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

Yellow teeth

Stained Teeth

Dental stains do not affect your oral health, but they can certainly make you hesitate to smile.

There are many treatments that can brighten your smile, depending on the type of stains affecting your teeth.

Tell me more...

Yellow teeth

Types of Dental Stains

Extrinsic

Stains affecting the enamel (the outermost layer of the tooth) are easiest to treat.

Intrinsic

When the dentin (tissue between the enamel and pulp) becomes stained, concealment is usually the best treatment.

Age-Related

Enamel can become worn and dentin becomes yellowed over time. This combination gives teeth a darker color.

A Closer Look at What Causes Stains

Foods

Many common foods and condiments, including tomato sauce, red and white wine, mustard, berries, tea, coffee, and soda cause stains over time.

Meds and Supplements

Children 8 and younger can develop stains as tetracycline (an antibiotic) bonds to calcium in developing teeth. Ingesting large amounts of fluoride can result in brown dental stains.

Nicotine

When nicotine combines with oxygen, it turns yellow. Over the years, nicotine can stain enamel and the outer layers of dentin.

Genetics

Some of us are born with darker teeth, while others are born with weak enamel that can stain easily.
"If you choose to use a bleaching product, you should only do so after consultation with a dentist. This is especially important for patients with many fillings, crowns, and extremely dark stains." American Dental Association

How to Avoid Dental Stains

Brush after Meals

It is difficult to completely avoid foods that cause stains. Brushing immediately after meals or at least rinsing your mouth with water can curb staining.
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Use a Straw

It's not the ideal way to enjoy every beverage, but if you indulge in tea, iced coffee, or cola, a straw can help keep your teeth bright.
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Stop Using Nicotine

Quitting nicotine use of any kind is advisable for many reasons, but it can also help you avoid dental stains.

Two Key Assessments

The Appearance of Your Teeth

Dentists can often identify stain types just by looking at the tooth. Extrinsic stains are often yellow or yellowish-brown, and cover the tooth. Intrinsic stains are often localized, looking like an isolated patch.

Medical History

Teeth that have undergone a root canal will often develop intrinsic stains over time. If you were exposed to tetracycline in utero or in early childhood, or if you grew up in an area with heavily fluoridated water, this probably means your stains are intrinsic.

Stains Can Be Eliminated or Hidden

Teeth Whitening

If you have extrinsic stains, whitening treatment supervised by a dentist is the best way to achieve a brighter smile. Your doctor may also recommend internal bleaching after a root canal.
dental-veneers

Porcelain Veneers

If you have intrinsic stains or if you don't qualify for whitening, you can conceal your stains with custom porcelain shells that attach to the front of your teeth.

Dental Bonding

Bonding is an affordable alternative to veneers. It involves applying resin to a tooth in a way that hides imperfections and looks natural.

Dental Crowns

If you have severe intrinsic staining resulting from a root canal or another factor, a dental crown may be the best solution.

Discuss Your Goals with Your Dentist

Dental stains can rob you of your confidence. The good news is that there are many ways to address this issue and achieve beautiful, natural-looking results. Talk to your dentist today about illuminating 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.

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1635 Rosecrans St
Ste A
San Diego, CA 92106

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