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.  

When you come to the office, we ask that you wait in your car in the parking lot.  Diana will be calling you at your appointment time to let you know that your dental operatory is ready for you.  Susie, Chelsea or I will meet you outside to take a quick, touch-less temperature scan of the forehead, and 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

Dental Implants FAQs

How much do dental implants cost?

The price of dental implants varies significantly, based on a number of factors. The patient's health, and whether prerequisite procedures are necessary, certainly affect price. The number of implants required, as well as the type and quality of the prosthetic, also influence cost. Location, and local economy, are often factors in implant pricing, as is the doctor's training and expertise. The most important consideration for the potential implant patient should be peace of mind. You need to feel confident in your implant dentist and comfortable in his or her office. Ultimately, because dental implants greatly enhance quality of life and confidence, and because they can last a lifetime with proper care and good oral health, dental implants are a cost-effective, logical solution to replace missing teeth.

dental implants before and after
Dental implants can restore the function and appearance of your smile.

What is an implant dentist or implantologist?

 Implant dentist and implantologist are synonymous. Any general dentist can be an implant dentist and perform both surgery and placement of dental implant restorations. However, most general practitioners place implant restorations, meaning the crown, bridge, partial, or denture that fits on implant posts. A good number of general dentists prefer to refer the surgical phase of an implant case to an oral surgeon or periodontist.

Do I need an implant to replace each of my missing teeth?

No. One implant post can hold one implant restoration, or crown. Two implants may secure a bridge or partial. Four to six implants are often sufficient to stabilize an upper or lower denture.

Does implant surgery hurt? 

Like all oral surgeries, implant placement is performed with anesthesia. Some dentists use nitrous oxide and local anesthetic, while others prefer to deliver oral sedation, conscious sedation (oral and nitrous oxide), or IV sedation when placing implants. Most patients report post-procedure pain, and dentists commonly prescribe over-the-counter or prescription pain relievers and a special diet during the first few days after surgery. The diet should include a good amount of water, no use of a straw, and soft, cool foods that don't need to be chewed. Soups, yogurt, hummus, and guacamole are good examples of tolerable foods after implant surgery. Do not chew on the implant or implant restoration until the dentist tells you to do so. If your implant abutment or restoration dislodges, contact your implant dentist immediately so that it can be reattached.

A bit of bleeding or oozing is normal, and the patient can bite on gauze or a moist teabag for about a half hour to reduce bleeding or oozing. After implant surgery, smoking is strictly prohibited during healing. Stitches will naturally dissolve in about a week, but if they come loose before this time, the patient should not worry unless excessive bleeding occurs. Swelling will subside in approximately 24 to 48 hours following surgery and can be minimized by applying an ice pack to the outside of the cheek, over the area where the implant was placed. To aid healing, elevate the head at a 45-degree angle when lying down.

An implant patient should rinse the mouth with room-temperature salt water three times per day for about a week, and brushing can resume the day following surgery. Be cautious not to scratch or irritate the implant surgery site while the mouth heals. Dentures and partials should not be replaced without the consent of your dentist. Implant patients should attend all follow-up appointments on time, as directed by the dentist, to ensure optimal results from implant placement surgery.

Will implants make dentures more comfortable?

 With traditional dentures, the underlining rests on the gums, on natural ridges. For upper dentures, natural suction or adhesive creates stability; for lower dentures, adhesive is required. Over time, friction between the denture underlining and gums causes natural bony ridges to flatten. When this occurs, dentures must be relined for a more accurate fit. Ultimately, the gum ridges completely wear down, and the gums become smooth and flat, and dentures, even with adhesive, become chronically loose or wobbly. The potential for slippage increases. In other cases, patients never find a comfortable fit with a denture. Because implant-retained dentures snap or are affixed to posts anchored in the jaw, they will not loosen, wobble, or come loose. They usually fit comfortably, from day one. Furthermore, because of their stability, implant dentures make the patient feel more confident and comfortable in public, particularly when dining out.

Are implant dentures removable or fixed? 

Either. Your implantologist will discuss your preference and explain the pros and cons of fixed and removable dentures. You can then decide which option will work best with your lifestyle.

When are mini dental implants a good choice? 

Miniature dental implants are best reserved for older patients who have poor jawbone density, but cannot endure bone grafting surgery.

Will insurance pay for dental implants? 

Dental and medical insurance policies can be extremely diverse in their coverage. In some cases, dental insurance will cover all or part of the cost of prosthetics, and medical insurance will cover all or part of implant placement surgery. However, not all insurances cover dental implants. Most dentist offices accept credit cards and offer payment options through third-party banks or in-house financing.

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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San Diego Office

1635 Rosecrans St
Ste A
San Diego, CA 92106

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