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

Impacted Canines

Impacted canine teeth can cause many oral health issues and compromise the appearance of your smile.

The longer canines remain impacted, the more likely they are to cause problems.  Fortunately, several treatments can correct this issue.

How do I know if I need to worry about impacted canines?

When to Become Concerned about Impacted Canines

Delayed Eruption

Canine teeth (the long, pointed teeth next to the incisors) typically erupt between ages 11 and 12. If by age 14 or 15, they still have not appeared or the baby tooth is still in place, you may need treatment for impaction

Absence of Usual Signs

Generally, by age 10, children should have a bulge in the location where the canines are going to erupt. This lump should appear on the front of the gums, not on the soft palate. 

Tipped or Migrated Canines

In some cases, canine teeth can start to grow in crooked, sideways, or backward. These are signs of impaction and may require treatment.

Impacted Canines Are Difficult to Spot without an X-Ray

When a tooth is impacted, it means the tooth is caught in the jaw or under the gums, meaning visible signs of issues are less likely.

If you suspect impacted canines, it is a good idea to schedule an appointment with your dentist for an x-ray.

Impacted Teeth Are More Common for Women Than for Men

Studies show that canine impaction is about twice as common in females than in males. 

Certain genetic factors can also affect how your canine teeth erupt. If a close family member had impacted canines, it is more likely you will also develop this condition.

While the Cause of Canine Impaction Isn't Always Clear, There Are a Few Common Factors

Insufficient Jaw Space

A common reason canines fail to erupt is jaw space. For many patients with impacted canines, the tooth is too large to fit in the available space. This may happen because the jaw is crowded or too small

Timing of Tooth Loss

Baby teeth act as guides for adult teeth. If the baby tooth falls out too early or too late, it can affect the ability of the permanent tooth to grow in properly.

Unusual Growth

Extra teeth, abnormal growths on the soft tissue, or other issues can all interfere with the proper eruption of canine teeth.

Maxillary Canines Are the Second Most Commonly Impacted Teeth

X-Rays Are an Excellent Tool for Identifying Impacted Teeth

If your doctor suspects one or more of your canine teeth are impacted, he or she will likely take a panoramic x-ray. In some cases, your dentist may also use a cone beam computed tomography (CBCT) scan to assess damage to neighboring teeth and the amount of bone around the impacted tooth. This information can help your dentist determine the cause of the impaction and the best treatment method.

Generally, the older a patient is, the less likely canine teeth will be to erupt on their own. 

Early Diagnosis Can Help Avoid Problems

Schedule an Orthodontic Exam Early

The American Association of Orthodontists (AAO) recommends all children undergo an orthodontic evaluation no later than age seven. This appointment allows an orthodontist to spot potential issues with canine teeth before they become a problem.

Extracting Extra Teeth

Some individuals have a condition known as hyperdontia, which causes extra teeth to grow. These extra teeth can cause overcrowding and prevent canine teeth from erupting properly. Removing these teeth early can help prevent impaction.

Interceptive Orthodontics

More and more orthodontists recommend children undergo early treatment to help ensure the jaw develops properly. Interceptive treatment can include braces, palatal expanders, or other devices that create enough space in the jaw for all teeth to erupt at the right time and in the right place.

"The most desirable approach for managing impacted maxillary canines is early diagnosis and interception of potential impaction."
Journal of Pharmacy and Bioallied Sciences

When Prevention Isn't Possible, Orthodontics Can Make a Big Difference

Braces or other orthodontic treatments can create space for the canine teeth to erupt and then guide them into place. Adults may need a minor procedure to expose the impacted canine and place a bracket to pull it into position.

Schedule an Appointment

If you are concerned about impacted canines, make an appointment. Your doctor can assess your issues and determine the best way to maintain the health and beauty of your 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.

Contact Us Today

Rate, Review & Explore

Social Accounts Sprite

San Diego Office

1635 Rosecrans St
Ste A
San Diego, CA 92106

Closed Today

What is the best time for you?

Add additional time

Tell us a bit about yourself...

(619) 223-3811 Send a message