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Dr. Eugene Azuma, DDS


Experience Excellence in Dentistry with Dr. Behrooz Khademazad at Grand Prairie Family Dental

Frequently asked questions

General Dentistry

What should I do if I have bad breath?

Understanding and Preventing Bad Breath:

Bad breath, or halitosis, can be an uncomfortable issue. It often occurs due to microbial deposits on the back of the tongue, which can be reduced by simply brushing the tongue. Common causes of bad breath include:

  • Reduced saliva flow during sleep
  • Certain foods
  • Poor oral hygiene
  • Gum disease
  • Dental issues
  • Dry mouth
  • Tobacco use
  • Dieting
  • Dehydration, hunger, missed meals
  • Medical conditions

Prevent bad breath by:

  • Practicing good oral hygiene (brushing, flossing, tongue cleaning)
  • Regular dental check-ups
  • Quitting tobacco
  • Staying hydrated
  • Using recommended mouthwash/rinses

Consult your dentist if bad breath persists, as they can identify and treat the cause or refer you to a physician if necessary.

How often should I brush and floss?

Maintaining Good Oral Health:

Plaque, a sticky film of bacteria, food debris, and saliva, is the root of dental issues, including tooth decay and gum disease. Regular brushing, flossing, and dental aids are crucial for control.

  • Toothbrushing: Brush at least twice daily with a soft-bristle brush and ADA-approved toothpaste. Angle at 45 degrees to the gums, using a circular motion. Don’t forget your tongue! Electric toothbrushes work well too.
  • Flossing: Daily flossing is essential for cleaning between teeth and under the gumline. Use about 12-16 inches of dental floss and gently curve it around each tooth.
  • Rinsing: Rinse with water after brushing and after meals if unable to brush. Consult your dentist for suitable mouthwash options.”

Are amalgam (silver) fillings safe?

Amalgam fillings, made with copper, silver, tin, zinc, and mercury, have been used safely for over a century. Reputable organizations, including the ADA and FDA, affirm their safety. Studies haven’t found links to health issues.

Mercury, while toxic at high levels, is inactive and safe in amalgam fillings. Allergies to these fillings are rare.

Alternative fillings like composite, porcelain, and gold are available. Discuss these options with your dentist for the best choice.

How often should I have a dental exam and cleaning?

You should have your teeth checked and cleaned at least twice a year, or as recommended by your dentist. These visits are crucial for preventing dental issues and maintaining your oral health. During these appointments, your dentist will:

  • Review your medical history to understand your overall health and dental well-being.
  • Examine diagnostic x-rays to detect decay, tumors, cysts, and bone loss.
  • Screen for oral cancer in various areas of your mouth and throat.
  • Evaluate gum health and check for signs of gum disease.
  • Inspect all tooth surfaces for decay using special instruments.
  • Examine existing dental restorations like fillings and crowns.
  • Remove hardened plaque (tartar) from above and below the gum line.
  • Eliminate plaque, a film of bacteria, debris, and saliva.
  • Polish teeth to remove stains and remaining plaque.
  • Offer oral hygiene recommendations and suggest dental aids.
  • Discuss dietary habits and their impact on dental health.

Your dental exam and cleaning are more than cavity checks and teeth polishing. We’re dedicated to providing you with comprehensive care to ensure your oral health. Regular check-ups and cleanings are essential for your well-being.

How can I tell if I have gingivitis or periodontitis (gum disease)?

Did you know that four out of five people have periodontal disease without realizing it? This condition often goes unnoticed in its early stages as it’s typically painless, unlike tooth decay. Regular dental check-ups and periodontal examinations are vital for early detection.

Periodontal disease begins with the presence of plaque, a sticky film of bacteria, food debris, and saliva left on teeth and gums. These bacteria produce toxins that inflame gums and gradually erode bone. Proper and regular brushing and flossing prevent plaque buildup.

