Dental Implants in Murrieta, CA
Dental Implants in Murrieta, CA
Do you need one, what's involved, and what will it cost? Straight answers from the dentist who'd place it.
I've been replacing missing teeth with implants on Date Street since 2010. For a single tooth, every step happens in this office: the 3D scan, the plan, any grafting, the surgery through a printed guide, and the crown. I'll also tell you when an implant is the wrong answer. That happens more often than implant ads would have you believe.
The Short Answer
Should You Replace a Missing Tooth With a Dental Implant?
For most adults with healthy gums and enough jawbone, a dental implant is the longest-lasting way to replace a missing tooth, because it replaces the root as well as the crown and never touches the teeth beside it. It's the wrong choice when your own tooth can still be saved, when the jaw is still growing, or when a health problem makes jaw surgery unsafe, and in those cases a root canal, a bridge, or a partial denture is the better call. A $20 exam with digital X-rays, plus a 3D scan once an implant is on the table, tells you which side of that line you're on.
- What it replaces
- The root and the visible tooth. A titanium post in the bone, a connector called an abutment, and a crown on top.
- Who places it here
- I do, from the first scan to the final crown, for single implants, two-implant bridges, and two-implant lower snap-on dentures.
- What I refer out
- Fixed full-arch implants (All-on-4, All-on-X). A periodontist places those implants while I plan the case and make the teeth.
- Typical timeline
- Three to six months from placement to final crown. Add three to six months when a graft comes first, and longer after a sinus lift.
- First step
- A $20 exam with digital X-rays at 26957 Date St, Suite 204, Murrieta. You leave with a written plan and a written quote.
Plain English
What Is a Dental Implant?
A dental implant is a small titanium post, about the size of a tooth root, that I place in the jawbone where your own root used to be. Over the next three to six months the bone grows right onto its surface. Dentists call that osseointegration, and it's the whole reason implants work. Once it's done, the post isn't sitting in your jaw. It's part of it.
Then a short connector, the abutment, screws into the post, and a crown goes on top. So one implant tooth is really three parts, which matters later when you're comparing prices. The Cleveland Clinic's implant overview notes that dental providers in the U.S. place more than three million implants a year, so none of this is experimental.
The reason I push patients to think about the root is bone. A tooth root keeps the bone around it dense. Take the root away and that bone slowly shrinks, year after year. A bridge or a denture replaces the part of the tooth you can see and does nothing for the bone underneath. An implant does both.
Every implant I place is planned on a 3D cone-beam scan and put in through a printed surgical guide. My computer-guided dental implants page explains how that works. If your question is narrower than this overview, the details live on their own pages: bone grafting when the ridge is too thin, a sinus lift for upper back teeth, and implant-supported dentures when you're replacing a whole arch.
Symptoms and Situations
Who Needs a Dental Implant?
These are the situations that bring people to my chair asking about implants. Any one of them can make you a candidate. None of them means you automatically need one, and the next section covers the exceptions.
Bone matters as much as the tooth. If a tooth has been gone for a few years, the ridge where it sat has been shrinking the whole time. That doesn't rule you out. It usually means a bone graft comes first, or for an upper molar sitting under the sinus, a sinus lift. And if a tooth still has to come out before any of this, I plan the extraction and the implant together so the socket is protected.
Decision Boundaries
When Don't You Need a Dental Implant?
Most implant pages skip this part. I think it's the most useful thing on the page. These are the cases where I'll tell you not to get an implant, or not yet.
Your own tooth can still be saved
A root canal and a crown, or sometimes just a crown, keeps your own root and the ligament that cushions it when you bite. Nothing I can place works better than a healthy root you already have. When a tooth has a reasonable outlook, saving it is my first recommendation, and I'll show you on the X-ray why I think it can be kept.
Someone wants to pull healthy teeth to make room for implants
In late 2024 the American Dental Association responded to news reports that some implant clinics had removed healthy teeth to place implants. The ADA's position was that financing a big implant case shouldn't come up until you've talked through the full range of options. I agree. I don't take out healthy teeth for implants. If you've been told to, a second opinion costs $20 here.
The gap is a back molar with nothing to bite against
If the missing tooth is a last molar and the tooth above or below it is gone too, an implant there may have nothing to chew against. Plenty of people chew comfortably without their very last molars. If there is an opposing tooth, though, it can slowly drift into the empty space over the years, so the answer depends on what's across from the gap. I'll tell you which situation you're in.
