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

Illustration of skull with underbite

Underbite

An underbite occurs when your lower teeth close over the top of your upper teeth.  Underbites can cause difficulty chewing and speaking.

Caused by a misalignment of the jaw, an underbite can be corrected with a range of treatments to improve your comfort and appearance.

So how do I know if I need treatment for an underbite?

Illustration of skull with underbite

If Your Underbite Is More Than a Cosmetic Concern, You May Need to See an Orthodontist

Do You Have Issues Eating or Speaking?

An underbite can interfere with normal daily activities, including chewing and speaking.

Do You Suffer from Chronic Pain?

For some patients, underbites cause chronic jaw pain, as well as head and earaches.

Do You Have Breathing Difficulties?

Underbites can also affect your breathing, causing chronic bad breath, sleep apnea, and snoring.

Comparison of normal bite and underbite Comparison of normal bite and underbite
 

Underbites Have a Distinctive Appearance

Clinically referred to as a Class III Malocclusion, an underbite occurs when the bottom teeth noticeably protrude beyond the upper teeth.

Genetics Play a Major Role in Whether You Develop an Underbite

If one of your parents or grandparents had an underbite, there is a much larger chance that you will, too. In addition, certain ethnic groups are more likely to develop underbites, including those of Asian descent.

A famous example of the genetic nature of this trait is the "Habsburg jaw." Many generations of the royal Habsburg family in Europe were known for their distinctive protruding lower jaws, which are believed to have been the result of an underbite.

Certain Environmental Factors Can Cause an Underbite

Tongue Thrusting

Constant thrusting of the tongue against the teeth can move your smile out of position and cause an underbite.

Childhood Habits

Habits such as thumb sucking and pacifier use in early childhood can also affect the way the jaw develops.

Mouth Breathing

Breathing through your mouth forces the tongue to rest against the lower jaw and increases the chance of an underbite.

Underbites Are Much Less Common Than Overbites

Your Dentist Can Diagnose Jaw Issues During a Routine Exam

In most cases, an underbite is easy to identify with a simple visual exam. However, your dentist or orthodontist will likely perform a complete evaluation of your teeth and jaw to determine the severity of your condition.

During the appointment, your dentist may take x-rays, photographs, and impressions to examine the specific relationship between your teeth, jaws, and head.

Doctor examining woman's jaw

Early Intervention May Help a Child Avoid an Underbite

Limit Pacifier and Bottle Use

Parents of young children can help their child's jaw form properly by limiting their pacifier and bottle use. Speak to your doctor or a dentist about the best time to begin this process.

Treat Mouth Breathing

If you notice your child snores or breathes through their mouth, you may be able to prevent issues in jaw development by treating these concerns early

An Underbite Can Have a Major Impact on Your Daily Life

"In its most severe form, the Class III malocclusion can be functionally and/or socially debilitating."  Family History and Genetics of Mandibular Prognathism

Braces Are the Most Common Treatment for an Underbite

The most commonly used treatment for underbites and other bite issues is orthodontics. Metal braces can adjust the position of teeth and improve jaw alignment to address an underbite.

Illustration of braces Illustration of braces

Schedule an Appointment to Learn More

Depending on the severity, an underbite can have a serious impact on your oral health and quality of life. Scheduling an appointment with a doctor is the best way to find out whether you need treatment.

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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