Several factors may increase the risk of periodontal disease:

  • Smoking or tobacco use, which encourages plaque formation.
  • Tooth or appliance issues like ill-fitting bridges, crowded teeth, or defective fillings.
  • Certain medications that reduce saliva, making it easier for plaque to adhere.
  • Hormonal changes during pregnancy, puberty, or with oral contraceptives.
  • Systemic diseases like diabetes or HIV/AIDS.
  • Genetics can also play a role, particularly for those with a family history of tooth loss.

Watch for signs and symptoms:

  • Red or swollen gums, which should be neither.
  • Bleeding gums, even during vigorous brushing or flossing.
  • Persistent bad breath caused by oral bacteria.
  • New spacing between teeth due to bone loss.
  • Loose teeth resulting from bone loss or weakened periodontal fibers.
  • Pus around teeth and gums indicates infection.
  • Receding gums, indicating gum loss around a tooth.

Tenderness or discomfort due to plaque, calculus, or bacteria irritation.
Maintain good oral hygiene, a balanced diet, and regular dental visits to reduce your risk of periodontal disease. Your oral health is worth it!

Why is it important to use dental floss?

Using dental floss is essential because it helps remove plaque and food particles from between teeth, preventing cavities and gum disease.

How to floss properly:

  • Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
  • Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
  • Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Daily flossing will help you keep a healthy, beautiful smile for life!

Dental Cleaning

How often should I get a dental cleaning?

Ideally, every 6 months to prevent plaque build-up and detect any issues early.

Does a dental cleaning hurt?

Most people feel little to no discomfort. Sensitivity can occur, but your dentist can make adjustments to ensure comfort.

What happens during a dental cleaning?

Your dentist or hygienist will remove plaque and tartar, polish your teeth, and may floss and

How long does a dental cleaning take?

Typically, it takes about 30 to 60 minutes, depending on your oral hygiene and the time since your last cleaning.

Can a dental cleaning whiten my teeth?

Cleanings remove surface stains, leading to a brighter smile, but they’re not a substitute for professional whitening treatments.

General Dentist

What services does a general dentist provide?

They offer a wide range of services including cleanings, fillings, crowns, bridges, preventive care, and sometimes cosmetic procedures.

How do I choose a good general dentist?

Look for qualifications, experience, positive reviews, and a comfortable office environment. A consultation can also help you decide.

How often should I visit a general dentist?

It’s recommended to visit every 6 months for check-ups and cleanings to maintain oral health and catch any issues early.

What's the difference between a general dentist and a specialist?

A general dentist provides comprehensive dental care, while specialists focus on specific areas like orthodontics or oral surgery.

Can a general dentist treat gum disease?

Yes, they can treat early stages of gum disease through cleanings and more advanced care if needed, sometimes referring to a specialist for severe cases.

Restorative Dentistry

What is restorative dentistry?

It focuses on repairing or replacing damaged or missing teeth, restoring both function and appearance with treatments like fillings, crowns, bridges, porcelain veneers and implants.

How long do restorative procedures take?

It varies; simple fillings might take one visit, while more complex procedures like implants can take several months from start to finish.

Is restorative dentistry painful?

Most procedures are performed with anesthesia to minimize discomfort. Your dentist will ensure you’re as comfortable as possible.

Will my insurance cover restorative dentistry?

Many insurance plans partially cover restorative treatments. It’s best to check with your provider for specific coverage details.

How do I care for my teeth after a restorative procedure?

Follow your dentist’s instructions, which typically include regular brushing, flossing, and follow-up visits to maintain oral health and the longevity of the restoration.

Cosmetic Dentist

How much does cosmetic dentistry cost?

Costs vary widely by procedure and complexity. Whitening might start at a few hundred dollars, while veneers or crowns can be more.

What's the difference between a cosmetic dentist and a general dentist?

Cosmetic dentists focus on aesthetic improvements, while general dentists provide comprehensive dental care, including health and function.

What does a cosmetic dentist do?

A cosmetic dentist improves the appearance of your teeth and smile. Services include whitening, veneers, crowns, and aligners to enhance aesthetics.