Your jaw is still growing
An implant fuses to bone and doesn't move with it, so placing one in a growing jaw leaves that tooth sitting lower than its neighbors as the face matures. The Cleveland Clinic notes that most surgeons wait until the jaw has stopped growing. For a teenager missing a front tooth, I hold the space with a temporary option until growth is finished.
The teeth on both sides already need crowns
If both neighbors are heavily filled or cracked and need crowns anyway, a bridge fixes all three teeth at once and skips surgery. That's one of the cases where I'll recommend the bridge even though the implant is the bigger case for me. My bridge vs. implant comparison goes through the trade-offs.
A health problem makes jaw surgery unsafe right now
Recent radiation to the jaw, active chemotherapy, and high-dose antiresorptive drugs given by IV for cancer all raise the risk of the jawbone failing to heal. The AAOMS position paper on medication-related osteonecrosis of the jaw separates that higher-risk group from people taking oral osteoporosis medication, whose risk is much lower. Uncontrolled diabetes and heavy smoking slow healing too. Some of these change the plan. A few rule an implant out for now.
You want a fixed full arch of teeth
I don't place All-on-4 or All-on-X implants. A periodontist who does that surgery every week places those, and I plan the case with you and make the teeth that go on top. My implant-supported dentures page explains how that split works.
Step by Step
What Happens During Dental Implant Treatment?
From the first phone call to biting into an apple without thinking about it, this is what the process looks like for a single implant in my office.
1Exam and X-rays
A $20 exam with digital X-rays. I check the gap or the failing tooth, the gums around every tooth, your bite, and your medical history. You find out whether an implant is even the right conversation.
23D scan and the plan
When an implant is likely, a cone-beam CT scan maps your bone in three dimensions. I plan the crown first, set the implant under it in software, and show you the plan on screen.
3Groundwork, if needed
Removing a failing tooth, treating gum disease, a bone graft, or a sinus lift. Not everyone needs any of this. Skipping it when you do is one of the main reasons implants fail early.
4Placing the implant
Thirty to sixty minutes per implant, fully numb, through a printed surgical guide that holds the drill on the planned path. If nerves are the real obstacle, ask about sedation when you book.
5Healing
Three to six months while the bone fuses to the post. You don't feel it happening. In most cases a temporary tooth fills the gap so you're never walking around with a hole in your smile.
6Abutment and crown
Once I've confirmed the implant is solid, the abutment goes on and your crown is shade-matched, bite-adjusted, and seated for good.
7Yearly check
Once a year I look at the gum collar, the bone level on X-ray, and the bite on the crown. Implants can't get cavities, but they can get gum disease, and catching it early is the difference between a cleaning and a lost implant.
Sometimes steps collapse into one visit. When a tooth comes out cleanly, there's no active infection, and enough bone sits beyond the socket to hold the post tight, I can place the implant the same day the tooth comes out. If the post is stable enough, a temporary crown can go on that day too. Guided placement helps here. A 2025 meta-analysis in the Journal of Prosthodontic Research found that implants placed with computer guidance into fresh extraction sockets ended up closer to the plan than freehand placement, at both the top and the tip of the implant.
First-Party Expertise
How Does Dr. Nguyen Decide Whether an Implant Will Work?
First question: can the tooth stay?
If the tooth is still in your mouth, I start there, not with the implant. I want to know why it's failing. A crack that stops above the gum line, decay I can still reach, or an infection a root canal can clear are all reasons to keep it. A crack running down the root or a tooth with almost no bone left are reasons not to.
What the exam and X-rays show me
I measure the gum pockets around every tooth, not just the one you came in about, because gum disease anywhere in the mouth can travel to an implant. I look at wear on your teeth for signs of grinding, check what the tooth across from the gap is doing, and look at the neighbors that will sit on either side of the new crown.
What the 3D scan adds
A flat X-ray can't show width, and width is often what decides whether an implant fits. The cone-beam scan shows me the height and width of the bone, how dense it is, where the nerve canal runs in the lower jaw, how close the sinus floor sits over the upper back teeth, and whether an old infection is hiding at the tip of a neighboring root. That's the scan I plan from, and it's the reason I can tell you before surgery day whether you need a graft.
