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.  

We ask that you please call when you arrive to the office. Diana, Chelsea or Susie will meet you at your car to take a quick, touch-less temperature scan of the forehead, also you will have a small device clipped to your finger called an oximeter. This gadget shines light through your fingertip or earlobe. It works out how much oxygen is in your blood. We will 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

gummy smile

Gummy Smile

Too much gum tissue can make your teeth look shorter than they are, causing your smile to look unbalanced

Many patients do not know there are treatments available for their gummy smiles, including gum contouring and BOTOX® Cosmetic.

How do I know if my smile is "gummy?"

gummy smile

Effects of a Gummy Smile

Teeth that Look Short

If you have noticed your teeth look small or short, the problem may not be your teeth, but rather gums that sit too low.

Too Much of Your Gums Show when Smiling

For some people, smiling reveals a large portion of their gums, drawing attention away from otherwise healthy, beautiful teeth.

gummy smile comparison

Your Genes Have a Lot to Do with the Look of Your Smile

Many of the conditions that lead to a gummy smile are hereditary. If a close family member has a gummy smile, there is a much higher chance that you will as well. 

Gummy smiles also tend to be more prevalent in women than in men.

A Range of Factors Can Result in a Gummy Smile

Too Much Gum Tissue

Some of us simply have more gum tissue than others. In some cases, teeth appear short because they did not fully erupt from the gums and are still partially covered by gum tissue. Gums can also grow over teeth due to a condition called gingival hypertrophy.

Worn or Short Teeth

Your teeth may appear small in comparison with your gums if they have been worn down or are naturally shorter than average.

A Short or Hyperactive Upper Lip

If your upper lip is too short, it can reveal more of your gums when you smile. In other cases, the upper lip is a normal length, but lifts too high when smiling.

Jaw Problems

An overgrowth in the upper jaw, known as vertical maxillary excess, can make your gums bulge and upset the proportions of your smile.

A Gummy Smile Is More Common among Young People

*According to a study by Jerbi Mohamed Ali and Dallel Ines

Excessive gum tissue tends to decrease with age. 

Your Doctor Can Assess Your Smile

If you are concerned about how much gum tissue shows when you smile, your dentist can perform an examination and explain your treatment options. During the appointment, he or she will assess your teeth, gums, and jaw to figure out the cause. You may also need impressions and x-rays. 

Most of the Causes of a Gummy Smile Are Hereditary

Unfortunately, when a gummy smile is caused by genetics, there are no reliable methods of prevention. However, by visiting a dentist on a regular basis, you can address teeth grinding and other issues that can eventually contribute to a gummy smile.

Dentists Say Showing Three Millimeters of Gum Tissue or Less Is Normal

“Anything over three to four millimeters of gum showing starts to look ‘gummy.’” Dr. Stan Heifetz on the ideal smile

The Best Treatment Option for You Depends on the Cause of Your Gummy Smile

One of the most common treatments for patients who have a mildly gummy smile is laser gum contouring. Your doctor can use a soft-tissue laser to remove gum tissue, improving the proportions between your teeth and gums.

Contact a Doctor Today

If you dislike the gummy look of your smile, a range of treatments exist to give you a more balanced, symmetrical appearance. Reach out to a doctor today to learn more about your options.

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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