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 Implants

If you are missing teeth, dental implants and implant-supported restorations offer the opportunity to restore the full function and beauty of your smile. A single missing tooth can be replaced with an implant-supported crown, several teeth with an implant-supported bridge, or a full arch with an implant-supported denture. Before beginning your treatment, it is important to consider the types of dental implants available and how they can serve your needs. Your dentist or oral surgeon can review your options and help you decide which is best.

Understanding Your Options

It is important to distinguish the dental implant from the restoration. Dental implants are small posts, typically made from titanium, which are embedded in your jaw. They can be divided into several categories based on their size and shape, as well as the technique used for placement. Dental implants can support a range of restorations, including crowns, bridges, and dentures.

Implant Size

The size of an implant, or the platform, affects where it can be positioned inside the mouth. The three main sizes are:

  • Standard platform implants: Usually ranging from 3.5mm to 4.2mm in diameter, standard platform implants are placed in the front part of the mouth.
  • Wide platform implants: This implant is typically used to replace molars in the back of the mouth and ranges in diameter from 4.5mm to 6mm.
  • Mini, or narrow, implants: For patients with spacing issues or insufficient bone density, a mini implant can restore candidacy for dental implants treatment. This type of implant typically ranges from 2mm to 3.5mm in diameter and requires less available bone than standard implants.
dental implant types
Mini implants are thinner than traditional implant posts.

Implants can be divided into several categories based on their size and shape, as well as the technique used for placement. 

Each smile is different, so your dentist will determine the ideal implant size for you depending on the spacing of your teeth and the quality of bone present.

Implant Shape

The shape of an implant affects its stability and long-term strength. While there are many types of implant shapes, the two most common are:

  • Screw-type: This type of implant is threaded like a screw and can effectively transmit the biting force to the surrounding bone. Screw-type implants are one of the most common types of implants.
  • Cylinder-form: These implants have a similar shape to screw-type implants without the threading, allowing for easier placement in the jaw. However, the smaller surface area does not provide the same level of stability as screw-type implants.

The optimal implant shape depends on where the implant is placed and the placement method used.

Placement Method

One key difference in implant types is the procedure used to place them. There are three placement methods in use today. The two-stage procedure is the most common method. First the implant is placed and allowed to heal. Then, an additional surgery is performed to uncover the implant and place the abutment (connector device) and temporary restoration.

In contrast, single-stage implants do not require the additional uncovering procedure. A healing abutment is placed at the same time as the implant post. Once the implant has healed, the final abutment and crown can be placed immediately. This placement method requires more care during the healing process, as the implant is especially vulnerable to external factors.

Immediate-loading implants are also an option for qualifying patients. Treatment involves places the implant and restoration during a single surgery. The candidacy for this type of implant is limited as patients are required to have sufficient bone density and volume.

Choosing the Right Type for You

The optimal dental implant type for you will depend on a range of factors, including the type of restoration you need and the anatomy of your jaw. For example, mini dental implants are typically used for patients with low bone density who do not qualify for bone grafting. However, not all dentists offer mini implants. Be sure to discuss the different options available with your dentist before deciding to proceed with your implant treatment.

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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