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 dentures offer a number of benefits over traditional dentures. Patients with implant-supported dentures can eat, speak, and smile with confidence, knowing that their dentures are securely in place. Further, implant-supported dentures can actually improve a patient's oral health. Read on to learn more about the benefits of implant-supported dentures.

man eating apple
Implant-supported dentures can restore your ability to eat your favorite foods and smile with confidence.

Improves Ability to Eat

Although traditional dentures will provide more biting force than a mouthful of missing teeth, it is still far less than can be achieved with real teeth - or implant-supported dentures. Dentures that are anchored by dental implants will triple the patient's biting force, when compared to traditional dentures, making it easier to eat crunchy, tough, and chewy foods. In addition, implant-supported dentures will not move out of place, even when pressure is applied to the prosthetic when eating.

Improves Ability to Speak

It is common for patients with traditional dentures to mumble, slur their speech, or make clicking noises when speaking. This is caused by tense facial muscles that are struggling to keep poorly fitting dentures in their proper position. With implant-supported dentures, these problems can be a thing of the past. When the dentures are secured to dental implants that have become fully integrated with your jaw bone, they will not move around or become displaced. This greatly improves a patient's ability to speak clearly.

Better Fit

The prosthetic that is attached to the dental implants is custom made to fit over the patient's gums. After you have undergone dental implant surgery and your gums have fully healed, an impression is taken of the gums (and any remaining teeth) so the dentures can be fabricated for an optimal fit.

Implant-Supported vs. Traditional Dentures

implant vs. traditional dentures
Implant-supported dentures are affixed to implant posts, which are anchored in the jaw.

More Comfortable

Implant-supported dentures are more comfortable for two reasons. First, the dental technician or prosthodontist will craft dentures that offer a good fit. Second, the dentures will stay in their ideal position, permanently, because they are securely attached to the dental implants that have been surgically embedded into the jaw bone.

Looks and Feels More Natural

Custom-made porcelain dentures are crafted to look like your natural teeth (or an improved version of your natural teeth). Great care is taken to design and fabricate a set of teeth that not only look natural, but also complement the size and shape of your mouth. Dentists may first create wax versions of the dentures so patients can try on their new teeth on before the final dentures are made; this process allows for design modifications and fit adjustments that can be applied to the final set of dentures. 
Once the dentures have been fabricated, the dentist will attach them to the implants using a ball or stud attachment. Securing the dentures to implants will ensure that they stay in place even when pressure and biting force is applied, making the dentures feel more like natural teeth than replacement teeth.

Don't Require Dental Adhesives

Implant-supported dentures do not require the use of sticky, messy, foul-tasting dental adhesives. Patients can finally stop buying these products and no longer have to spend time trying to keep their dentures in place. Instead, patients can focus on caring for their dentures in the same manner that they would care for real teeth; patients should brush twice a day, floss daily, and visit the dentist every six months.

Stops Dissolution of the Jaw Bone

When a patient loses their teeth, the jaw bone recognizes that it is no longer serving its purpose of supporting the tooth. As a result, the jaw bone begins to degenerate. The only way to stop this process is to replace some of the missing teeth's roots with dental implants. Once an implant has been placed, the jaw bone will begin to regenerate, thereby improving the patient's overall oral health.

Doesn't Wear Down the Gums

Traditional dentures rest on the gums, which provide the support for these dental appliances. Unfortunately, the dentures eventually wear down the gum tissue, resulting in "shrinking gums". As the gums recede, the dentures become loose and require additional adjustments to improve their fit. 
Because implant-supported dentures are supported by dental implants rather than the gums, patients do not experience this degeneration of gum tissue.

Increases Confidence

Implant-supported dentures can increase a patient's confidence level by improving the ability to eat and speak, as well as the appearance of the smile. Patients no longer have to worry about the embarrassment that is caused when dentures slip out of place while in the middle of a conversation or out to eat with friends.


Dental implant-supported dentures have become the best treatment option for patients who are missing all or most of their teeth. The treatment boasts a high success rate, particularly when the patient makes a commitment to the maintenance of good oral health and a qualified dentist performs treatment. However, complications may occur. Here is an overview of the complications that may affect the implants, abutments, and dentures.

