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

Types of Dental Crowns

Dental crowns are cap-shaped restorations designed to resemble a natural tooth. The purpose of a crown is to improve the health, structural integrity, and appearance of a decayed or otherwise damaged tooth. If a tooth has a failing filling or has undergone root canal therapy, placing a crown can protect and strengthen its structure. Crowns can also provide a strictly cosmetic enhancement. In order to replace missing teeth, a crown may be attached to a dental implant or support a dental bridge. There are several different types of dental crowns, made using various techniques and materials. Your dentist will recommend the best option based on your oral health, aesthetic goals, and budget.

Dental crowns
Made of advanced and lifelike materials, porcelain crowns are nearly indistinguishable from natural teeth.

Temporary vs. Permanent Crowns

A temporary crown is often made in the dentist’s office. Temporary crowns are placed to maintain a patient's appearance and minimize sensitivity until a permanent crown can be created in a laboratory. In order to design both temporary and permanent customized crowns, the dentist will take either traditional or digital impressions. The dentist may also take photographs of the patient’s teeth or use a shade guide to provide further information to the lab technicians. This will ensure the new crown looks completely natural.

Same-Day Crowns

In some cases, your dentist may be able to place a same-day crown. Using computer-aided design and computer-aided technology (CAD/CAM) systems such as CEREC®, a growing number of practitioners offer this convenient option. Patients will not need to receive a temporary and the crown can be milled on-site while they wait. Same-day crowns are made from blocks of durable dental porcelain.

Choosing the Right Material

Once your dentist determines a crown is the best way to restore or enhance your smile, you can discuss the benefits and drawbacks of each available material.

Porcelain Crowns

All-porcelain crowns are typically recommended to restore or enhance the front teeth because they offer superior aesthetics. 

Crowns made entirely of porcelain or ceramic are preferred for the front teeth because they offer superior aesthetics. These materials are translucent, just like natural enamel, and can be precisely shaded. All-ceramic restorations lack the strength and durability of metal crowns. They also tend to be the most expensive type of crown.

Metal Crowns

Gold and other types of alloys may be recommended for the molars. In addition, stainless steel crowns are often used for pediatric patients whose baby teeth require protection from further deterioration or decay. Metal crowns are extremely resistant to wear and tear from chewing and biting, and they tend to last longer than other materials. The biggest drawback is their appearance because metal is easily visible against tooth enamel. For this reason, metal crowns are typically placed in the back of the mouth.

Porcelain-Fused-to-Metal Crowns

Porcelain-fused-to-metal (PFM) crowns offer some of the best features of all-porcelain and all-metal crowns. The porcelain that coats PFMs can be matched to the surrounding teeth, so they blend naturally into patients' smiles. The metal present in PFMs makes them stronger and more durable than all-porcelain crowns, so they are often incorporated into dental bridges. Unfortunately, some patients develop a dark line at the base of these crowns as the metal ridge becomes more visible if the gums recede.

Learn Which Crown is Right for You

Although crowns used to last anywhere from five to 15 years, newer dental materials have improved their lifespan. With proper care, some crowns can last 20 years or more. To ensure the longevity of a crown, you should always practice good dental hygiene, brushing at least twice a day and flossing daily. You should also visit the dentist for checkups and cleanings twice each year so they can check the integrity of the restoration. If you think you may benefit from a dental crown, speak with your doctor to learn which type can best meet your unique needs. 

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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