General dentistry is the ongoing care that keeps a mouth working: examinations, x-rays, cleanings, fillings, crowns, extractions and the treatment of pain. Pearl32 Dentistry and Wellness has three general dentists at 24022 Calle De La Plata, Suite 450 in Laguna Hills. Same-day emergency slots are held each day.
Most people reading this are new to Orange County. Or overdue by years and not keen to discuss it. Or leaving an office where something went wrong. This page is for all three.
Book about an hour. Most of it is looking and talking. Nothing is done that you have not agreed to.
Whether you are cleaned that day depends on the gum measurements. Healthy gums, and it usually happens then. Deep pockets and bleeding, and that is a separate treatment.
Dr. Nojan Jahedmanesh, DDS, took his dental degree at Loma Linda University and holds a certificate in prosthodontics from UCLA. He practices as a general dentist. Pearl32 Dentistry and Wellness has been serving the community since 1994, and general dentistry is the bulk of it.
Decay usually starts where a mirror cannot see it: between the teeth, under old fillings. That is what a bitewing x-ray is for, every one to two years for most adults. A periapical shows one tooth and its whole root.
A 3D cone beam CT rebuilds the jaw in three dimensions. A root, a nerve or a bone edge can then be viewed from any angle. It answers what flat images cannot: how much bone an implant has, and where the nerve runs in the lower jaw.
A 3D cone beam CT scan carries more radiation than a bitewing x-ray. So we take one when the answer changes the plan, not as routine. See digital dentistry.
A routine cleaning and a deep cleaning are not the same appointment at two prices. They treat different conditions.
A routine cleaning is for gums that are healthy or close to it. Plaque and hardened calculus come off the teeth and just below the gum line, in thirty to forty five minutes. It is maintenance, not treatment for disease.
Scaling and root planing, which most people call a deep cleaning, treats gum disease. Root surfaces are cleaned inside the pockets, where a routine cleaning cannot reach. The area is numbed and the mouth is done in two visits. The pockets are measured again six to eight weeks later.
Here is the part worth knowing before you sit in any dental chair. Deep cleaning gets recommended when it is not needed, and skipped when it is. The measurements settle it. Four millimeters and over, with bleeding and bone loss on the x-ray, is gum disease. Bleeding alone, with normal depths, usually is not. So we measure first and read the numbers out to you.
After root planing you do not go back to twice a year. Maintenance every three to four months is what stops the pockets deepening again. Surgery, grafting and relapsing cases are on our periodontics page.
Most restorative work answers one question: how much tooth is left.
A filling replaces what decay or a chip took away, in tooth colored composite, bonded and polished in one visit. Size is what ends a filling. A wide filling leaves thin walls, thin walls flex, and a cusp eventually splits off. Then the tooth needs a crown.
A crown covers the whole tooth and takes over the biting surface. Our in-house CAD/CAM mill cuts it from a ceramic block. A straightforward crown is scanned, designed, cut and bonded in one appointment. No temporary. No second visit. Two to three hours in the chair. A front tooth that has to match its untouched neighbor is often better layered by hand at a laboratory. See same-day crowns.
A tooth comes out when it cannot be rebuilt: a root split lengthwise, decay below the bone, or gum support already gone. We numb the site, and sedation is available. Expect swelling peaking around day two or three, and soreness for several days.
Decide about the gap at the same time, not a year later. Bone shrinks where a tooth used to be, and the first six months take the most. A socket graft at removal holds the shape for a later dental implant.
Each service has its own page describing what it involves, what it will not do and how the cost is quoted. Prevention: cleanings and exams, dental sealants, fluoride treatment, oral cancer screening, sports mouth guards and family and children’s dentistry. Repair and replacement: dental fillings, inlays and onlays, dental crowns, dental bridges, dentures and partials and denture repair and relines. Surgery: tooth extractions, wisdom teeth removal and frenectomy. Technology and comfort: 3D CBCT imaging, digital x-rays, the intraoral scanner, CAD/CAM same-visit dentistry, night guards and TMJ care, sleep apnea appliances and sedation dentistry. We also give second opinions on treatment plans from other offices.
Pearl32 Dentistry and Wellness holds same-day emergency slots each day we are open. Call (949) 830-0074 and describe what is happening.
Seen today: pain that kept you awake, a swollen face or gum, a tooth broken to a sharp edge, or a crown or filling out. A knocked out adult tooth goes back in the socket, or into milk, and needs us inside the hour.
Swelling that is closing an eye, or making it hard to swallow or breathe, is a hospital emergency room, immediately. We deal with the tooth afterwards. See emergency dentist.
Say so when you book. It changes how much time we set aside and nothing else.
Nobody here is going to comment on the gap. Two things keep people away: expecting a lecture, and expecting a number so large that saying it out loud makes the problem real. Neither is a reason to keep waiting.
The appointment runs as it does for anyone else. We look, we tell you what is there, and we put it in order. Pain and infection first. Then whatever is actively getting worse. Then the rest, at a pace that suits your life.
You can book an examination only, with no treatment that day, and take the findings and an itemized estimate home. Plenty of people start there.
Ten years away is frequently less damage than people have braced for. And if a previous dentist hurt you, tell us what happened and where. That is clinical information, not a complaint about a colleague. We numb thoroughly, we stop when you raise a hand, and sedation is available. Most people are comfortable through routine treatment.
Pearl32 Dentistry and Wellness accepts Delta Dental, Aetna, Cigna, MetLife, Guardian, Humana, Anthem Blue Cross, Blue Shield, UnitedHealthcare and other major PPO plans, and the Delta Dental, Guardian and MetLife HMO plans (full list). Benefits get checked before treatment. For larger work we send a pre-treatment estimate, so the insurer confirms their share in writing.
Without insurance, our membership plans cover examinations, x-rays and cleanings for a monthly fee, with a reduction on other treatment. Three tiers, each with a one-time activation fee.
Larger treatment can go through Cherry, CareCredit, Sunbit or Happen Bank. They decide, not us, and all four are subject to credit approval. See dental financing. Every plan reaches you itemized and in writing.
Street parking is free and there are free spaces behind the building. The parking structure charges. The building is wheelchair accessible, with an elevator up to Suite 450. The Laguna Woods Village resident bus stops in our plaza, and patients also come from Laguna Niguel, Aliso Viejo and Lake Forest.
Monday to Friday 8 to 5, closed weekends. Directions are on the contact page. Dr. Nojan Jahedmanesh, DDS, practices as a general dentist. Page reviewed September 2026.
Every six months for most adults and children. Patients with gum disease come every three to four months for periodontal maintenance, because the pockets refill with bacteria faster than that. Your interval is set from your chart, not from a default, and we tell you why. See dental cleanings and exams and periodontal maintenance.
Most crowns, yes. The tooth is scanned, the crown is designed and milled on the CAD/CAM unit in the office, and it is fitted the same day. Fillings are always one visit. A crown that needs a laboratory, for example a complex bite or a specific shade match, takes two visits about two weeks apart. See same-day crowns and dental fillings.
