lectures. No guilt.

Nitrous oxide (laughing gas) for mild anxiety, you remain fully alert and can drive afterward. Oral conscious sedation for moderate-to-severe anxiety, a prescription medication taken before your appointment that produces deep relaxation. You'll need a driver. Dr. Houshmand monitors you throughout every sedation appointment.

Absolutely. You're welcome to bring a trusted person to your appointment. They can stay with you during the consultation and, depending on the procedure, during treatment as well.

Yes. We use digital X-rays (up to 80% less radiation than traditional X-rays), digital impressions (no messy traditional molds), and digital smile design so you can preview results before committing to cosmetic treatment.

A routine cleaning and exam for an uninsured adult in Dallas typically runs $150–$350. Our Adult Complete Membership Plan ($325/yr) covers 2 cleanings, 2 exams, x-rays, and a fluoride treatment, plus 20% off all other procedures. View our membership plan.

Dental crowns at Spring Valley Dental typically range from $1,200–$2,000 depending on the material and complexity. Most PPO plans cover approximately 50% of crown cost after your deductible. We provide an exact estimate with your insurance coverage before treatment begins.

We offer CareCredit (0% promotional interest periods available) and Cherry Financing (flexible monthly payments, more patients qualify). Both can be applied for in minutes online or in our office. View all financing options.

Yes. Through CareCredit and Cherry Financing, you can spread treatment costs over 6, 12, 18, or 24 months depending on the plan you qualify for. Many patients combine insurance coverage with a financing plan to make large treatments very manageable monthly.

We provide exact cost estimates for every patient before treatment begins, based on your specific case and insurance coverage. See our transparent pricing guide with starting-from ranges for 12 common procedures.

These instructions are general guidelines. Always follow the specific directions your doctor gives you at your appointment. Questions? Call us any time at (972) 852-2222.
  1. Some pain after a root canal is normal. Start pain medication before your anesthesia wears off. Take Ibuprofen (Advil) 600 mg every 6 hours or 800 mg every 8 hours unless your doctor advises otherwise. Do not take Aspirin. If you cannot take Ibuprofen, take two acetaminophen (Tylenol) every 6 hours.
  2. If an antibiotic is prescribed, take the full course as directed. Antibiotics may reduce the effectiveness of birth control pills, consult your physician if you have concerns.
  3. Some swelling and bruising is normal and will be at its worst 48–96 hours after treatment. Apply an ice pack gently over the area, 20 minutes on, 20 minutes off, for 3–4 hours. Do not use ice for more than 6 hours total. Do not fall asleep with ice on your face.
  4. Eating enough food and staying hydrated are the most important things you can do to heal faster. Avoid sticky or crunchy foods for the first 3 days.
  5. Starting the day after treatment, rinse gently with warm salt water (1 teaspoon of salt in one glass of warm water) after meals and at bedtime, or use the prescribed mouth rinse. Continue brushing and flossing normally everywhere except the treated area, which you may brush gently.
  6. Do not smoke for the first 24 hours following treatment.
  7. Mild sensitivity or discomfort is normal for the first week. If you experience severe pain, swelling, or fever, contact us immediately.
  8. You can call us any hour of the day or night if you are concerned about anything.
  9. Please contact our office to schedule your follow-up appointment and to place a permanent restoration.

Bleeding control

Bite firmly on the gauze for 30 minutes, then change it. The gauze will be stained, that is normal and not a sign of active bleeding. If your mouth continues to fill with blood after the second gauze, place fresh gauze over the socket and apply firm pressure. If bleeding still doesn't slow, wrap a moistened tea bag in gauze and bite on it for 30 minutes.

Do not rinse or spit, this disturbs the clot and causes more bleeding. Instead, lean over a sink and let saliva drip out by gravity. Avoid anything that creates suction (straws, rinsing, spitting).

Diet

Avoid hot foods and drinks on the day of surgery (let them cool first). Cool soft foods like ice cream, yogurt, pudding, eggs, and soft pasta are ideal. Avoid sharp-edged foods (chips, crackers, toast) for 4–5 days.

Things to avoid

  • No alcohol for a minimum of 7 days.
  • No smoking for a minimum of 7 days. Smoking triples the risk of dry socket, a painful, slow-healing extraction complication.

Swelling & pain

Apply ice to your cheek, 20 minutes on, 20 minutes off, throughout the first day. Do not fall asleep with ice on your face. Start pain relievers before your anesthesia wears off (30–60 minutes after your appointment). Take Ibuprofen (Advil or Aleve) 600 mg every 6 hours or 800 mg every 8 hours. Do not take Aspirin. Acetaminophen (Tylenol) 650 mg every 6 hours is a good alternative. Both ibuprofen and acetaminophen can be taken together safely. Take other prescribed medicines as directed. Avoid driving or alcohol if you were given prescription pain medication.

