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

TMJ Treatment Cost

If you are seeking treatment for temporomandibular joint (TMJ) disorder, you are likely concerned about cost. Treatment for TMJ disorder is highly personalized to each patient and as such, the price can vary widely. Since there are so many factors at play, TMJ treatment cost is difficult to estimate. Patients with mild symptoms can often relieve discomfort with home care techniques which cost little to no money. However, if you have a severe case of TMJ disorder, you may require surgery. Surgical treatment for TMJ disorder is rarely covered by insurance and can cost several thousand dollars depending on the procedure. The overall cost of your TMJ treatment will depend on the extent of your symptoms, the type of treatment you need, and your dentist’s experience level, among other factors. 

How Severe are Your Symptoms?

The first factor which can impact the cost of your temporomandibular disorder (TMD) treatment is the extent of your symptoms. Mild TMD often does not require treatment from your dentist. They may recommend home care techniques, such as stretching or applying hot or cold packs. For slightly more difficult cases, your dentist may recommend a split or mouth guard. These devices typically cost less than $200. 

However, for chronic TMD, you may require more advanced and complex treatment plans to provide the necessary relief. If you require multiple procedures to achieve the desired results, your final cost will likely be higher. 

Treatment Type

For TMJ disorder, your dentist can recommend non-surgical or surgical treatment options. Non-invasive treatments are generally used first, with surgery as a last resort in case other treatments are unsuccessful. In general, non-surgical treatments are less expensive. However, you may require a combination of non-surgical procedures to relieve your symptoms, including orthodontics, crowns, medication, and a mouth guard. Since each treatment is priced separately, your entire TMJ treatment could cost $10,000. 

Surgery is typically more expensive than conservative options. A simple procedure, such as minimally invasive arthrocentesis, may cost as little as $300. However, more complex procedures tend to cost more. In some cases, fees can reach $50,000 or more. 

Treating the Damage to Your Smile

In many cases, TMD can cause significant damage to the integrity of your smile before you are diagnosed. You may need restorations or other procedures for chipped or cracked teeth or to restore the height of teeth worn by chronic clenching or grinding. The extent of the damage to your smile will affect the final price of your treatment.

Your Dentist’s Experience

While TMJ disorder is relatively common, not all dentists provide treatment for it on a regular basis. Since it is a complex condition, it is important to seek out a professional who understands the TMJ treatment process. More experienced practitioners often charge more for treatment which can raise the final price of your procedures. However, it is worth investing in treatment from a professional who can provide you with the personalized attention you need. 

Whether you undergo surgery or receive a more conservative option, treatment for TMD is an investment in your well-being and future oral health.

Insurance Coverage

Unfortunately, many dental insurance plans do not cover the price of treatment for TMJ disorder. Some  dental insurance providers recognize TMD treatments as medical, and some medical providers categorize it as dental. Make sure to consult both your treatment provider and your insurance company before beginning treatment to discover if you are covered. 

Your Financing Options

Many physicians and dentists partner with third-party financers, such as CareCredit®, to make treatment more accessible to their patients. These plans can help you manage the out-of-pocket expenses associated with your treatment.

Why Invest in TMJ Treatment

Whether you undergo surgery or receive a more conservative option, treatment for TMD is an investment in your well-being and future oral health. Left untreated, TMJ pain can continue to worsen. In addition, TMD can cause severe dental erosion, tinnitus, and sleep disruption. All of these issues can impact your ability to focus on work and daily tasks and severely affect your quality of life. Investing in TMD treatment can provide significant advantages in both the short and long term.

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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