We are now open!

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!  

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.

Warm regards,

Dr. Paulerio and Team

Smiling man before and after crooked teeth

Crooked Teeth

Crooked teeth can make you feel self-conscious about your smile. They also make it harder to keep your teeth clean and healthy.

Malocclusion, or crooked teeth, interferes with the proper function of your bite and can cause a range of oral and overall health issues.

Are my crooked teeth really a problem?

Smiling man before and after crooked teeth

The Effects of Crooked Teeth Are More Serious Than Just Cosmetic

Biting the Inside of Your Cheek

If you frequently bite your inner cheeks or your tongue, your teeth may be out of alignment. Biting the delicate soft tissues of your mouth can lead to painful sores.

Discomfort when Chewing

Misalignment can cause pain and discomfort when you bite or chew. If your teeth do not meet properly, it can also put extra stress on your jaw and lead to headaches or other uncomfortable symptoms.

Breathing or Speech Problems

Crooked teeth can cause a lisp or other speech problems. You are also more likely to breathe through your mouth instead of your nose, which increase the risk of tooth decay, bad breath, and other oral health issues.

Misaligned Teeth Take Many Forms

Illustration showing types of misalignment Illustration showing types of misalignment
The type of misalignment you have will affect the treatments recommended.

Genetics Play a Large Role in the Development of Crooked Teeth

Many of our dental traits are directly inherited from our parents. Whether it is the size of our mouths or the alignment of our jaws, the main traits that can lead to crowding are inherited from our parents. If your parents have crooked teeth or needed braces as children, there is a good chance you will too.

Childhood Habits as Well as Trauma Can Lead to Dental Misalignment

Bad Habits

Thumb sucking and using a pacifier can lead to crooked teeth, especially if the habit continues when a child is a toddler. Other unconscious habits, such as breathing through the mouth or tongue thrusting, can also cause misaligned teeth.

Illness or Injury

Trauma to the jaw or mouth can move teeth out of place. Changes in your jaw or lost teeth due to illness or injury can make teeth shift out of place as well.

Timing

Baby teeth act as anchors which guide permanent teeth into place. If baby teeth are lost early due to decay or trauma, the permanent teeth underneath may not grow in properly.

A Crooked Smile Can Affect Your Social Life

Crooked Teeth Are Easy to Diagnose

Your doctor can typically diagnose crooked teeth during a routine dental exam. They may perform x-rays in addition to a visual check of your bite. Panoramic x-rays can also help with the diagnosis of a misaligned bite by showing the relationship between your teeth and jaws.

Your doctor may also make impressions of your teeth to further assess your bite. Based on these tests, they can determine what type of treatment you need.

Dental x-ray
X-rays are a simple way to assess the teeth and jaws.

There Are Different Methods of Prevention for Children and Adults

Although you cannot change your genetics, adjusting or refraining from certain habits can reduce your risk of developing crooked teeth.

For Children:

Stop Thumbsucking Early

Thumbsucking is completely normal. Most children naturally stop sucking their thumb between ages two and four. Encouraging your child to give up the thumbsucking habit before age four can help prevent damage to their front teeth and the roof of their mouths.

Encourage Good Oral Hygiene

Keeping your child’s baby teeth healthy is a great way to ensure healthy and straight adult teeth. Help your child develop a consistent oral hygiene routine and schedule an appointment with a dentist as soon as their first tooth erupts.

Prevent Missing Teeth

A proper oral hygiene routine can help prevent premature tooth loss. However, if your child loses a tooth early due to decay or trauma, a dentist can check the area and put measures, such as early orthodontic treatment, into place to stop teeth from shifting.

For Adults:

Avoid Sleeping on Your Stomach

Laying on your stomach places pressure on your mouth. If you typically sleep on your stomach, this nightly pressure can cause your teeth to shift out of place

Treat Missing Teeth

When you have gaps in your smile, there is a good chance other teeth will move into them. By treating missing teeth promptly with implants, crowns, or bridges, you can prevent crooked teeth.

Break Bad Habits

A range of habits can lead to misaligned teeth, including chewing on pens, biting your nails, or constantly blowing bubbles with chewing gum. 

With a Range of Treatments Available, You Can Straighten Your Teeth at Any Age

"Professional orthodontic treatments have come a long way in recent years, with innovative options such as clear aligner trays, lingual braces and ceramic braces. Healthy teeth can be moved at any age and it's encouraging that two-thirds of Americans think they are never too old for treatment."
John F. Buzzatto, DMD, MDS, president of the American Association of Orthodontists

Braces Are the Most Common Treatment for Crooked Teeth

The most common treatment for crooked teeth is traditional metal braces. During treatment, a combination of brackets and wires guide your teeth into the proper position.

Illustration of how braces work Illustration of how braces work

Schedule an Appointment

Straightening your smile can improve your self-confidence as well as your oral health. If you are concerned about crooked teeth, schedule an appointment with a dentist. They can assess your smile and determine whether you need the care of a specialist. For more complex cases, they may refer you to an orthodontist.

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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1635 Rosecrans St
Ste A
San Diego, CA 92106

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