Your medical history
I'll ask how well controlled your blood sugar is if you're diabetic, whether you smoke or vape, whether you've had radiation to the head or neck, and whether you take or have taken medication for osteoporosis or cancer. Blood thinners matter too. When something in that list needs input from your physician, I'll coordinate with them before we book surgery rather than after.
Planning from the crown backward
I design where the finished tooth needs to sit, then position the implant underneath it. Planning that way keeps the crown from ending up at an odd angle because the post went wherever the bone happened to be. You see that plan on the screen before anything is scheduled.
Why I'm comfortable making these calls
My residency was the Navy's Advanced Education in General Dentistry program at Naval Hospital Camp Pendleton, and it leaned hard on periodontics and oral surgery, not just fillings and crowns. That's why I read the gum and bone side of a case myself instead of sending it out. It's also why I know where my line is. A fixed full arch goes to a periodontist.
- Implant now
- Enough bone, healthy gums, nothing in your history that changes the plan.
- Implant at extraction
- The tooth comes out cleanly with no active infection and the post can be held tight on the same day.
- Graft first
- The ridge is too thin or too short. The implant follows once the graft has matured.
- Sinus lift first
- An upper molar site with too little bone under the sinus.
- Treat gums first
- Active gum disease anywhere in the mouth. Implants go into healthy tissue only.
- Not an implant
- The tooth can be saved, a bridge makes more sense, or your health makes surgery a poor idea right now.
Published Prices
How Much Does a Dental Implant Cost in Murrieta?
Two prices in an implant case are fixed and published. The implant itself goes on a written quote after imaging, because the number depends on your bone, whether a tooth has to come out first, and what goes on top of the post. You get that quote before anything is booked.
$20
Exam with digital X-rays
Tells you whether an implant is the right answer at all
$500
Socket-preservation bone graft
Per site, membrane included
What goes on the written quote
The implant post, the abutment, and the crown are listed as separate lines. If you need a cone-beam scan, an extraction, a bone graft, or a sinus lift, each of those is its own line too. Guided surgery isn't one of them. It's how I place every implant, so I don't charge for the guide as an add-on.
How to compare two quotes
When one office advertises a low implant price, ask which of the three parts it covers and whether the scan and any grafting are inside or outside that number. That one question explains most of the price gaps you'll see around Murrieta and Temecula. Comparing a full quote to a post-only quote isn't comparing anything.
Cost over time
An implant usually costs more on day one than a bridge or a partial denture. Spread over twenty years it often costs less, because the post doesn't need replacing and the neighboring teeth never get crowned. That math doesn't work for everyone, and I'll say so when it doesn't. If you're paying cash, you get a written cash price. CareCredit is available, with up to six months at zero interest for qualified applicants.
Coverage
Does Dental Insurance Cover Implants?
Often in part, rarely in full, and the details vary by plan. Promenade Dental Care accepts all PPO plans and is in-network with Delta Dental PPO, Cigna, MetLife, Guardian, Aetna, and United Concordia. I can't give you an insured price over the phone, because it depends on your plan's coverage percentage, your deductible, and what's left of your annual maximum. Here's what we usually run into.
- Post vs. crown
- Some plans pay toward the implant post. Others exclude the post and pay only toward the crown on top.
- Bridge allowance
- Many plans pay what a bridge would have cost and leave you the difference. Insurers call this an alternate benefit.
- Annual maximum
- An implant case can use a year's maximum quickly. When it helps, we split the treatment across two plan years.
- Waiting periods
- Newer plans often make you wait before they'll pay for major work like implants and crowns.
- Missing tooth clause
- Some plans won't pay to replace a tooth that was already missing when your coverage started.
The Risks, Plainly
What Are the Risks and Limitations of Dental Implants?
Implants have a strong track record, but this is surgery, and I'd rather you understand what can go wrong than be surprised by it. The Cleveland Clinic overview lists the general surgical risks. Here's how they look from my chair.
Gum disease around the implant
Called peri-implantitis. A 2025 AO/AAP systematic review estimated that about one implant patient in five develops it, and nearly half get the milder, reversible gum inflammation that comes before it. Yearly checks and daily cleaning are how you stay on the right side of those numbers.