Does insurance cover cosmetic dentistry?

Generally, insurance doesn’t cover procedures purely for cosmetic reasons. However, some treatments with restorative benefits might be partially covered.

How do I choose a cosmetic dentist?

Look for experience, before-and-after photos of real patients, positive reviews, and a consultation to discuss your goals and options.

Teeth whitening

How much does professional teeth whitening cost?

Costs vary widely by location and method, ranging from $300 to $800 for in-office treatments and $100 to $400 for at-home kits prescribed by a dentist.

What's the difference between at-home and professional whitening?

Professional whitening is faster, more effective, and performed under dentist supervision. At-home kits are more gradual and can be done at your convenience but may be less potent.

Will my teeth be sensitive after whitening?

Some people experience temporary sensitivity after whitening treatments. Your dentist can recommend products to minimize discomfort.

How quickly will I see results from teeth whitening?

Results from professional whitening can often be seen immediately after one treatment, while at-home treatments may take a few weeks to show significant changes.

How long does teeth whitening last?

Results can last from several months to three years, but it varies based on diet, oral hygiene, and lifestyle habits.

Dental Crowns

How much do dental crowns cost?

The cost can vary widely, typically ranging from $800 to $1,500 per crown, depending on materials used and geographic location. Some dental insurances may cover part of the cost.

How long do dental crowns last?

With proper care, dental crowns can last between 5 to 15 years, sometimes longer, depending on the material and oral hygiene practices.

What's the difference between temporary and permanent crowns?

Temporary crowns are used for a short period while waiting for the permanent crown to be made. They’re not as strong as permanent crowns.

Are dental crowns painful to get?

You shouldn’t feel pain during the procedure due to anesthesia. Some mild sensitivity or discomfort may occur after the anesthesia wears off.

Can you whiten dental crowns?

No, crowns cannot be whitened. It’s important to match the crown color to your natural teeth before placement.

Porcelain Veneers

How much do porcelain veneers cost?

The cost varies, but generally ranges from $925 to $2,500 per tooth, depending on the complexity and the dentist’s location. Not typically covered by insurance.

How long do porcelain veneers last?

Veneers typically last between 10 to 15 years with proper care, after which they may need to be replaced.

Can veneers be removed if I change my mind?

Veneers are considered a permanent treatment because your dentist removes a small amount of enamel to fit them. They can’t be removed once placed.

Do porcelain veneers stain?

Porcelain veneers are highly resistant to staining compared to natural teeth, but maintaining good oral hygiene is still important.

How do I care for my porcelain veneers?

Brush, floss, and visit your dentist regularly. Avoid biting hard objects to prevent chipping.

Dental Implants

How much do dental implants cost?

Costs vary widely but can range from $1,500 to $6,000 per implant, not including the crown, depending on the location and specific patient needs. Some insurances may cover part of the cost.

Will insurance cover dental implants?

Insurance coverage for dental implants varies, so it’s essential to consult your insurance provider for specific details.

Are getting dental implants painful?

The procedure is typically not painful, as local anesthesia is used to numb the area. Some patients may experience mild discomfort afterward, which can be managed with over-the-counter pain relievers.

How long do dental implants last?

With proper care, dental implants can last a lifetime. The crown attached to the implant typically lasts 10-15 years before it may need replacement due to wear.

How long is the dental implant process?

The entire dental implant process may take several months, including healing time, but it ensures lasting results. Consequently, expect 3 to 4 office visits to complete the process.

How long is the dental implant process?

The entire dental implant process may take several months, including healing time, but it ensures lasting results. Consequently, expect 3 to 4 office visits to complete the process.

Will I Be Awake During The Dental Implant Procedure?

Most of the time yes, you will be awake during the dental implant procedure, but local anesthesia ensures you won’t feel pain.


How much do dentures cost?

The cost varies, but complete dentures can range from $600 to $2,500 for a set, while partials may cost between $300 to $1,500, depending on materials and complexity. Some dental insurances cover a portion of the cost.

