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

Dental Implant Failure

Dental implants have one of the highest long-term success rates of any tooth replacement option at about 95 percent. However, dental implants can fail if they do not fully fuse with surrounding bone, or if you develop an infection that compromises neighboring tissue. If the post or abutment piece is damaged, it is important to consult your dentist as soon as possible to discuss replacement. Removing and replacing a failing implant can protect your oral health and preserve your smile.

Why Do Dental Implants Fail?

Though rare, dental implants can fail under several circumstances, including:

  • Failed osseointegration: When implants do not fuse properly with the surrounding bone, they can weaken or fall out altogether. Without a strong, sturdy foundation, implants cannot support a crown, bridge, or denture.
  • Peri-implantitis: This type of infection forms in the tissue around the implant and leads to bone loss and implant exposure.
  • Mechanical failure: In rare cases, the implant post or abutment can break. This issue is generally due to poor initial planning.

If you begin to experience swelling, inflammation, or pain around your dental implants or notice your implant becoming loose, you should contact your dentist right away as these are signs of implant failure.

Treating a Failed Implant

If issues surrounding your implant are identified early, your dentist may be able to save the implant without removing it.

The optimal treatment for implant failure depends on the underlying cause. Generally, your dentist or oral surgeon will need to remove the post and allow the area to heal. Your dentist can often treat peri-implantitis by cleaning the implant site and removing infected tissue. In cases where insufficient jawbone tissue led to implant failure, you will likely need a bone graft before your dentist can replace the post. 

Prevent Implant Failure

If issues surrounding your implant are identified early, your dentist may be able to save the implant without removing it. The best way to maintain the health of your dental implants is to practice good oral hygiene. Pay special attention to your implant-supported restoration while brushing and flossing. You should also attend regular cleanings and examinations at your dentist’s office about every three to six months. Your dentist can identify and treat any areas of concern as quickly as possible.

Replacing a Compromised Restoration

While implant-supported restorations are more stable and secure than traditional options, they are not designed to last forever. They are subjected to daily wear and tear, which can affect their function. You may need to replace your restoration if you notice:

  • Significant changes in the fit of the restoration
  • Chips or fractures in the dental porcelain
  • A loose restoration
  • Excessive wear on the surface of the restoration

In most cases, implant-supported restoration can be replaced without surgery. Your dentist can fabricate a new crown, bridge, or denture and reattach it to the underlying abutment. If your restoration fails, contact your dentist immediately. Leaving a missing or damaged restoration untreated can cause more substantial oral health concerns. 

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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