The bone never fuses
Usually because the bone was marginal to begin with, a graft didn't take, or the implant carried a bite too early. Honest imaging and proper staging cut this risk sharply.
Nerve or sinus injury
A post placed too deep in the lower jaw can bruise the nerve and leave the lip numb. One placed too high in the upper jaw can poke into the sinus. This is exactly what the 3D scan and the printed guide are for.
Grinding and overload
Clenching puts more force on a post than the bone around it can spread out. If you grind, a night guard and careful bite adjustment on the crown protect the implant.
Smoking and diabetes
Both slow healing and raise the odds of losing an implant. Neither is an automatic no. Both mean a modified plan and a frank conversation before surgery.
Skipped maintenance
An implant that fails in year seven is usually one nobody looked at between year one and year seven. Bone loss around a post doesn't hurt until it's advanced.
Limitations nobody mentions
A natural tooth sits in a ligament that lets it give a little. An implant doesn't, so it can't be shifted later with orthodontics the way a tooth can. Over the years, the contact between an implant crown and the tooth next to it can open slightly and start catching food. In younger adults the natural teeth keep erupting very slowly for decades while the implant stays put, so an implant crown can end up looking a touch shorter than its neighbors. The crown can chip and the abutment screw can loosen, both fixable at a regular visit. None of these is common enough to talk you out of an implant. All of them are worth knowing before you choose one.
Other Options
What Are the Alternatives to a Dental Implant?
For one missing tooth there are really four choices: an implant, a fixed bridge, a removable partial denture, or leaving the space alone. Each one fits someone. Here's how they compare across the things that matter over twenty years.
| What you're comparing | Single implant | Fixed bridge | Removable partial | Leave the gap |
|---|---|---|---|---|
| Neighboring teeth | Left alone | Shaved down and crowned | Often clasped for support | Can tilt into the space |
| Jawbone underneath | Kept in use | Keeps shrinking | Keeps shrinking | Keeps shrinking |
| Surgery | Yes, under local anesthetic | None | None | None |
| Typical service life | Post can last for life; crown 15–25 years | Roughly 10–15 years | Relines and remakes every several years | Nothing to replace |
| Cost today | Highest | Middle | Lower | Nothing |
| Cost over 20 years | Often the lowest | One or two replacements | Relines, remakes, repairs | Depends on what drifts |
| Daily cleaning | Brush and floss like a tooth | Threader under the span | Taken out and cleaned | Nothing extra |
| Chewing | Close to a natural tooth | Good | Noticeably weaker | Less on that side |
When more than one tooth is missing, the implant options change shape too.
Single implant
One post, one abutment, one crown. What I recommend for a single gap when the bone supports it and the neighbors are healthy.
Implant-supported bridge
Two implants carry three or more teeth in a row, so no natural tooth gets shaved down. The cost per tooth drops as the span gets longer.
Implant-supported dentures
Two implants under a lower denture turn it into a snap-on that stops sliding, and I place those here. A fixed full arch goes to a periodontist. See snap-on vs. fixed implant dentures.
If a whole arch is failing and surgery isn't an option, a well-made conventional denture is still a real answer, and I'd rather make you a good one than push you into a surgery you don't want.
After Surgery
What Is Recovery Like After Implant Surgery?
Shorter and easier than most people expect. A lot of patients tell me the implant visit was easier than the extraction that came before it. The surgery part heals in about a week. The bone part takes months, and you don't feel it.
- Day of surgery
- Numb for a few hours. Bite on gauze, keep your head up, and skip the straw. Most people take the rest of the day easy.
- Days 1–3
- Pressure and soreness, handled for most people with ibuprofen. Swelling peaks around day two.
- First week
- Soft foods, chewing on the other side, no smoking, and gentle rinsing only. Most people are back at work the next day.
- Weeks 2–4
- The gum settles around the implant. Back to normal, gentle brushing at the site.
- Months 3–6
- Bone fuses to the post. You eat and work normally, usually with a temporary tooth in the gap.
- After the crown
- Brush and floss it like a natural tooth, wear your night guard if you grind, and come in once a year.
From Our Google Reviews
What Do Patients Say About Getting an Honest Plan?
“$20 for a second opinion. The other dentist said I needed implants and new bridges for thousands of dollars. I wanted a second opinion and found this great guy. He saved me so much money! Very nice dentist.”