How long do dentures last?

With proper care, dentures can last between 5 to 7 years before they may need to be replaced due to wear or fit changes.

Is it difficult to eat with dentures?

There’s an adjustment period, but most people adapt quickly and can eat normally. Starting with soft foods and practicing can help.

How do I care for my dentures?

Clean them daily with a soft brush and denture cleaner, soak them overnight in a denture solution, and handle them carefully to avoid damage.

What are the newest types of dentures?

The latest advancements in dentures include implant-supported dentures and digital dentures. Implant-supported dentures provide a more stable and comfortable fit by anchoring to dental implants placed in the jawbone.

Digital dentures are created using advanced CAD/CAM technology, ensuring a precise fit and faster production times. Both options offer improved comfort, functionality, and appearance compared to traditional dentures.

How What are implant dentures?

Implant dentures, constructed using materials like acrylic or porcelain, provide a dependable solution for restoring missing teeth. They offer the stability of dental implants, replicating natural tooth roots, and boast impressive durability compared to traditional dentures.

Invisalign & Braces

How much does Invisalign cost?

The cost of Invisalign can vary widely, generally ranging from $3,000 to $8,000, depending on the specifics of your treatment plan. Many dental insurance plans cover a portion of the cost.

How long does Invisalign treatment take?

Treatment time varies but typically ranges from 12 to 18 months, depending on the complexity of the case and how consistently the aligners are worn.

Can I eat with Invisalign aligners in?

No, you should remove your aligners before eating or drinking anything other than water to avoid damaging them.

Will wearing Invisalign affect my speech?

Some people may notice a slight lisp initially, but most adapt quickly and speak normally within a few days.

How often do I need to wear my Invisalign aligners?

For best results, wear your aligners 20 to 22 hours a day, only removing them to eat, brush, and floss.

Laser Dentistry

What procedures can be performed with laser dentistry?

Laser dentistry can be used for a variety of treatments, including gum reshaping, cavity detection, filling preparation, bacterial reduction during root canals, and even teeth whitening.

How much does laser dentistry cost?

Costs can vary depending on the procedure, but laser treatments may be comparable to or slightly higher than traditional methods. Some insurance plans may cover part of the cost.

Is laser dentistry painful?

Many patients find laser dentistry less painful than traditional methods. It often reduces the need for anesthesia and minimizes bleeding and swelling.

How safe is laser dentistry?

When performed by a trained professional, laser dentistry is extremely safe. It offers precise treatment with less damage to surrounding tissues.

What are the benefits of laser dentistry over traditional methods?

Benefits include less discomfort, faster healing times, reduced risk of infection, and often, the ability to preserve more of the natural tooth.

TMJ Therapy

How much does TMJ therapy cost?

Costs vary based on treatment type and severity of the disorder. Oral appliances may range from $200 to $1,000, with other treatments varying widely. Insurance may cover some aspects of therapy.

What treatments are available for TMJ disorders?

TMJ therapy may include oral appliances (splints or night guards), physical therapy, medications for pain and inflammation, and in some cases, dental corrections or surgery.

How long does TMJ therapy take to work?

The effectiveness and duration of TMJ therapy can vary; some patients experience relief within weeks, while others may need a few months of treatment.

Is TMJ therapy painful?

Most TMJ treatments are not painful and are designed to relieve pain. Some discomfort may be felt when starting treatment or adjusting to an oral appliance.

Can TMJ disorders be cured?

While some cases of TMJ disorder can be resolved with treatment, others may require ongoing management to keep symptoms at bay.

Dental Emergencies

What qualifies as a dental emergency?

Any situation causing severe pain, bleeding, or trauma to the teeth or gums, like a knocked-out tooth, severe infection, or broken tooth, is an emergency.

Can I wait to see my dentist if my tooth is knocked out?

No, time is crucial. Try to see your dentist immediately, ideally within an hour, to increase the chance of saving the tooth.

What should I do if I have a severe toothache?

