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

Pre-Operative Instructions

Following pre-operative instructions is important to ensure a smooth procedure and an easy recovery process. Pre-op instructions for dental surgery differ depending on which procedure you are undergoing and the type of sedation or anesthesia you will receive. Some oral surgery procedures are performed using only local anesthetic, while others involve intravenous (IV) sedation. Following these general guidelines is usually a good place to start. Your dentist can provide you with more specific instructions related to your individual procedure. 

Inform Your Doctor of Any Health Concerns

If you have a significant medical issue, such as diabetes or heart disease, you should inform your dentist or surgeon in advance of your procedure. Some patients require antibiotics before undergoing surgery, such as those with artificial heart valves or a joint replacement.

Notify your dentist or surgeon of any changes to your health before your procedure.

You should also provide a list of any medications you take regularly, including blood thinners and insulin. Some medications can interfere with healing and your doctor may need to adjust your dosage prior to treatment. 

Notify your dentist or surgeon of any changes to your health before your procedure. Do not ignore seemingly minor issues, such as a head or chest cold. Your doctor may recommend changing your appointment until your symptoms pass.

Preparing for Surgery

To prepare for oral surgery, you should:

Wear loose fitting, comfortable clothing and a sleeveless or short sleeved shirt.

Remove contact lenses, jewelry, and watches.

Wear flat-soled shoes that support your ankles.

Remove fingernail polish.

Avoid alcohol and smoking for 24 hours before surgery.

Immediately before your surgery, you should brush your teeth and rinse your mouth thoroughly to help prevent infection. It is also recommendable to use the bathroom about half an hour before your procedure. For a smooth, calm recovery, it is a good idea to have ice packs and any medications already at home and prepare soft, easy-to-chew food, such as cottage cheese, yogurt, and pudding, in advance.

Special Instructions for Sedation

For patients who are only receiving local anesthetic, the process of preparing for oral surgery is simple. You do not need to worry about eating beforehand or having a ride home. However, for sedation dentistry, there are additional directions to ensure a safe procedure.

Oral Conscious Sedation

If you opt for oral conscious sedation, your dentist or surgeon will likely provide you with a medication to take before your procedure. Be sure to take the medication at the prescribed time with a small amount of water. In some cases, your doctor may recommend you avoid eating for a set amount of time before the appointment. 

You should arrange for someone to take you to and from your appointment. They may need to stay with you for a few hours after you return home and help you with some basic tasks. 

Carefully following all direction from your doctor can help ensure a successful dental procedure and an easy recovery process.

IV Sedation

Do not eat or drink anything, including water, for at least six hours before your surgery appointment. If you need to take medications, drink no more than half a glass of water. 

You will need someone to drive you to and from your appointment. It may take up to 24 hours for the anesthesia administered during IV sedation to fade from your system entirely, so the individual who brings you to your appointment should expect to stay with you until the day after your procedure. 

Follow All Instructions

During your consultation prior to your procedure, your dentist or surgeon will discuss all medications and pre-operative instructions with you. They will likely also give you post-operative instructions to help you prepare for the recovery process. Carefully following all direction from your doctor can help ensure a successful dental procedure and an easy recovery process.

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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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