Re-opening of Family Cosmetic and Family Dentistry

Greetings to all of our patients!  

I want to take this time to reach out to you all and reconnect so as to let you all know what we've been up to during the Novel Corona Virus Pandemic.  I want to state that our #1 priority is, and has always been the health & safety of our patients, and, of course, to provide to you the highest quality dental care we can!  

We anticipate reopening in the not too distant future for all aspects of routine and maintenance dental care.  In the mean time, we remain available for emergent treatment if needed.

I am sure most of you have questions and concerns regarding the safety of dentistry during this time, so we'd like to share the measures and actions we are taking to ensure your safety here at our office.

First of all, the culture here will be a little bit different in the “post novel corona virus world”.  At least until researchers come up with therapies and /or a vaccine!  We will be implementing some new systems in our practice to mitigate the risk of disease transmission here.  

What to expect when you come to the office?  Prior to your appointment, when Diana calls you to confirm your appointment date and time, she will ask a few quick questions regarding your medical status, and any symptoms suggestive of an illness...We ask that if you are ill with a fever, coughing, etc. to please reschedule for when you are well.  

When you come to the office, we ask that you wait in your car in the parking lot.  Diana will be calling you at your appointment time to let you know that your dental operatory is ready for you.  Susie, Chelsea or I will meet you outside to take a quick, touch-less temperature scan of the forehead, and then escort you directly to your treatment room.  

We will be spacing out our patient appointments so that there is only one patient on the dentistry side with Susie and I, and only one patient in the hygiene side with Chelsea.  For the most part, no one is allowed to wait in the lobby until further notice...We will of course, accommodate people escorting children or elderly patients.

All surfaces will be disinfected with Hospital Grade Disinfectants (as we've always done in the past) between patients.  All door knobs, light switches, etc. will be disinfected every 30 minutes throughout the day!  This will mitigate the risk of any infectious disease transmission via surfaces.

Ever since the HIV epidemic in the 1980's, dentistry as an industry has employed “Universal Precautions” (masks, gloves, “single use” disposable equipment, etc.) to mitigate disease transmission.  

The most concerning of transmission routes for infection, including novel corona virus, is via “'aerosols”.  Dentists and hygienists  have used “High Volume Evacuation” (HVE) routinely for decades to capture aerosols generated by dental hand pieces (drill) and ultra-sonic scaling devices.  HVE reduces aerosols by 90% !  

We will continue to use HVE for all procedures that generate aerosols.  In addition to HVE, we've invested in Medical Grade H-13 HEPA aerosol scavengers in our operatories (basically a very powerful vacuum) with a snorkel hose that we can position adjacent to the treatment field to scavenge any aerosol the HVE misses.

We have also invested in nine medical grade H-13 HEPA air filtration units placed throughout the office which will completely clean/turn over the air every 10 minutes, or six times per hour.

Another investment made was having medical grade UVC (Ultra-Violet C) units installed in our Central  Air Conditioning/Heating units that kill Bacteria and Virus as the air passes through. 

Finally, we will fog the office with Hypochlorous Acid, a human safe, yet powerful disinfectant at the end of each day.

We want you all to know that we are taking all possible precautions and measures to ensure your safety, and the safety of our team here!

To further streamline your experience at the office, we will be scheduling return visits for you in the operatory, at the end of your appointment.  We will make available electronic payment options in order to minimize visiting the front desk.

We miss you all and look forward to resuming operations to provide your dental care needs in a safe and caring manner.  

Warm regards,

Dr. Paulerio and Team

illustration of swollen, bleeding gums

Swollen & Bleeding Gums

Swollen, bleeding gums can be uncomfortable and unattractive

These are also hallmark signs of periodontal disease, which can severely impact your oral health. Your general health could suffer too.

What symptoms should I look out for?

illustration of swollen, bleeding gums

Signs Aren’t Always So Apparent

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Bleeding during Flossing

Many people will only experience bleeding gums when they floss or brush their teeth. Pay special attention during your hygiene routine.