The day after surgery

  1. Gently rinse with warm salt water (1 teaspoon of salt in 1 glass of warm water) 4 times a day for one week, or use the prescribed mouth rinse.
  2. Brush gently with a soft bristle brush, avoid brushing directly on the surgical site.

Two days after surgery

Switch from ice to moist heat (a warm, damp towel or hot water bottle) for any remaining swelling. Swelling is typically at its worst 48–72 hours after surgery.

Bruising, stiffness & stitches

Bruising is a normal response and will improve in 7–14 days. Jaw stiffness is common after longer procedures and will also improve in 7–14 days, moist heat and Ibuprofen help. Stitches typically dissolve on their own within a week. Do not pull at loose stitches, but you may carefully trim one at the gum line if it is very loose. Never swallow a stitch on purpose, but if one is swallowed accidentally it is harmless.

When to call us

Most pain improves by day three. If pain or swelling increases on day four or later, call us and ask to be seen that day or the next.

Brushing

Use a soft toothbrush. Place the bristles above the bracket at a 45° angle toward the gums and brush gently back and forth. Then brush the chewing and back surfaces. Brush for two minutes morning and night. Patients with braces or aligners have a higher cavity risk due to food and plaque trapping, follow these instructions carefully.

Flossing

Use floss threaders to get under the wire, or use a water flosser. Once the floss is under the wire, wrap it in a "C" shape around each tooth and floss as normal. Floss every day.

Clear aligners

Remove aligners when eating and place them in their protective case, never in a napkin (they get thrown away). Keep aligners away from pets. Rinse your mouth after eating and brush as soon as possible before reinserting. Only drink plain still water with aligners in, not carbonated, flavored, or sparkling water.

Sports

Talk to us if you play contact sports during orthodontic treatment. A mouth guard specifically designed for orthodontic appliances may be recommended.

Foods that can damage your appliance, avoid these

  • Popcorn
  • Peanuts & nuts
  • Ice cubes
  • Spareribs & chicken legs
  • Taffy & caramel
  • Corn on the cob
  • Corn chips

Foods to cut into small pieces before eating

  • Apples
  • Hard breads & bagels
  • Steak
  • Raw vegetables
  • Any food you'd normally bite with front teeth

If you eat sweets, rinse & brush immediately

  • Soda, candy, cakes

Habits that damage appliances

  • Chewing on pens or pencils
  • Biting fingernails
  • Pulling or picking at your appliance

Broken appliance

If a bracket, band, or wire loosens or breaks, call us immediately. Use the wax provided to cover any irritating area until your appointment. If you have a loose band, stop wearing your elastics.

Diet

Eat soft foods such as pasta, meatloaf, fish, chicken, cooked vegetables, eggs, smoothies, or yogurt. Avoid crunchy foods like hard cereal, crusty bread, raw vegetables, chips, popcorn, and nuts.

Medication

Continue any medications started before surgery (antibiotics, systemic steroids) as instructed. Finish all prescribed antibiotics. Taking a probiotic supplement during antibiotic use is recommended. Call us immediately to report any allergic reactions to prescribed medication.

Discomfort & pain

Start pain medication before your anesthesia wears off (30–60 minutes after your appointment). Instead of narcotic medication, take 2 tablets of Advil (Ibuprofen 200 mg each) and 2 tablets of Tylenol (Acetaminophen regular or extra strength) every 4–6 hours. This combination provides pain relief comparable to narcotics without the side effects of nausea, dizziness, or constipation.

Swelling

Swelling is normal. For the first 48 hours, apply an ice pack for 20 minutes on, 20 minutes off, repeating for 2–3 hours. After 48 hours, switch to warm compresses (warm damp towel) to help reduce remaining swelling.

Bleeding

Small amounts of blood turning your saliva red for several hours is normal. Do not actively spit or rinse during the first 24–48 hours. Lean your head over a sink and let gravity drain the saliva out. If persistent oozing occurs, press a moistened tea bag firmly over the area for 5–10 minutes.

Oral hygiene

Continue brushing and flossing as usual. If you were prescribed antiseptic mouthwash, start using it the morning after surgery, twice a day.

No smoking

Smoking significantly reduces healing and the success of the surgery. Suction from inhaling can dislodge newly formed clots and dramatically increases the risk of painful dry socket.

In case of extreme pain, swelling, or bleeding, call us immediately at (972) 852-2222.

Still have questions?

We're a real office with real people answering the phone. Call or book online.

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