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

Gum Surgery Types

While scaling and root planing and other types of gum therapy can help treat mild to moderate cases of gum disease, advanced periodontal disease may only be effectively treated with gum surgery. Periodontal surgery can help your dentist restore oral health and aesthetics to your gums. There are many types of gum surgery procedures being practiced, but your dentist will help you choose which treatment is right for you based on the condition of your smile and your desired outcomes. Treating advanced gum disease can help you improve your overall health, as gum disease has been linked to serious systemic diseases such as heart disease and diabetes. With the help of advanced technology, gentle techniques, and comfortable sedation, you can undergo surgery in less time and with less pain than ever before. 

For patients with severe gum disease, gum surgery can restore periodontal health and prevent more serious issues

Chao Pinhole® Surgical Technique

For patients with gum recession, many doctors have begun to offer the Chao Pinhole Surgical Technique. This is a less invasive alternative to a traditional gum graft and allows your dentist to lift your gum tissue through a pinhole in your gums. The Chao Pinhole Surgical Technique does not require incisions or stitches, which can expedite your recovery time and minimize your level of discomfort. 

Cosmetic Gum Contouring 

Gum contouring, also known as a gum lift, is a surgical cosmetic procedure for patients who are unhappy with the size and proportion of their gums. Your dentist can conservatively reshape your gums with a laser or a conventional scalpel to help your teeth appear more prominent and restore balance to your smile. Many patients choose gum contouring as part of their cosmetic dentistry treatment to achieve the most comprehensive results. 

Illustration of before and after crown lengthening
Crown lengthening can be performed to meet both aesthetic and restorative needs. 

During LANAP surgery, your dentist will use an FDA-approved laser to perform minimally invasive gum surgery and access infected gum tissue without incisions or stitches

Crown Lengthening 

If you are receiving dental crowns but do not have enough exposed tooth surface to attach your crowns, your dentist may recommend crown lengthening. Similar to cosmetic gum contouring, this simple procedure can be accomplished with a laser or a scalpel and can help your teeth appear longer and more prominent. Undergoing a crown lengthening prior to dental crowns can help reduce the risk of a crown falling off and give you more room for proper oral hygiene


Appropriate for both adults and children, a dentist can perform a frenectomy to remove the connective tissue known as the frenum, which attaches the upper or lower lips to the gums. This tissue can cause functional and cosmetic concerns for patients. For example, an enlarged frenum can cause a gap between the two front teeth or affect your speech. The frenum can be removed with a scalpel or a laser, which can reduce your surgery and recovery time. 

Impacted Tooth Exposure

If a tooth is trapped underneath the gums, a dentist can perform an exposure and bracketing of the impacted tooth. During this procedure, the dentist will lift up the gum at the impact site to expose the tooth. After accessing the impacted tooth, he or she will place a bracket around the tooth to gently force it into proper positioning. 

Laser Gum Surgery

While a traditional pocket reduction surgery can help you achieve healthier and better-looking gums, many dentists now offer the Laser Assisted New Attachment Procedure, or LANAP®. During LANAP surgery, your dentist will use an FDA-approved laser to perform minimally invasive gum surgery and access infected gum tissue without incisions or stitches. The laser will precisely target infected gum tissue without damaging surrounding healthy tissue and break down bacteria to prevent future disease. The LANAP laser also promotes tissue growth and can help your gums properly reattach to your bone. 

Pocket Reduction 

This treatment for advanced gum disease is also known as gingival or gum flap surgery and may be necessary if you have periodontal disease that does not respond to scaling and root planing. After removing the plaque and tartar from your teeth, your dentist will create an incision on your gums to access the underlying tooth structure. He will then remove the infected gum tissue, address any bone damage, and remove bacteria that can cause future gum disease. 

Soft-Tissue Grafting

Soft tissue grafting, also known as a gum graft or gum regeneration, may be a good option for patients who have receded gum tissue as a result of gum disease. During this procedure, your dentist will take a piece of tissue from your palate or another part of your mouth to restore it around the tooth. Adding tissue to the infected areas can help prevent further damage and reduce sensitivity

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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