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

Home Care after Wisdom Tooth Extraction

After wisdom tooth extraction, you should take several precautions to avoid complications and encourage a speedy recovery. It is important to get plenty of rest, take medications as directed, and avoid actions that can dislodge the blood clot, such as drinking from a straw and spitting. It is common to experience discomfort, swelling, and bleeding. However, if you experience severe pain or excessive bleeding, you should contact your dentist to ensure you have not developed an infection or a dry socket. Your doctor can provide you with wisdom tooth extraction recovery instructions to guide you through the healing process.

Immediately after Surgery

After the procedure, the doctor will pack gauze over the surgical site(s). The gauze should be kept in place for a half hour, then removed and discarded. To reduce swelling, you can apply an ice pack to the exterior of the cheek for 20-minute intervals.

Begin taking prescribed medication as soon as the anesthetic wears off, and avoid any strenuous activity.

It is also very important to rest after surgery. Begin taking prescribed medication as soon as the anesthetic wears off, and avoid any strenuous activity. Most patients can return to normal activities in three days to one week, unless the doctor advises otherwise.

Reduce Bleeding

There are several steps you can take to minimize bleeding after oral surgery. Apply new gauze every half hour and gently bite down to exert pressure on the surgical site(s). You may also bite down on a moistened tea bag to help with clotting. Remain sitting upright and sleep with your head elevated for one to two days following surgery.

Minimize Swelling and Bruising

Swelling of the mouth, cheeks, and face is a normal reaction to wisdom tooth extraction. However, it may not peak until two or three days after surgery. To help with swelling, begin applying ice immediately after surgery. Place an ice pack on the outsides of the face where the wisdom teeth were removed. The ice should be wrapped in a washcloth or towel to protect the skin. You can generally adhere to the guidelines of 20 minutes on followed by 20 minutes off the site. Anti-inflammatory medication can also help reduce swelling.

It is common for patients to experience discoloration of the cheeks and face following wisdom tooth extraction. Bruises may not appear until a few days after the surgery, and they will usually resolve within two weeks.

Relieve Pain

You may experience mild to moderate pain for at least two or three days following surgery. To relieve discomfort, your dentist may prescribe pain medication. Keep in mind that stronger forms of pain medication can cause sleepiness and grogginess, and you cannot drive after taking it. If pain becomes severe or continues beyond the first few days, you should follow up with your dentist.

Clean Your Teeth

It is important to keep your mouth clean and practice good oral hygiene to promote healing. You can resume brushing the night of surgery, but you should be gentle around the surgical site(s). The dentist may provide an irrigation syringe to be used on the surgical site, along with instructions and an anti-bacterial oral rinse. The day after surgery, you should rinse your mouth five to six times a day with a warm saltwater solution. However, be sure to do so gently. Instead of spitting the solution out, simply tip your mouth over the sink and let the water slowly fall out. This is particularly important after eating. To make a saltwater rinse, dissolve one tablespoon of salt in eight ounces of warm water.

woman eating an orange
After an initial healing period, you can resume eating solid foods.

Maintain a Proper Diet

After wisdom tooth extraction, you should eat a high-calorie liquid diet. When you feel ready, you can slowly reintroduce soft foods such as pudding and jello. You should drink at least five or six glasses of liquid each day to stay hydrated. Also avoid skipping meals to ensure you remain well nourished.

Be Wary of Dry Sockets

After oral surgery, a blood clot will form at the site. This clot serves to protect the surgical site while it heals. If the clot dislodges, the underlying bone and nerve will be exposed. This condition is known as a dry socket. You can tell if you have a dry socket because the area is white instead of red, and it is often accompanied by severe pain. To protect the blood clot, you should avoid drinking from a straw, smoking, or spitting following surgery. If a dry socket develops, contact your dentist immediately. 

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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