Rinse your mouth with warm water, gently use dental floss to remove any trapped food, and contact your dentist. Avoid applying aspirin directly to the gum.

How do I handle a chipped or broken tooth?

Save any pieces. Rinse your mouth and the fragments with warm water. If there’s bleeding, apply gauze, and use a cold compress to reduce swelling. See your dentist as soon as possible.

What can I do for a lost filling or crown?

Keep the crown or filling if you find it. For a lost filling, use sugar-free gum or dental cement as a temporary fix. If a crown falls out, dental cement can reattach it temporarily. See your dentist quickly.

What if I have a dental emergency and the office is closed?

Many dentists have an emergency contact number for after-hours. If not, visit the emergency room for immediate care, especially if the situation is severe.

Airway/Sleep Apnea

Sleep Apnea

How many people have sleep apnea?

1 in 5 adults have mild OSA
1 in 15 have moderate to severe OSA
9% of middle-aged women and 25% of middle-aged men suffer from OSA

Should snoring be ignored?

Snoring is not merely a loud and bothersome noise; it can serve as an important indicator of a Sleep Breathing Disorder (SBD) that should not be taken lightly. It is estimated that around 42 million Americans are affected by SBDs.

One of the most prevalent types of SBD is Obstructive Sleep Apnea, a medical condition in which the tongue and soft tissues obstruct the airway, preventing proper airflow into the lungs. Recognizing the potential seriousness of SBDs is crucial for prompt diagnosis and appropriate treatment.

What is sleep apnea's impact on my health?

  • Mild OSA is found in 70% of heart attack patients.
  • Sleep Apnea affects 86% of obese individuals with type 2 Diabetes.
  • Hypertension is present in 43% of patients with mild OSA.
  • Sleep Apnea is experienced by 48% of individuals with type 2 Diabetes.
  • Drowsy driving causes around 100,000 car accidents annually.
  • Individuals with Sleep Apnea are at a 4 times higher risk of stroke.
  • Untreated Sleep Apnea can lead to memory problems, weight gain, impotence, and headaches.
  • Over 20 years, untreated OSA can reduce survivability by 30% or more.
  • Drowsy driving results in 100,000 car accidents, 40,000 injuries, and 1,550 deaths yearly.
  • Approximately 38,000 deaths each year are associated with Sleep Apnea-related cardiovascular problems, including high blood pressure, hypertension, and stroke.

Can sleep apnea be cured?

A sleep doctor would say that sleep apnea usually can’t be fully cured, especially for severe cases. It’s something people manage over time, not get rid of completely.

The Vivos treatment is a newer way to help with sleep apnea. It’s not like the CPAP machine that you use every night. Instead, Vivos works on changing the shape of your mouth and airway slowly. This can make your sleep apnea better or even go away for some people.

It’s a hopeful option for those looking for something other than nightly machines or surgery, offering a chance at long-lasting improvement.

Is sleep apnea treatment covered by insurance?

Many insurance plans cover sleep apnea treatment, including CPAP and oral appliances, but coverage can vary. Check with your provider.

What qualifies a Dentist to treat sleep apnea?

Our Dentist is not just your regular dentists—he is highly qualified and ready to take on the challenge of multidisciplinary care for patients with sleep-related breathing disorders. They hold a current dental licenses, but that’s not all! They have also received special training in Airway and Dental Sleep Medicine.

So rest assured, you’re in great hands with our experienced team of dental sleep medicine experts. Let’s get started on your journey to better sleep and improved breathing!

Vivos Sleep Apnea

What exactly is the Vivos treatment?

It’s a method using a special oral appliance worn for 12-16 hours, mostly at night, to naturally widen your mouth’s arches and open up your airway for better breathing and sleep. In some cases, Vivos has shown to resolve sleep apnea symptoms.

Can the Vivos treatment cure sleep apnea?

While “cure” is a strong word, Vivos aims to provide a long-term solution by addressing the structural causes of sleep apnea, potentially reducing or eliminating the need for further treatment.

Who is eligible for the Vivos treatment?