Implant Failure Complications

Although dental implant success rates are high, there are cases in which the implant will fail. Most cases of implant failure can be prevented if the patient maintains his or her oral health and chooses a qualified implant dentist to plan and perform the procedure. Dental implants are more likely to fail in the maxilla (upper jaw) than in the mandible (lower jaw). Possible reasons for implant failure include:

Loosening of the screws: The dental implant is attached to the abutment via a screw. Loose screws should be replaced immediately to prevent damage to the implant.

Screw fracture: Screw fractures may occur if there is a defect present, or when the hardware can't sustain the force that is exerted upon it.

Implant fracture: The dental implant can fracture or break into pieces when the implant is overloaded. This may be caused by placement of the wrong size, length, or type of implant; by placing too many implants; or by improper positioning of the implant.

Loose implants: An implant may become loose when the abutment and replacement teeth have been placed prematurely, there is an insufficient amount of bone to support the implant, or a poor quality implant was placed.

Inadequate bone support: During the planning stages of the dental implant process, the dentist should determine if there is sufficient bone to cover and support the dental implants. If not, bone graft surgery can be performed in preparation for dental implant surgery.

Bone loss around the implant: Once the implant is placed, bone loss can still occur. Bone loss may occur from too much bite pressure being applied to the implants or as a result of poor dental hygiene.

Infection: Patients are at an increased risk of developing an infection anytime surgery is performed. An infection can also develop if the patient is not maintaining good oral hygiene habits. Infection of the tissues, ligaments, and bone surrounding the implant can result in implant failure.

Osseointegration problems: Osseointegration is the process in which the bone reforms around the implant, integrating the titanium post within the jaw bone. Osseointegration problems are more likely to occur if there is not sufficient jaw bone, or if the patient smokes, takes certain medications, or does not maintain good dental health habits.

Abutment Complications

Three to six months after the dental implants have been placed, the abutment is attached to the implant with a screw. As the abutment becomes worn, complications may occur, resulting in the need for abutment repairs. Patients have reported the following types of abutment complications.

Attachment fractures: If the screw or abutment becomes cracked, it can cause the implants to become overloaded, thereby damaging the implants. Fractured screws and abutment pieces should be replaced as soon as possible.

Retention loss of the clips: The clips that attach the dentures to the abutments may lose their grip and require replacement.

Clip fractures: The clips may become cracked or broken and require replacement.

Attachments becoming dislodged: Due to the high degree of force that is exerted on the attachments, they may move out of place. If the hardware becomes dislodged, visit your dentist so it can be repaired or replaced.

Failure of the abutment screw: If the improper size, length, or type screw was used to attach the implant to the abutment, the screw should be replaced.

Abutment defects: It is possible that defects affect abutment pieces. Defective abutment hardware can increase the risk of attachment fractures, displacement, and retention loss.

Overdentures Complications

The following complications may affect the dentures themselves.

Malformation of the ball sockets: Ball abutments fit into precisely placed and sized sockets on the overdentures. With time, the sockets may become deformed, and the abutment will no longer fit in the socket.

Fractures or cracks in the porcelain prosthetic: Over time, the artificial teeth may crack, resulting in the need for replacement or repairs.

Retention problems: Due to excessive wear, the attachment pieces on the dentures may become less effective and require repair.

Poor stability: Poor stability is typically the result of defects or damage to the attachment pieces. The dentist can check the dentures and abutment pieces to determine the cause of the instability.

Occlusion: If the dentures are not occlusally balanced, it can result in pain, instability, and an overload of pressure. The dentist should check the patient's bite to ensure that the dentures will feel comfortable and stay in place.

Oral Health Complications

In addition to the complications that are specific to the implant, abutments, and dentures, there are various oral health problems that can occur in patients with dentures. Patients should keep their teeth and gums clean, and visit the dentist every six months so problems, if they exist, can be identified and treated. The types of oral health problems that commonly affect patients with dentures include:

  • Gingival hyperplasia
  • Hyperplastic tissue
  • Mucosal inflammation
  • Mucosal proliferation
  • Peri-implant mucosal hyperplasia
  • Peri-implant mucositis
  • Proliferative gingivitis
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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