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

Instant Orthodontics

If you want to achieve a more attractive, straighter-looking smile quickly, instant orthodontics can eliminate misalignment and other cosmetic concerns in just a few weeks. Unlike traditional orthodontic treatment, which can take months or even years to complete, instant orthodontics offers comparable results in a fraction of the time by using a combination of porcelain veneers, dental crowns, and bonding. This group of procedures is especially effective for patients whose aesthetic concerns do not affect the function of their smiles. You can discuss your candidacy for instant orthodontics with your dentist to determine whether this treatment option is right for you. 

What is Instant Orthodontics? Instant orthodontics refers to procedures which can conceal misalignment in just one or two visits.

Graphic of instant orthodontics

Procedures incorporated into instant orthodontics treatment can conceal a range of conditions to create a brighter, more balanced, and straighter-looking smile. Patients often choose:

  • Porcelain veneers: Dental veneers are thin shells of medical-grade ceramic which are bonded to the front surfaces of teeth. This treatment can address a range of mild to moderate cosmetic concerns, including cracks, chips, and discoloration.
  • Dental crowns: Also crafted from dental ceramic, crowns cover the entire structure of the tooth. A crown can offer cosmetic benefits, similar to veneers, as well as restore the strength and integrity of a damaged tooth.
  • Dental bonding: During a bonding treatment, composite resin is applied to one or more teeth to correct cosmetic concerns, such as chips and cracks. This reversible procedure is often chosen as a more affordable alternative to veneers.

The length of your treatment timeline will largely depend on what type of restorations you receive and your treatment goals. 

Explore Your Candidacy

Instant orthodontics is often recommended for patients who previously underwent orthodontic treatment and their teeth have shifted. However, many candidates have never received treatment for their concerns. Instant orthodontics can correct minor to moderate misalignment of the teeth, including conditions such as:

  • Crooked teeth
  • Rotated teeth
  • Gaps between teeth
  • Damaged enamel
  • Disproportionate or uneven teeth
  • Internal discoloration

The technique is an attractive alternative to braces for adults whose professions are not well suited to long-term orthodontic treatment, such as public speaking. For younger patients or those with severe overbites, underbites, or crossbites, traditional orthodontics may be the best option. 

The Treatment Process

Treatment with instant orthodontics involves three main phases spread over two or more visits: planning, preparation, and placement of the restorations. Some practitioners offer same-day restoration options, which can be designed and placed during one appointment. Bonding can also be completed in a single visit.

Planning

Before recommending treatment with instant orthodontics, your dentist will perform a comprehensive dental examination. They will assess the health of your gums and teeth, often using x-rays. During this initial consultation, you can discuss your goals and cosmetic concerns with your dentist. In some cases, the doctor will order a wax-up model of your expected result. This model allows you to preview your smile before beginning treatment, making any slight modifications to ensure your satisfaction. 

Preparation

In order to place both dental crowns and veneers, your dentist will need to prepare the teeth by removing a small amount of enamel. This step will ensure the restorations fit comfortably and look natural. You can discuss available sedation options with your dentist, though most patients find that local anesthesia is sufficient. Once any necessary teeth are prepared, your dentist will take impressions of your smile and send them to the dental lab for fabrication. 

Before you leave the office, your dentist will also fit you with temporary restorations to protect your teeth against sensitivity. These temporaries will also allow you to try out your expected result. Fabrication of the permanent restorations typically takes about two weeks. Your dentist may ask you to return to the office in the meantime so they can confirm you are satisfied with the fit and appearance of your temporary restorations. 

Finalizing Your Treatment

At the final visit, your dentist will remove the temporaries. If you are both happy with the look and feel of your crowns or veneers, your dentist will attach the restorations using a special dental cement. They will likely perform a bite check at this point and make any final alterations necessary to ensure your complete comfort. 

Experience the Benefits of Instant Orthodontics

Traditional orthodontics focus mainly on correcting misalignment. While a straighter smile will improve your appearance, this type of treatment cannot address other issues, such as discoloration or damage. Depending on the unique combination of veneers, crowns, and bonding, instant orthodontics patients can improve the color of your teeth, restore the integrity of damaged enamel, and achieve a straighter-looking, more symmetrical smile. In addition, all of these benefits can be achieved in a fraction of the time required for traditional orthodontics. Speak to your dentist about whether this treatment option 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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