The Vivos treatment is suitable for individuals with mild, moderate, and, following recent FDA clearance, even severe sleep apnea.

Can children use the Vivos treatment?

Yes, Vivos can be effective for children with sleep apnea or breathing issues, helping to guide their dental and airway development early on.

How is Vivos different from CPAP or surgery?

Unlike CPAP, which requires nightly use indefinitely, or surgery, which can be invasive, Vivos is a more natural, non-invasive approach aiming for a permanent improvement in airway structure.

How long does the Vivos treatment take?

Typically, it lasts between 12 to 24 months, but the exact duration can vary depending on the individual’s situation.

How often do we wear the device?

For adults about 3-4 hours during the day and while sleeping overnight.

For children about 1-2 hours during the day and while sleeping overnight, these awesome appliances work their magic. They’re like little guides, helping with the natural growth and development of your child’s mouth, jaws, and airways. They do an incredible job of counteracting the negative impacts of modern life on their oral health. It’s all about promoting a healthy future!

Will Vivos help with my crowded/crooked teeth?

We customize our approach to improve nighttime breathing and overall airway health. Our primary goal is clear: better breathing. As a bonus, our treatment often leads to a beautiful smile, proper tongue posture, and more room for teeth alignment. Crowded teeth can become a thing of the past!

While orthodontic help might still be needed for perfect alignment, our mission is to ensure restful sleep and improved breathing. Better breathing means better sleep, and that’s our ultimate aim.

Life during treatment

Most treatment plans include lots of healthy sleep and good nutrition for a period of between 12 and 24 months. You are unique and your custom treatment plan will be tailored to fit you and YOUR needs.

While in treatment, sleep comfortably and enjoy a good night’s rest! FINALLY! So many of our patients enjoy newfound energy and find themselves eating healthier, resulting in fewer visits with your healthcare team.

Life after treatment

Once your treatment is complete, you will be ready to take on the world and enjoy a vibrant, healthy life. In most cases, there will be no need for further intervention. You’ll now be breathing well, sleeping well, and living well!

Is the Vivos treatment covered by insurance?

It’s possible to get reimbursed for this treatment through your medical insurance. However, it’s essential to understand that there might be limitations or exclusions in your plan. These could include an annual cap on coverage, a waiting period for treatments, or a lifetime maximum specifically for orthodontic care.

To fully understand your coverage, contact your Medical/Dental insurance provider directly. They can give you detailed information about your plan and answer any questions. Being well-informed helps you maximize your insurance benefits!

What qualifies a Dentist to treat sleep apnea?

Our Dentist is not just your regular dentists—he is highly qualified and ready to take on the challenge of multidisciplinary care for patients with sleep-related breathing disorders. They hold a current dental licenses, but that’s not all! They have also received special training in Airway and Dental Sleep Medicine.

So rest assured, you’re in great hands with our experienced team of dental sleep medicine experts. Let’s get started on your journey to better sleep and improved breathing!

What is the Vivos oral appliance made out of?

The material of our oral appliance is made of BPA and latex-free medical-grade polymer.

What are the benefits of breathing through the nose?

Your nose is the unsung hero of breathing, with some amazing abilities:

  • Filters Harmful Particles: Those nasal hairs act like guards, blocking dust and allergens from reaching your lungs.
  • Adds Moisture: It humidifies the air you breathe, making it lung-friendly.
  • Boosts Blood Flow: Breathing through your nose releases nitric oxide, which widens blood vessels for better oxygen circulation.

Remember to thank your nose for its hard work in keeping your breathing smooth and healthy!

Getting started is as easy as…

Contact Us


(808) 528-2221 (office)

808-528-1116 (fax)


1060 Young St. Suite 220
Honolulu, HI. 96814

Office Hours

Monday – 8:00 – 5:00
Tuesday – 8:00 – 5:00
Wednesday – 8:00 – 5:00
Thursday – Closed
Friday – 8:00 – 5:00
Saturday – 8:00 – 12:30