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

Cantilever Bridge

A dental bridge can restore the function and aesthetics of your smile if you have lost one or more consecutive teeth. However, some patients do not qualify for a traditional bridge, which relies on two healthy teeth for support. When there is only one tooth available to uphold a restoration, dentists often recommend a cantilever dental bridge. This restoration is comprised of one or more artificial teeth, known as pontics, and a single dental crown. If you are a candidate, a cantilever bridge can improve your bite, as well as your ability to eat and speak with confidence.

How a Cantilever Bridge Works

Cantilever Bridge
This bridge is supported by a single abutment tooth for support and spans the gap left by missing teeth.

Cantilever vs. Traditional Bridges

Traditional bridges feature pontics flanked by two dental crowns, and they span the gap left by missing teeth. To secure the restoration, the dentist will need to sculpt neighboring teeth by removing a small portion of enamel. Though identical in function, cantilever bridges only require a single abutment tooth to be reshaped. The pontic will then project into the nearby space. Typically, dentists only use cantilever bridges to replace single missing teeth.

Explore Your Candidacy

Your dentist will examine your bite and the structural integrity of surrounding teeth before recommending a cantilever bridge. This restoration is often appropriate for those who do not have two teeth that are healthy enough to support a traditional bridge. Weakened or decayed teeth, for example, cannot provide adequate support for a crown. In other cases, a neighboring tooth might be supporting another restoration that cannot be replaced.

Cantilever bridges enable those who would not otherwise qualify for a bridge to receive a fixed restoration.

Cantilever brides are not quite as strong as traditional bridges and cannot bear the full force of a patient's bite. Therefore, these restorations are not typically recommended for back teeth. The doctor will also evaluate your alignment. If pressure falls unevenly across the dental arches, it could damage or break a cantilever bridge. In these cases, an implant-supported bridge may be a better option. If you need to replace multiple teeth, implants or a partial denture may offer more support.

What to Expect during Treatment

Prior to the procedure, patients will receive a local anesthetic to numb the area. To place a cantilever bridge, the dentist will need to reshape the abutment tooth that will uphold the restoration. By removing a small portion of the enamel, the dentist can ensure the restoration fits comfortably in your smile and does not disrupt occlusion.

Once the tooth is prepared, the dentist will take impressions and note the appropriate shade for the restoration. If the dental office is equipped with CAD/CAM (computer-aided design and computer-aided manufacturing) technology, your dentist may be able to craft the restoration in-house. Otherwise, the impressions will be sent to a local laboratory and used to fabricate the cantilever bridge. In the interim, patients are provided with temporary restorations to protect against sensitivity.

Before bonding the bridge in place, your dentist will check to ensure it fits properly. If no modifications are needed, your dentist can attach the prosthetic with dental cement and polish your teeth to add the finishing touches.

Common Materials Used

Cantilever bridges can be made from several materials, including porcelain-fused-to-metal (PFM), all-porcelain, and zirconia. PFM bridges are more affordable than other options. However, it is important to note that the metal base can make the tooth appear darker over time. Patients seeking more natural-looking results may choose porcelain or zirconia restorations. These materials are shade-matched to blend seamlessly with adjacent teeth, and they never lose their vibrancy.

Risks Associated with Treatment

Cantilever bridges have a high success rate. However, they are not as strong as traditional bridges. To extend the lifespan of your bridge, you should avoid biting your nails, chewing on hard objects, and using your teeth to open packages.

Though the abutment will be covered by a crown, this tooth is still susceptible to decay if debris becomes trapped beneath the restoration. To preserve the health of your smile, you should practice good oral hygiene. Brush twice each day and floss daily, and schedule biannual visits to your dentist's office. With proper care, bridges can last 10 or more years.

The Benefits of a Cantilever Bridge

Like traditional bridges, cantilever bridges can restore your bite and your ability to eat comfortably. They also enable those who would not otherwise qualify for a bridge to receive a fixed restoration. Replacing missing teeth can prevent other teeth from shifting and protect you from misalignment. Of course, bridges also have important cosmetic advantages. A complete smile can renew your confidence and encourage you to smile and laugh freely. 

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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