Change in Texture

Healthy gum tissue is firm, smooth, and lies flat next to the teeth. Swollen tissue may have a rolled margin along the teeth or appear visibly inflamed.

Change in Color

Gum tissue should be evenly pigmented and light pink or coral. Dark pink, red, purple or even blue gums could indicate something is wrong. 

Do I just need to brush and floss more?

Oral Hygiene is Part of the Equation But There Are Other Risk Factors

A buildup of bacterial plaque, the catalyst for gum disease, is most often the cause of swollen and bleeding gums. Oral infections, allergic reactions, and mouth ulcers, or canker sores, can increase your risk of swelling. Certain types of vitamin deficiencies and hormonal changes, such as pregnancy, can also impact your gum health.

What else causes these symptoms?

A Closer Look at the Causes of Swollen, Bleeding Gums

Bacteria

The bacteria that cause gum disease release toxic substances. This causes the soft tissue to become infected and increasingly inflamed

Injury to the Soft Tissue

Brushing too aggressively or using a hard-bristled brush can irritate the delicate tissue. Burns from hot food and drinks can also injure the gums.

Pregnancy and Birth Control

Puberty, pregnancy, and menstruation, as well as oral birth control, cause a rise in certain hormones. This leads to increased blood flow to the gums, which can make them swell and bleed more easily.

Is it really a big deal?

“Bleeding gums are never normal, not even when you have your teeth professionally cleaned.” Lisa Marie Samaha, DDS, founder and director of the Perio Arts Institute

So How Can I Prevent These Issues?

Don’t Forget to Brush and Floss!

If you tend to hit the sheets without flossing, break that habit. In fact, some dentists recommend brushing and flossing twice-a-day at least. 

Refine Your Arsenal

Are your toothbrush bristles soft and pliable? If not, swap it out. Better yet, invest in an electric toothbrush which is gentler on the gums

Rule Out Meds and Other Causes

Speak with your doctor about medications or medical conditions that could be causing bleeding or swollen gums. They might also test you for vitamin deficiencies, infections, and more

Do I need a professional diagnosis?

See a Dentist When Symptoms Do Not Resolve on Their Own

In some cases, symptoms will clear up on their own. This is often true for injuries, such as a burn to the mouth. If symptoms remain, your dentist can review the frequency and severity of your concerns and recommend an appropriate treatment. Your doctor may also perform an oral exam and measure periodontal pockets if you suffer from gum disease.

What comes next?

Professional and At-Home Care Are Your Best Defense

Treatment for Gum Disease

First, visit a dentist to determine whether you require a deep cleaning. Also known as scaling and root planing, this step is often sufficient if a regular professional cleaning cannot restore your gum health. 

Antibiotic Therapy

If your gums are infected, the doctor might also apply topical antibiotics. These can kill harmful bacteria and allow the soft tissue to heal.

Periodontal Maintenance

Gum disease often requires ongoing treatment. Some people may require more frequent cleanings to control the growth of bacteria. Typically, these patients will need to visit a dentist or periodontist every three months

A professional can help restore your oral health...

Effective Treatment is a Click Away

Your periodontal health directly impacts your overall health and well-being. Schedule an appointment with a dentist today to learn more about restoring a healthy smile. 

Point Loma Family Dentistry team

Point Loma Family Dentistry

Dr. Louis E. Paulerio is a top-rated dentist who is committed to providing the latest dental treatments in a caring, warm setting. He is a member of several prestigious dental organizations, including: 

  • Academy of General Dentistry
  • International Dental Implant Association

He also uses CEREC technology to create beautiful, long-lasting dental restorations in just one appointment. Ready to schedule a consultation at our Point Loma office? Request your appointment online or call us at (619) 223-3811.

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San Diego Office

1635 Rosecrans St
Ste A
San Diego, CA 92106

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