Brenda C. · Google Review
“I saw doctor Bao Nguyen at Promenade Dental Care on three occasions. In these visits, Dr Nguyen took time to carefully examine my dental concerns and explained very clearly to me what my conditions are, and what treatment options available. He advised me against immediate treatments for conditions that can be improved or maintained with good oral hygiene. He was very gentle with treatments, especially with the local anaesthetic injections. Greatly appreciate his professional care.”
C. Nguyen · Google Review
“Found Dr Bao years ago when I needed emergency care on a weekend. Started going to him while I still lived in the area. Moved a few years ago, but recently felt like I was being scammed by my new dentist (new insurance), drove over an hour to get a second opinion from Dr Bao. He is as straight forward, efficient, and affordable as ever. Work was still needed but not nearly to the extent and cost as was being told to me by the other dentist.”
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“Since starting with Promenade Dental Care I have had cleanings, fillings, teeth replaced, root canal and crown replacement yesterday. I have never gone to a more gentle caring dentist. Love my dentist!”
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Questions I Hear Every Week
Dental Implant FAQs
How much does a dental implant cost in Murrieta?
An implant tooth is billed as three parts: the titanium post, the abutment that connects to it, and the crown on top. A cone-beam scan, an extraction, or bone grafting are added only when your case needs them. At Promenade Dental Care the exam with digital X-rays is $20 and a socket-preservation bone graft is a flat $500 per site with the membrane included. The implant itself goes on a written quote after imaging, before you commit to anything. Guided surgery is not billed as an add-on. CareCredit is available for qualified applicants.
Are lower-priced dental implants as good as expensive ones?
The price difference usually comes from overhead and from what the quote leaves out, not from the implant. I use the same titanium implant systems, cone-beam imaging, and guided surgical protocol that specialty offices use. What I don't have is a corporate management fee or a regional sales target. Before you compare two numbers, ask each office whether the quote includes the post, the abutment, the crown, the scan, and any grafting. That one question explains most price gaps.
Does getting a dental implant hurt?
The placement itself doesn't hurt, because the area is fully numb. Because I place implants through a printed guide, the opening is small and very little tissue gets disturbed. Most people describe the first two days as pressure and mild soreness that ibuprofen handles, and they're mostly past it by day three. If dental anxiety is the real obstacle, ask about sedation when you book.
How long do dental implants last?
The titanium post can last the rest of your life, because it's fused into living bone. The crown on top is the part that wears, and it usually lasts 15 to 25 years before it needs replacing. What actually shortens an implant's life is gum disease around the post, which is why I check gum health before I place anything and want to see implant patients once a year afterward. My page on how long dental implants last covers the warning signs.
Am I still a candidate if I've been missing a tooth for years?
Usually, yes. When a tooth has been gone a long time, the bone that held it shrinks, so the real question is whether enough is left to hold a post. If it isn't, a bone graft rebuilds the site and the implant goes in after it heals. Upper back teeth near the sinus sometimes need a sinus lift for the same reason. Neither one disqualifies you.
Should I get a dental implant or a bridge?
For a single gap with healthy teeth on both sides, the implant is usually the better long-term choice, because it leaves those teeth alone and keeps the bone in use. The bridge is faster, avoids surgery, and is the smarter choice when both neighboring teeth already need crowns or when a medical condition makes surgery a bad idea. I'll tell you when the bridge is the right call, even though it's the smaller case for me. The bridge vs. implant comparison goes through it in more detail.
Can I get a dental implant in one day?
Sometimes. If the tooth comes out cleanly, there's no active infection, and the bone grips the post tightly at placement, I can place the implant the same day the tooth comes out and sometimes put a temporary crown on it too. If the bone is soft or infected, loading the implant early is a common way to lose it, so I stage it instead. Your cone-beam scan answers this before surgery day.
What happens if a dental implant fails?
The common causes are infection in the gum and bone around the post, bone that never fully fused to it, and too much bite force too early. Caught early, a failing implant can often be saved by treating the infection and adjusting the bite. If it can't, I remove the post, let the site heal, graft bone back if needed, and place a new one. It's a setback of a few months, not the end of the road.
Will insurance pay for an implant if my tooth was missing before I enrolled?
