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

Different Types of Porcelain Veneers

For decades, porcelain veneers have been used to dramatically transform smiles and achieve incredibly lifelike results. With recent advancements in the field of cosmetic dentistry, the applications, materials, and techniques used to place veneers have also grown. When choosing between different types of porcelain veneers, your dentist will evaluate your oral health, aesthetic concerns, and treatment goals to find a style and brand that fits your needs.

Veneers in background and veneer on fingertip
Veneers materials differ slightly in regards to appearance, durability, and longevity.

Types of Traditional Veneers

Traditional porcelain veneers are often created in an off-site laboratory after your dentist has taken detailed impressions of your smile. At the lab, a skilled ceramist will carefully fabricate the veneers to closely mirror the look and feel of your natural teeth. In order to place these veneers, your dentist will need to remove a small amount of enamel from each treated tooth. Traditional veneers can be constructed using a variety of materials.

Stacked Ceramic

In order to craft these veneers, a lab ceramist will layer porcelain by hand to create a restoration that closely matches the shape, color, and translucency of your natural teeth. Stacked ceramic veneers offer superior aesthetics and customization but are not as durable as pressed veneers.  

Pressed Ceramic

Pressed ceramic veneers are typically easier to manufacture and thicker than other types of veneers, making them a strong and durable option. However, due to their thickness, they require a more substantial alteration of the tooth’s structure.

Lithium Disilicate

This material is often recommended for patients who are prone to teeth grinding, also known as bruxers. Lithium disilicate veneers are very strong and are created using computer-aided-design and computer-aided-manufacturing (CAD/CAM) technology. 

Zirconia-Based

Similar to lithium disilicate, zirconia-based veneers are stronger than other ceramic veneers and can help strengthen a structurally weak tooth. These restorations are made from the same materials used to create dental crowns and are highly resistant to fracture. The opaque quality of zirconia can also help hide any damage to the underlying tooth structure.

With recent advancements in the field of cosmetic dentistry, the materials, preparation, and techniques used to place veneers have also grown.

While traditional options offer extremely lifelike results and can even help strengthen your teeth, they require enamel removal and are a lifetime commitment. Once these veneers are placed, they will need to be maintained and replaced approximately every ten years to ensure proper function and aesthetics.

Popular Brands

Another factor to consider when choosing which type of veneer is right for you is the manufacturer. Popular choices include:

  • daVinci™: With over 30 years of experience in the industry, daVinci remains one of the most trusted porcelain veneer brands.
  • IPS Empress®: Empress veneers can be precisely customized to match the color of your smile. The company offers 12 different shades to help you achieve the most natural-looking results.
  • IPS e.max®: If you choose lithium disilicate, your veneers will likely be made by this manufacturer. This brand boasts an extremely high success rate thanks to the material’s strength.

Cosmetic dentists are familiar with the advantages and disadvantages of each available brand and can guide you in making an informed decision.

Minimal-Prep Veneers

Depending on the extent of your cosmetic concerns, you may be a good candidate for minimal-prep veneers. Often called no-prep veneers, these restorations are much thinner than traditional veneers and do not require extensive enamel removal. They are often a good option for patients who are considering porcelain veneers but want a more conservative treatment. Commonly used brands of minimal-prep veneers include LUMINEERS®, Vivaneers™, and DURAthin®.

Similar to traditional veneers, these restorations are created at an offsite lab and usually require two appointments for placement. If you are unsure about porcelain veneers, these may be advisable because treatment is often reversible. However, depending on the current condition of your teeth, traditional veneers may be a better option for you. Due to their thinness, minimal-prep veneers do not provide the same dramatic coverage offered by other types of veneers.

Same-Day Veneers

Many dentists also offer same-day veneer options to conveniently address minor cosmetic imperfections. These chairside veneers can be designed and manufactured in one appointment and are often a good option for concealing damage to a single tooth.

CEREC® Veneers

Chairside Economical Restoration of Esthetic Ceramics, or CEREC, is a CAD/CAM unit utilized by many dentists to create same-day restorations. CEREC is equipped with digital imaging software and a milling unit which can convert your scans into custom porcelain restorations. This allows dentists to place extremely durable veneers on the same day as your appointment, saving you time and money on laboratory services. Although these veneers are very convenient, some patients find the results are not as natural-looking as available alternatives.

Composite Veneers

Composite resin is the same material used to place tooth-colored fillings after cavities have been treated. Also known as dental bonding, this option can provide cost-effective coverage for issues such as cracks, discoloration, and chips. Your dentist will carefully match the resin to the color of your surrounding teeth, apply it to the surface of the tooth in layers, then carefully shape and polish the material. Composite veneers are not nearly as lifelike as porcelain and are prone to staining over time, but can provide impressive  results in one visit.

Reaching a Decision

If you are unsure about which type to choose, selecting a reversible option, such as composite veneers, may be advisable. This can often help patients form a better idea of their desired results and make any necessary modifications. Then you can make a more permanent commitment to traditional veneers, which offer dramatic, long-lasting benefits. Maintaining realistic expectations and an open and honest conversation with your dentist will help ensure you achieve the very best outcome.

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
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San Diego, CA 92106

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