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

Bruxism

Woman holding jaw in painBruxism is a common condition which affects both adults and children. Also known as teeth grinding or clenching, bruxism is an involuntary condition linked to a variety of other concerns, including stress and misaligned teeth. When left untreated, grinding or clenching your teeth can cause damage to your enamel, as well as the jaw and surrounding structures. In severe cases, it can lead to fractures or tooth loss. Bruxism often occurs while sleeping and can go unnoticed for long periods of time. If your dentist identifies signs of grinding or clenching, they can recommend a treatment plan to alleviate your symptoms and protect your smile from further damage. 

Understanding Bruxism

Bruxism refers to a condition in which individuals clench or grind their teeth while awake or asleep. In most cases, patients are unaware of clenching or grinding but may notice associated symptoms, such as:

  • Tooth pain or sensitivity
  • Pain or soreness in the jaw, neck, or face
  • Earaches or ringing in the ears
  • Sores on insides of the cheeks or lips from biting
  • Restricted jaw movement
  • Dull headaches that start at the temples
  • Clicking in the jaw joints
  • Enlargement of the jaw muscles, called masseter hypertrophy

Your dentist may also notice wearing or damage to your teeth due to excessive pressure, such as cracks, chips, loose teeth, or flattening of the chewing surfaces. If you have a sleeping partner, they may hear clicking, grinding, gnashing, or other sounds which are indicative of bruxism.

Causes of Teeth Grinding

While the exact reasons for bruxism are not fully understood, it is likely caused by a combination of physical, psychological, and genetic factors. A common cause of grinding and clenching in adults is stress. Misalignment of your teeth can also result in bruxism. There are several risk factors for bruxism, such as:

  • Certain medications
  • Consumption of tobacco, caffeine, or alcohol
  • Recreational drug use
  • Negative feelings, such as stress, tension, and anger
  • Family history
  • Medical conditions, including Parkinson’s disease, dementia, and gastroesophageal reflux disorder (GERD)
  • Sleep-related disorders, such as sleep apnea

Bruxism is especially common in young children and usually resolves before adulthood. Of course, adults can develop the condition as well. 

What Are the Effects of Bruxism?

In some cases, grinding and clenching are so mild that treatment is not required. However, the constant pressure exerted on your teeth and jaw muscles can lead to serious health concerns. The consequences of untreated bruxism can include:

In some cases, the effects of bruxism fade as soon as the condition is treated. By lessening pressure on your teeth, for example, you can reduce or eliminate issues such as sensitivity and pain. However, damage to your teeth can have long-term, or even permanent, effects and require additional dental treatments in the future. 

Bruxism Treatment Options

For some patients, reducing their stress levels can provide sufficient relief from grinding and clenching.

Your dentist can examine your oral health and determine the optimal treatment plan for you. For some patients, reducing their stress levels can provide sufficient relief from grinding and clenching. However, in many cases, treatment is required.

Oral Appliance Therapy

There are a few ways to protect your teeth from the forces of grinding and clenching. Your dentist may recommend a custom night guard to wear while you sleep. This treatment is especially helpful if your bruxism symptoms mainly occur at night. In addition, splinting can redistribute the force of your bite by connecting multiple teeth together. Your dentist can place a temporary or permanent splint depending on your needs.

Orthodontics or Bite Adjustments

When your teeth do not fit together properly, you unconsciously adjust your bite throughout the day in an attempt to find a comfortable position. This process can cause you to grind or clench. If your symptoms are due to misalignment, orthodontic treatment or another form of bite adjustment can help reduce or eliminate bruxism. 

Medications

If your bruxism does not respond to other treatments, your dentist may recommend you take a muscle relaxant before bed. Additionally, if your clenching or grinding is related to anxiety, your doctor may prescribe a medication to relieve stress. Bruxism is also a side effect of certain medications. Switching to a different prescription may alleviate your issues. 

BOTOX® Injections

Woman receiving injection in her jawThere is some evidence to suggest that injection of BOTOX, a form of botulinum toxin, can help patients with severe bruxism that does not respond to other treatments. Since BOTOX limits muscle movement, it may be able to help reduce your symptoms. BOTOX injections are a temporary solution for bruxism and will require ongoing treatment.

Treating Underlying Conditions

Bruxism caused by another medical condition, such as sleep apnea or GERD, may resolve by simply treating the underlying condition. Be sure to provide your dentist with your full medical history so they can identify possible causes of your clenching or grinding. 

How to Prevent Bruxism

There are a few home-care techniques that can help prevent clenching and grinding, including:

  • Stress reduction and anxiety management techniques, such as meditation
  • Limiting or avoiding caffeine and alcohol, especially in the evenings
  • Special exercises to ease jaw tension
  • Developing a regular sleeping schedule

These methods may not work for everyone, especially if your bruxism is severe. Your dentist can evaluate your oral and overall health and recommend solutions tailored to your specific needs.

Protect Your Smile

Bruxism can have damaging effects but the condition can be treated. Schedule an appointment today to learn more about how you can find relief. 

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