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

Partial Dentures

Tooth loss can impact your dental function and your self-esteem, leaving noticeable gaps in your smile. If you lose several teeth in more than one area, a partial denture can restore your ability to eat, speak, and smile with ease. Partial dentures can either be removable or implant-retained. Removable restorations consist of artificial teeth attached to a gum-colored base, as well as small metal clasps that grip adjacent teeth. Implant-supported restorations are affixed to dental implants embedded in the jawbone and offer superior stability and aesthetics.

Determining Candidacy

With several types of partial dentures available, these restorations offer patients with varying needs the ability to restore their smile. 

You may be a candidate for a partial denture if you have extensive tooth loss, but still have one or more healthy teeth remaining in the upper or lower jaw. To qualify for implant-retained restorations, you must have sufficient bone density and volume to support implant posts. In the case that your bone has degenerated at the site of a missing tooth, you may require a preliminary bone graft or sinus lift to restore your candidacy.

Partial Dentures vs. Complete Dentures

Whereas partial dentures replace multiple missing teeth, full dentures can restore an entire dental arch. Full dentures can be removable or fixed. They can either be supported by dental implants or secured to the gums using suction or adhesion.

partial dentures
Partial dentures can replace a few or several missing teeth.

Types of Partial Dentures

There are several types of partial dentures available. To determine the best type for you, your dentist will examine the health of your smile and review your goals, lifestyle, and budget.

Cast Metal Removable Partial Denture

The most common partial denture, this removable prosthetic consists of a gum-colored acrylic base and artificial teeth. Small metal clasps attach this denture to neighboring teeth. These restorations are created using metal castings and a cold-pour process. They are custom-crafted for each patient and offer comfort and security.

Acrylic Removable Partial Denture

An acrylic removable partial denture, also known as a “flipper,” is a more economical prosthesis. This device features replacement teeth set in a gum-colored acrylic base, as well as small metal clasps that attach to natural teeth. These are typically considered a provisional solution, as they are bulkier and less durable than cast metal removable partials.

Flexible Partial Denture

For patients who have a metal allergy or find cast metal and acrylic partial dentures uncomfortable, flexible partial dentures may be a better option. These prosthetics are made from thin, thermoplastic nylon resin. Rather than metal clasps, the prosthesis features tooth-colored clasps that blend with neighboring teeth.  Though flexible partials have a higher price point, they are both strong and aesthetically pleasing.

Implant-Supported Partial Denture

If you are ready to invest in a more permanent solution, you may wish to consider implant-supported partial dentures. These restorations are anchored directly into your jawbone with dental implants. Implant posts become a permanent part of your anatomy and provide unrivaled support for restorations. As a result, you will never have to worry about your denture slipping out of place. Implants also promote long-term oral health, helping to preserve the strength and structure of your smile.  With proper care, restorations can last for many years, and implants can last a lifetime.

What to Expect during Treatment

During the initial consultation, your dentist may request x-rays of your smile to determine the health of your jawbone and any remaining teeth. If your dentist detects any underlying issues such as cavities or gum disease, these will need to be addressed prior to receiving your denture.

If you select a removable partial denture, the dentist will take impressions of your teeth. These molds are sent to a laboratory, where your denture will be fabricated over a two to four week period.. Once complete, the dentist can secure the restoration to adjacent teeth and ensure it fits properly and comfortably.

The process of receiving an implant-supported partial denture takes several months, as patients must first undergo dental implant surgery. After a three to six month healing period, the dentist can affix a custom restoration to the implant posts.

Caring for Partial Dentures

To extend the longevity of your removable partial denture, you should:

  • Clean the partial denture nightly using gentle techniques. Remove the denture from your mouth and rinse off any debris. Using a soft-bristled toothbrush and specialized cleaner, gently clean the device. Remember to avoid using toothpaste, as it can cause permanent damage. Denture cleansers with the American Dental Association Seal of Acceptance are safe to use.
  • Avoid holding the partial over tile floor or the sink. Because your partial denture is delicate, make sure to hold the denture over a folded towel or soft surface when cleaning.
  • Keep your partial denture in a safe place. When you are not wearing your denture, place it in water or a specialized soaking solution to preserve its shape. Dentures should be kept away from the sun, children, and pets.. If left out, dentures can become lost, damaged, or dried.
  • Brush and floss remaining teeth. Floss daily and brush your remaining teeth at least twice a day with fluoride toothpaste.

Be sure and visit the dentist every six months for routine cleanings and examinations. These visits can protect the health of remaining teeth and help you avoid more costly restorative procedures later on.

Benefits of Partial Dentures

With several types of partial dentures available, these restorations offer patients with varying needs the ability to restore their smile. Partial dentures can prevent teeth from shifting, preserve the balance of your bite, and improve your overall quality of life.

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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