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

Porcelain Veneers Risks

Porcelain veneers offer superior coverage for cosmetic imperfections such as chips, gaps, and discoloration. However, like any other dental procedure, porcelain veneers risks should be carefully weighed. While these restorations are extremely lifelike, they cannot replace the function and strength of a natural tooth. Your dentist will typically need to remove some enamel, making veneers an irreversible procedure with a lifetime commitment. Although they rarely occur, risks include increased dental sensitivity, an imbalanced bite, unnatural-looking appearance, and breakage. Most issues can easily be corrected with a follow-up visit to your dentist.

Increased Dental Sensitivity

In order to place traditional and most minimal-prep veneers, dentists must remove a layer of enamel. This protective outer layer is the hardest substance in the body. Once any portion of enamel is removed, the internal structures of your teeth will be more exposed. Although your dentist will work carefully and precisely to remove a conservative amount of enamel, there is also a small risk of your dentin being damaged during the process. This may increase sensitivity to hot and cold temperatures, a fairly common side effect which should fade over time.

Woman holding jaw in pain
Veneers placement can cause increased dental sensitivity but this side effect should subside within a few days.

If you are still experiencing sensitivity three to six months following the procedure, you should consult with your dentist. Prolonged sensitivity can be an indication that the veneers were placed incorrectly or nerve damage occurred during treatment.

Poor Fit

Prior to placing your veneers, your dentist will conduct several thorough assessments to ensure they fit correctly and do not negatively affect your bite. However, lack of training or low-quality materials can contribute to an unsatisfactory result. Poorly fitting veneers can impact the balance of your bite, leading to an increased risk of breakage, discomfort while eating, and stress on the jaw joints.

Veneers which do not fit properly can lead to an imbalanced bite and unnatural-looking results. Choosing an experienced cosmetic dentist can further minimize your already low risk of complications. 

Chipping and Breakage

Using porcelain allows ceramists to create incredibly lifelike restorations that closely mirror the color and translucency of your surrounding teeth. However, veneers may not be a good option if you clench and grind your teeth, as the pressure can cause them to become cracked, worn, or come off. Certain habits such as nail biting, chewing pen caps, and habitually eating ice can also cause your veneers to break prematurely and result in the need for expensive retreatment.

Changes in Color

Although veneers are stain-resistant, the cement that bonds them to your teeth is not. Over time, this material can change colors and make your smile look gray or discolored. Discoloration can be corrected by applying new cement once your veneers are replaced.

Risks During Replacement

Although advancements in technology and materials have lengthened the lifetime of porcelain veneers to approximately ten years or more, they will eventually need to be replaced. When replacing your veneers, your dentist will need to remove an additional layer of enamel. If you do not have enough healthy enamel left to support veneers, you may need to consider alternative treatment options such as dental bonding or porcelain crowns.

Minimizing the Risks of Veneers

Choosing an experienced cosmetic dentist to design and place your veneers can significantly lower your risk of complications. Once you have undergone treatment, practicing good oral hygiene and scheduling biannual exams can ensure your veneers continue to have a healthy, stable foundation. 

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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