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

Maryland Bonded Bridges

A Maryland bonded bridge is a minimally invasive alternative to a traditional dental bridge, as it does not require extensive modification to neighboring healthy teeth. Developed by researchers at the University of Maryland, this bridge features one or more artificial teeth (pontics) and two small wings. Wings are made of a tooth-colored resin material, so they can attach to the backside of adjacent teeth without affecting the aesthetics of your smile. Typically these restorations are used to replace a single missing tooth. However, Maryland bonded bridges can replace two or more teeth in qualifying cases.

Bridge Design and Placement

The Maryland bonded bridge traditionally featured metal wings and porcelain pontics. Although sturdy, the metal caused the enamel to appear darker and teeth to take on gray tint. Today, the wings are composed of a custom-colored composite resin for more realistic results. To secure the bridge, the supporting teeth are chemically etched to create a strong bond between the wings and teeth. The bridge is then secured with a biocompatible bonding agent.

Who Is a Candidate?

You may be a candidate for a Maryland bonded bridge if you have one to three consecutive missing teeth. To qualify, the teeth on either side of the gap should be healthy and sturdy enough to support the bridge. Your dentist will examine your teeth and gums using x-ray technology to determine whether this form of treatment is right for you.

Traditional Bridges vs. Maryland Bonded Bridges

A fixed bridge features one or more pontics nestled between two dental crowns. These restorations are secured to remaining healthy teeth, known as abutment teeth, on either side of the gap. To create sufficient space for a traditional crown, neighboring teeth must be reshaped. As abutment teeth are altered, this procedure is considered irreversible. If teeth are uncovered, patients can experience significant dental sensitivity and have difficulty eating properly.

With Maryland bonded bridges, remaining teeth are not extensively reshaped, so you can maintain more natural, healthy tissue.

Maryland bonded bridges, however, require minimal alteration to the enamel of adjacent teeth. If ever you want to remove the bridge, a dentist can do so without causing long-term damage. 

Understanding the Cost of Maryland Bonded Bridges

Understanding the Cost of Maryland Bonded Bridges
There are several factors that can impact the cost of treatment, including the number of teeth treated and the experience of your dentist.

Cost of Maryland Bonded Bridges

Maryland bonded bridges typically cost between $1,185 and $2,340. Each wing costs anywhere from $250 to $550, and replacement teeth range from $685 to $1,240. The overall cost is dependent on several different factors, including:

  • Materials used: Although porcelain-fused-to-metal bridges are typically more affordable, composite resin and porcelain bridges are more aesthetically pleasing.
  • Number of teeth being replaced: The more extensive the treatment, the higher the cost.
  • Condition of your oral health: If you have gum disease, you may require preliminary periodontal care before proceeding with treatment. This can add to the overall cost.
  • Dentist’s experience: A more experienced dentist often charges more than a dentist new to the industry. While costs may be comparatively higher, a more qualified dentist can deliver better results and reduce your risk for complications.
  • Location of the dentist: Costs are dependent on the location of the dental office. Treatment costs are generally higher in larger metropolitan areas.

As there are many contributing elements, the best way to establish the cost is to schedule a consultation with your dentist. To make treatment more affordable, many dental offices provide in-house payment plans or accept third-party financing.

What to Expect During the Procedure

During your examination, your dentist can assess your oral health needs and review your medical history. You will also have the opportunity to ask any questions you may have regarding the procedure or timeline.

The process typically takes two office visits. The first step involves taking either digital or traditional impressions of your teeth. These will be sent to a professional dental laboratory and used to fabricate your custom bridge. The turnaround time is typically one to two weeks.

When the Maryland bonded bridge is ready, you can return to the office for placement. The dentist can check to ensure the bridge fits properly. If no adjustments are needed, a chemical solution will be applied to the back surface of teeth. A bonding agent will then be used to permanently secure the bridge.

Benefits of Maryland Bonded Bridges

For patients with missing teeth, Maryland bonded bridges can provide an excellent solution. The many benefits of treatment include:

  • Realistic aesthetics: These bridges are shade-matched to blend seamlessly with your smile. In addition, porcelain closely mimics the sheen and translucency of enamel for lifelike results.
  • Low risk: Remaining teeth are not extensively reshaped, so you can maintain more natural, healthy tissue.
  • Lasting results: When properly cared for, these restorations can last for over 10 years.
  • Quick and affordable: Maryland bonded bridges take just a few weeks to complete and are typically more affordable than traditional fixed bridges or implant-supported bridges.
  • Improved dental function: With the bridge in place, dental function will be restored. You can once again eat, chew, and speak with ease.

Tooth loss can be distressing, especially when it affects teeth close to the front of the mouth. However, once your bridge is secured, you can smile with confidence.

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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