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

Implant-Supported Crowns

Tooth loss can take a serious toll on your quality of life, making it difficult to smile confidently, eat properly, and speak clearly. If you have a single missing tooth, an implant-supported crown can restore the integrity of your smile. Implant-supported crowns are affixed to dental implants, which provide unrivaled support and stability. These restorations not only look and feel natural, but they also encourage jawbone regeneration at the site of a missing tooth.

The Structure of an Implant-Supported Crown

The Structure of an Implant-Supported Crown
An implant-supported crown is affixed to dental implants, which are secured directly in the jawbone.

Implant-Supported Crowns vs. Traditional Dental Bridges

A traditional dental bridge is comprised of one or more artificial teeth (pontics) nestled between two dental crowns. This restoration is designed to bridge the gap created by tooth loss and restore complete function and aesthetics. Adjacent healthy teeth serve to support the bridge, however, they must be reshaped to accommodate the restoration. As a traditional dental bridge rests atop the gums, it does not prevent further jawbone degeneration, which commonly occurs after tooth loss.

Implant-supported crowns not only look and feel natural, but they also encourage jawbone regeneration at the site of a missing tooth.

An implant-supported crown replaces an entire tooth from root to crown. This restoration is supported by a dental implant, which is surgically embedded in the jawbone. Dental implants provide a strong, solid foundation for a customized crown. In addition, they act as artificial tooth roots, stimulating the jawbone each time you bite down. This process helps to counteract bone degeneration and promote jawbone regrowth. While dental crowns will need to be replaced in the future, dental implants are designed to provide a lifetime of support.

Are You a Candidate?

You may be a candidate for an implant-supported crown if you:

  • Experience isolated tooth loss
  • Are in good oral health and free from periodontal disease
  • Are looking for a permanent tooth replacement solution
  • Do not smoke
  • Have a strong and stable jawbone

As implants are inserted directly into the jawbone, they require sufficient jawbone density for support. If you have sustained jawbone degeneration, you may require a preliminary bone graft or sinus lift to restore your candidacy for treatment. While these procedures can extend your treatment timeline by six to nine months, they are integral to the success of dental implants.

The Initial Consultation

During the initial consultation, your dentist may request x-rays or other advanced images to evaluate your smile and determine your candidacy. If you require any prerequisite procedures, your dentist can review the treatment process and timeline, as well as answer any questions you may have.

The Implant-Supported Crown Procedure

If you are ready to proceed with dental implant surgery, your dentist will begin by numbing your gums with local anesthesia. You may also discuss stronger sedation options with your dentist if you feel especially nervous about undergoing treatment. Once you are comfortable, your dentist can make a small incision in your gums, through which implants will be placed. Your dentist can then close the incision with sutures.

Over the next three to six months, the dental implants will fuse with your jawbone in a process known as osseointegration. After recovery, you can return to the office to receive the abutments, which will connect the implant to the crown. Impressions will then be taken of your smile and used to fabricate your custom crown. Once your restoration is ready, your dentist can check it against your bite to ensure the crown does not disrupt your occlusion. If no modifications are necessary, the crown will be secured, and you can leave feeling confident in your smile.

Factors Affecting the Cost of Implant-Supported Crowns

The cost of implant-supported crowns varies from patient to patient and depends on a variety of factors, including:

  • Dentist’s experience: A more experienced dentist typically charges more than a dentist new to the industry. However, a highly qualified dentist can often reduce your risk of complications and the need to undergo costly retreatment.
  • Number of implants: If you have intermittent tooth loss, you may require more than one implant. The more implants you receive, the higher the cost of treatment. A single implant costs between $1,600 and $2,200.
  • Preliminary procedures: If you require bone grafting, sinus lift surgery, or periodontal disease treatment prior to implant surgery, you can expect more expenses.
  • Restoration materials: Dental crowns can be fashioned from several materials, including porcelain, porcelain-fused-to-metal, and zirconia. The higher the grade, the more expensive the restoration. While zirconia is typically the most costly, it is also the most durable. Each crown can range from $500 to $2,500.

Dental implants are not always covered by insurance, however, many dental practices offer in-office payment plans or accept third party financing to help cover out-of-pocket costs. While implant-supported crowns are more expensive than other restorative solutions, they are a long-term investment in the health of your smile.

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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