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

Soft Liners

New denture wearers or those who are receiving an updated restoration may benefit from soft liners. Placed between the restoration and the gums, the material helps to absorb shock and to improve the fit of a denture. There are several types of liners available, each made from materials which offer unique benefits. A dentist or prosthodontist can determine the need for a liner, as well as the appropriate type, based on a patient’s anatomy, concerns and goals, and the fit of their existing denture, if applicable. With this attention to detail, soft liners can allow dentures to fit more comfortably and securely while restoring normal oral function.

Soft Denture Liner

Hands holding lower denture
Denture liners can cushion and protect delicate gum tissue, increasing overall patient comfort.

Candidates for Soft Liners

Most practitioners recommend that dentures should be relined every two years. At this point, patients can choose from a soft or a hard liner. In some cases, new patients may also require a liner. A dental professional may recommend soft liners for a number of reasons:

  • Pronounced bone or gum erosion, which can result in a loose-fitting restoration
  • An uneven jawbone, especially jagged edges in one or more locations
  • Sores on the soft tissue that fail to heal or gum inflammation
  • A current denture user finds it difficult to chew while wearing their prosthetic

Many patients find it easier to adjust to a denture when it is fitted with a soft liner. The material can also provide immense relief from issues such as discomfort and irritation.

Soft liners can also be a great short-term solution for dental implant patients. These individuals will not typically be able to receive their final restorations until they have fully healed, and they may suffer from gum irritation during their recovery. A soft liner can cushion their temporary denture while they wait, reducing soreness and allowing them to eat more comfortably.

Types of Soft Liners

Soft liners fall into one of two categories of materials:

  • Plasticized acrylic resins: The primary benefit of these liners is their softness. However, they are designed for short-term use and typically last only three to six months. Often, prosthodontists will use a plasticized acrylic resin liner for first-time denture wearers. These liners can also be a good solution for patients who have recently had an extraction or implant surgery.
  • Silicone elastomers: Although these liners are not as soft as those made from plasticized acrylic resins, they are much more durable and can last up to a year. This type is often appropriate for patients with thin or flattened soft tissue. If patients are thinking about getting a different denture, a silicone elastomer liner can allow them to try out the fit before committing to a brand new restoration.

Placing Soft Liners for Dentures

The placement process varies based on the materials used and a dentist’s preferred methods. In most cases, however, it will take several appointments to achieve an optimal fit. The dentist or prosthodontist will begin by reshaping the inside of the denture. Because liners require a certain thickness to be effective, this step will make room for the material and ensure the denture fits securely. Sometimes, the dentist may be able to create it in the office, often placing the material layer by layer. Alternatively, the liner may be ordered from a lab. In these cases, the doctor will typically need to ship out the denture so the technicians can properly design and place the material.

In order to create a strong bond, the inside of the denture will often be lightly etched to provide more surface area. Then a sealer will be applied so the liner adheres to the denture. Sealers not only provide a secure bond but can also act as a barrier, preventing pigmented molecules from leaching into the porous material. This allows patients to enjoy foods and drinks like coffee, tea, wine, and tomato sauce without affecting the color of their dentures.

Adjusting to Your Liner

Immediately after receiving soft-lined dentures or having new liners placed in their existing restorations, patients may experience some minor irritation and sensitivity. A modified diet and eating softer foods for a few days can help. Patients should also be very careful about the type of adhesive they use, and many dentists recommend not using one at all. Fortunately, properly designed liners will often eliminate the need for adhesive in the first place. Your dentist can provide more information on products to use, as well as proper cleaning instructions.

Enjoy Restored Comfort

Although soft liners are not as durable and are generally more expensive than hard liners, they can be tremendously beneficial for the right patients. Because soft liners can significantly improve the fit of a denture, they allow wearers to chew easily and have few, if any, dietary restrictions. They could even enjoy improved nutrition and overall health if their food intake was previously limited. Many of these denture patients also experience a greater sense of confidence. If you are unhappy with the fit of a denture, speak to your dentist about whether a soft liner is right for you.

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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