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

Non-Surgical TMJ Disorder Treatment

Temporomandibular joint (TMJ) disorder can cause a range of uncomfortable and distressing symptoms, including facial pain and lockjaw. Fortunately, there are a variety of non-surgical TMJ treatments available which can reduce or eliminate these symptoms and improve the health of your jaw. In many cases, TMJ disorder, also known as TMD, responds well to home care techniques and other conservative, non-surgical treatments. A dentist who has experience treating TMD can evaluate your symptoms and recommend a treatment plan tailored to restoring the comfort and proper function of your smile.

The Benefits of Non-Surgical Treatment

For patients with TMJ disorder, non-surgical treatments offer significant benefits. These treatment options are conservative, reversible, and do not involve the recovery time associated with surgery. Typically, non-surgical treatment options are more affordable than surgery as well. 

Your Treatment Options

Depending on the severity of your symptoms and your lifestyle, your dentist can recommend a non-surgical treatment to reduce your discomfort and improve your jaw health. Non-surgical treatments for TMD range from home care techniques to alternative methods, such as BOTOX®.

Home Care 

Mild to moderate symptoms of TMD often respond to self-care techniques at home. Some common home care treatments include:

  • Taking over-the-counter medications, such as aspirin or Tylenol®
  • Avoiding jaw movements which stress the joints, such as wide yawning or excessive gum chewing
  • Improving the posture
  • Using ice packs or moist heat on the jaw joints
  • Practicing stress management and relaxation techniques

Changing your diet can also help minimize the amount of stress placed on your temporomandibular joints. Limiting your intake of hard foods which require a lot of chewing can take stress off of your TMJs and reduce your symptoms.

Mouthguards

A custom mouthguard fits over teeth to prevent clenching and grinding. Depending on the type of symptoms you experience, your dentist may recommend a simple mouthguard to limit your ability to grind your teeth or a more complex guard specifically designed for TMD.

Orthodontics

If your TMJ disorder is related to a misalignment, your dentist may suggest orthodontic treatment, such as a splint, braces, retainers, or Invisalign®. These treatments can realign your smile for a more comfortable bite which, in turn, can address your symptoms.

Jaw Exercises

Based on an analysis of your jaw movements, your dentist can teach you certain exercises so you can learn to control your jaw muscles and eliminate clenching. These simple exercises are often performed in front of a mirror.

Physical Therapy

For persistent symptoms of TMD, your dentist or doctor may refer you to a physical therapist who can combine multiple treatments together to help improve your symptoms. Common treatment used in physical therapy include ultrasound, moist heat, and ice, along with stretches and exercises.

Prescription Medications

Certain prescription medications, such as muscle relaxers and higher doses of NSAID pain relievers, can provide relief for the symptoms of TMD. If your concerns are related to stress or other mood issues, your doctor may recommend anti-anxiety medication or antidepressants.

Restoring proper bite alignment can often eliminate the symptoms of temporomandibular joint disorder.

Restorative Dental Work

In some cases, placing crowns or reshaping certain teeth can adjust the position of the jaw and reduce stress on the TMJs. Restoring proper bite alignment can often eliminate the symptoms of temporomandibular joint disorder.

Neuromuscular TMJ Treatment

The goal of neuromuscular TMJ treatment is to realign the jaw and reduce inflammation in the surrounding muscles. This treatment method involves the use of computer imaging systems to provide personalized two-stage treatment plans involving multiple treatments. 

Trigger-Point Injections

For some symptoms, injecting pain medication or anesthesia directly into tender face muscles can provide relief from pain and discomfort. 

Transcutaneous Electrical Nerve Stimulation (TENS)

This alternative treatment for TMJ disorder uses low-level electrical currents to relax the jaw joint and facial muscles for pain relief.

Radio Wave Therapy

For some patients, stimulating the TMJs using radio waves can increase blood flow to the area and reduce pain.

Low-Level Laser Therapy

Certain types of therapeutic lasers can lower pain and inflammation in the joints, restoring proper range of motion in the neck and jaw joints.

There is evidence which suggests that BOTOX can reduce hyperactivity in the jaw muscles and prevent clenching and grinding.

BOTOX for TMJ

There is evidence which suggests that BOTOX can reduce hyperactivity in the jaw muscles and prevent clenching and grinding. Limiting these destructive habits can reduce the level of stress on the temporomandibular joints, providing relief from pain and other symptoms. 

Eliminate Your Symptoms without Surgery

By choosing a conservative, non-surgical treatment for TMJ disorder, you can reduce your symptoms without costly and invasive surgical procedures. Learn more about your non-surgical treatment options for TMJ disorder by contacting a doctor today. 

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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