It depends on your plan. Some dental plans have a missing tooth clause that won't pay to replace a tooth lost before your coverage started. Others will pay, or will pay toward the crown but not the post. My front desk checks for that clause when we verify your benefits, and you get your out-of-pocket number in writing before anything is scheduled.
Do diabetes or smoking rule out a dental implant?
Not automatically. Both slow healing and raise the chance of losing an implant, so they change the plan. With diabetes, what matters is how well your blood sugar is controlled, and I may want to hear from your physician first. With smoking, the less you smoke around the surgery and healing months, the better your odds. I'll be straight with you about where your risk sits.
Is there an age limit for dental implants?
There's a lower limit and no real upper one. Implants wait until the jaw has finished growing, because an implant doesn't move with growing bone the way teeth do. At the other end, age itself isn't a factor. I've placed implants for patients in their eighties whose bone was in better shape than patients half their age. Health and bone decide it, not the birthday.
Can I get an implant if I take medication for osteoporosis?
Usually, yes, but we talk about it first. The oral surgeons' professional association, AAOMS, separates people taking oral osteoporosis medication, whose risk of jawbone healing problems is low, from cancer patients receiving high-dose antiresorptive drugs, whose risk is much higher. Tell me what you take, at what dose, and for how long, and I'll factor it into the plan and coordinate with your physician when it matters.
What can I eat after dental implant surgery?
For the first week, soft foods chewed on the other side: eggs, yogurt, soup that isn't hot, pasta, fish, and mashed vegetables. Skip anything crunchy, sticky, or spicy at the site, and don't use a straw for the first couple of days. After the first week you can work back toward normal food, still favoring the other side until the implant has fused and the final crown is on.
Where can I get dental implants near me in Murrieta?
Promenade Dental Care is at 26957 Date St, Suite 204, Murrieta, CA 92563, in the Aldi plaza at Winchester Road and Murrieta Hot Springs Road, about two minutes off the 215. From French Valley we're one of the closest offices, and from most of Temecula the drive is ten to fifteen minutes. For a single implant, every step happens in this one building, so there's no second address on surgery day. Call (951) 412-0127 to book the $20 exam.
Should I go to a dental chain or an independent implant dentist?
At a chain, an implant is often split across people: a treatment coordinator presents it, a traveling surgeon places it, and a dentist you haven't met makes the crown. On a single implant here, I do all of it myself, and I'm the person you call if something feels off at month four. I also own the practice, so nobody sends me a production target. If a filling solves your problem, I'm not paid more for talking you into an implant.
Written and Medically Reviewed
Who Wrote and Medically Reviewed This Page?
I wrote this page and I'm the dentist who would place your implant. I trained at the UCLA School of Dentistry, then spent ten years as a dentist in the U.S. Navy, including the Advanced Education in General Dentistry residency at Naval Hospital Camp Pendleton and deployments to Kuwait and Iraq. Military clinics see a range of cases a suburban office rarely does: complex extractions, trauma, full-mouth rebuilds, and prosthetics, often in the same week.
I brought that range to Date Street in 2010, and it's why a single-implant case stays under this roof from the first scan to the final crown. I'm a member of the American Dental Association, the California Dental Association, and the Tri-County Dental Society, and I take about 40 hours of continuing education a year. My office speaks English, Spanish, and Vietnamese. If dental anxiety has kept you out of the chair, ask for Edith or Yessica when you call.
- Written by
- Dr. Bao Nguyen, DDS
- Medically reviewed by
- Dr. Bao Nguyen, DDS
- Last medically reviewed
- October 10, 2026
- License
- California dentist license 49164, verifiable with the California Department of Consumer Affairs
- Education
- DDS, UCLA School of Dentistry; AEGD residency, Naval Hospital Camp Pendleton
Find Out If an Implant Is Right for You
Start with a $20 exam and digital X-rays. You'll leave knowing whether an implant, a bridge, or keeping your own tooth makes the most sense, with a written quote and no pressure to decide that day.
(951) 412-0127Promenade Dental Care · Dr. Bao Nguyen, DDS
26957 Date St, Suite 204, Murrieta, CA 92563
Mon, Tue, Wed, Thu, Fri 8:00 AM–3:00 PM · Saturday by appointment and emergencies
Serving Murrieta, Temecula, French Valley, Menifee, Wildomar, Winchester, Lake Elsinore, and Canyon Lake