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

impacted wisdom tooth

Wisdom Teeth Removal

Wisdom teeth can become impacted, causing immediate pain and future oral health concerns.

Removal can prevent issues such as infection and decay, and can eliminate the considerable pain caused by an impacted wisdom tooth.

But isn't wisdom tooth removal painful?

impacted wisdom tooth

Anesthesia and Sedation Help Make This a Virtually Pain-Free Procedure

Improved Comfort
Your doctor can provide pain medications and a specific set of instructions to help keep you as comfortable as possible during treatment and throughout recovery. Following treatment, you can expect relief from painful symptoms.

Improved Confidence
Once you have completely healed, you can feel confident knowing that you have improved your oral health and minimized your risk of periodontal disease, sinus issues, inflamed gums, and cavities. 

Conservative Care
The removal of your wisdom teeth can help prevent the need for more expensive and invasive surgical procedures

But why did my friend never need to have their wisdom teeth removed?

Not everybody will experience pain or complications as a result of their wisdom teeth. They may need to be removed if they are impacted or erupting at an improper angle, or if you do not have enough room in your jaw. Even if a patient does not experience these initial complications, it does not necessarily mean that they will never experience some issues.

Common Signs of Wisdom Tooth Issues

Typically, your dentist will notice problems with your wisdom teeth before you do. They can often see potential issues using x-rays at your regular check-up. However, there are some common warning signs you can look out for when it comes to wisdom tooth problems:

Bad Breath

A persistent bad taste in your mouth or chronic bad breath often signals an infection. When wisdom teeth grow in incorrectly or become impacted, they can become more vulnerable to decay and other issues.

Inflamed Gums

Irritation from your wisdom teeth can cause your gums to swell and become red and painful. This can also lead to gum disease.


Since the back of your mouth is difficult to reach, cavities form easily on the surface of wisdom teeth. Once decay forms, it can quickly spread to other teeth and cause widespread health issues.

Sinus Issues

In your upper jaw, wisdom teeth may be located close to the sinuses. You may notice sinus pain or pressure, headaches, or congestion.

Crooked Teeth

For many patients, wisdom teeth grow in at an angle, putting pressure on other teeth and causing them to shift. In others, teeth may move when wisdom teeth erupt because there is not enough room in the jaw.

7 Steps of Wisdom Tooth Extraction

Extracting wisdom teeth is typically effective for alleviating discomfort and other symptoms. 
Extracting wisdom teeth is typically effective for alleviating discomfort and other symptoms. 
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The doctor will take x-rays to determine how many wisdom teeth need to be extracted. 
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Anesthesia or sedation will be administered to numb the gums and areas surrounding the tooth. 
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An incision is made in the gums. 
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The tooth is gently extracted, either in one piece or separated into smaller pieces for easier removal. 
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Dissolvable sutures are used to close the incision. 
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Pressure is placed on the extraction site with a small piece of wet cotton gauze. 
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You can return home to begin your recovery process.

When to Call Your Doctor after Your Procedure

Extracting wisdom teeth is typically effective for alleviating discomfort and other symptoms. Many patients do not even require a follow-up appointment with their dentist.

However, you should visit your dentist if you need stitches removed or if you develop symptoms, such as:

  • Excessive bleeding
  • Difficulty breathing or swallowing
  • Fever
  • A persistent bad taste in your mouth
  • Lasting numbness
  • Blood or pus when you blow your nose
  • Swelling that worsens after the second or third day
  • Severe pain that is not relieved by pain medications
Illustration of impacted wisdom tooth Illustration of impacted wisdom tooth

Recovering after Your Procedure

It typically takes about two weeks to fully heal after wisdom tooth removal. However, most patients can return to their normal activities the day after surgery.

Stages of Recovery

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First 24 hours

Blood clots form where the extracted teeth were. You may notice some blood oozing at the surgical sit. Do not brush your teeth, rinse your mouth, spit, or use mouthwash during this period.
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Two to Three Days

Swelling and bruising is normal during this time and usually improves by the third day. You can use an ice pack or a warm heating pad to relieve discomfort and bring down swelling. You can also resume brushing and eating more solid foods.
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Seven Days

Wait for about a week before using a straw to avoid dislodging your blood clots. If you have non-dissolvable stitches, your dentist can remove them at this time.
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Seven to Ten Days

For most patients, symptoms begin to disappear by this time. Jaw stiffness and soreness should go away.
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Two Weeks

Often, bruising is the last symptom to fade. However, recovery time will be different for everyone

If You've Been Told You Need an Extraction, Don't Worry, You Are Not Alone...

Take Action Today

If your wisdom teeth are causing painful symptoms, or if your dentist tells you that you need to have them removed, delayed treatment can only cause more problems in the future. It is not worth jeopardizing your oral health when the problem can be easily resolved with minimal discomfort. This is especially true when you consider that delaying removal may present a need for much more expensive and invasive procedures.

Do not let fear or misconceptions about wisdom tooth removal keep you from achieving optimal oral health.

If you are experiencing symptoms of wisdom teeth complications, or if you are interested in preventive extraction for your child, schedule a consultation 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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1635 Rosecrans St
Ste A
San Diego, CA 92106

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