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

BOTOX® for TMJ

Increasingly, doctors and dentists are using BOTOX® as an alternative treatment for issues related to the temporomandibular joints (TMJs). TMJ disorder, or TMD, causes pain, discomfort, and other uncomfortable symptoms. When injected into certain facial muscles, BOTOX can relieve jaw tension and muscles spasms in the TMJs. For some patients, these injections also reduce or eliminate headaches and migraines. In cases of severe stress, BOTOX for TMJ can even minimize mobility issues in the jaw joints, such as lockjaw. While TMJ is still an off-label use for BOTOX, evidence suggests that this treatment can offer significant results for patients suffering with TMD.

How Does BOTOX Help TMJ Symptoms?

The temporomandibular joints are located on either side of the skull and make normal activities, such as talking, eating, and swallowing, possible. Overwork or displacement of the temporomandibular joint can result in severe tension headaches, as well as pain in the jaw and other areas of the face. BOTOX prevents target muscles from engaging in unconscious movements that produce headaches, pain and other symptoms.

Typical, BOTOX offers quick, straightforward, and effective treatment for TMJ disorder and jaw tension. BOTOX injections are non-surgical and require no hospital stay. Most patients experience significant improvement within one or two days of their first treatment. However, full relief of your symptoms may take up to a week.

Candidates for BOTOX Jaw Treatment

BOTOX appears to be a safe alternative to traditional treatment for most people who experience jaw tension or have a TMJ disorder. Nevertheless, it is important for BOTOX providers to screen patients to determine their eligibility for treatment. During the initial consultation, a doctor or dentist should carefully review every prospective patient's medical history before beginning treatment.

For people suffering from soreness and pain resulting from problems with the temporomandibular joint, BOTOX injections often provide substantial relief. 

Patients must disclose whether they are using any medications, drugs, or other substances that could negatively interact with BOTOX. They should also report any allergies they have to avoid a possible negative reaction to BOTOX. People with jaw tension or TMJ disorders who are not able to have BOTOX injections will be advised to undergo a more traditional treatment.

Risks and Benefits of BOTOX® Treatment for Jaw Tension

For people suffering from soreness and pain resulting from problems with the temporomandibular joint, BOTOX injections often provide substantial relief. While reducing the ability of facial muscles to engage in problematic grinding, BOTOX allows them to perform daily activities such as talking, chewing, and swallowing. This makes the BOTOX alternative treatment for jaw tension a convenient, effective option for many people. In addition, the treatment can help safeguard dental health, since excessive grinding can result in worn teeth and damaged gums that may require costly treatment.

While BOTOX treatment for TMJ disorders appears to be safe, certain medications, intoxicants, and other substances can minimize or negatively impact the effectiveness of BOTOX injections. For this reason, patients should honestly disclose any medication or substance use to their physician prior to treatment. In some cases, patients have experienced bruising and bleeding at injection sites, or excessive paralysis of the muscles in the areas treated. Although complications are rare, all possible risks should be discussed with a doctor prior to treatment.

Will Insurance Cover BOTOX TMJ Treatment?

Currently, the use of BOTOX for TMJ disorders is not covered by medical insurance plans. However, because TMJ problems are largely a dental issue, it is conceivable that insurance companies will ultimately cover BOTOX injections as a means of preventing damage to the gums and teeth caused by excessive jaw grinding. Although insurers have yet to cover this treatment, it is becoming increasingly popular among patients, doctors, and dentists.

Find a BOTOX Provider in Your City

In addition to the more well-known cosmetic uses of BOTOX, a variety of medical applications for BOTOX injections are becoming popular. The BOTOX alternative treatment for jaw tension and TMJ relief has helped many people reduce or eliminate the pain associated with teeth grinding or TMJ problems. For more information about how this treatment can help patients overcome jaw discomfort, contact a dentist with BOTOX experience today.

Content from:

https://www.docshop.com/education/dermatology/injectables/botox/jaw-tension

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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