Our community has been through a lot due to the ongoing pandemic, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your health and safety.

Infection control has always been a top priority of our dental practice, and you may have seen that we take great pride in this. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep the patients, staff, and the ones we come in contact with in our daily lives safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC), and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued.

Upon the emergence of COVID-19, here are some additional measures we take to ensure your safety:
  • Our office will communicate with you beforehand to ask some screening questions. You’ll be asked those same questions again when you are in the office, and we will be taking your temperature. Based on your answers and if your temperature is 100.4°F or higher, we will need to reschedule your appointment.
  • We have hand sanitizer that we will ask you to use when you enter the office. You will also find some in other places in the office for you to use as needed.
  • You may see that our waiting room will no longer offer magazines, children’s toys and so forth, since those items are difficult to clean and disinfect. Similarly, please limit the personal belongings that you bring inside to your appointment.
  • Appointments will be managed to allow for social distancing between patients when possible. That might mean that you’re offered fewer options for scheduling your appointment. Please respect the social distancing requirement of 6 feet where practical.
  • We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area at any one time. To that end, please consider calling from your car to check on the status of the reception area and be on time. Also, please come alone to your appointments. If needed, one guardian/caretaker is permitted, but they must remain in the reception area.
  • Please arrive with face masks/coverings for they will be required at all times for both patients and staff when appropriate.
  • An antiseptic mouth rinse will be used just prior to treatment for the health and safety of all. Where possible, expect changes in how we do certain procedures to eliminate or reduce the spread of aerosols and splatter during treatment. For example, for now we will be temporarily eliminating ultrasonic tools and teeth polishing during your teeth cleaning appointments until further notice.
  • Clear sneeze guard barriers between you and our front desk personnel will be used to aid in social distancing, and we ask that we all limit our conversations to what’s necessary to limit contact time. More regular and frequent sanitizing of high touch areas and items will be done for your health and safety. This includes door and other handles, light switches, countertops, etc.
We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. To make an appointment, please call our office at 415-752-8311 .

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors, and friends.

Dr. Leo Arellano

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What are Obstructive Sleep Apnea and Central Sleep Apnea?

What are Obstructive Sleep Apnea and Central Sleep Apnea?

Some couples deal with snoring in their own way — using snore prevention aids created to lessen or stop what causes their snoring, and the extreme measure of sleeping in separate rooms. Doing one or more of these things solves the problem of hearing the snoring, but what about solving the underlying problem that causes the issue?

Obstructive sleep apnea is the most common type of apnea. This condition is caused by a collapsed or blocked airway while sleeping. This blockage can cause shallow breathing and even pauses in breathing which is the main characteristic of apnea. When this blockage occurs, any air that is able to get past the blockage may cause the snoring. This doesn’t mean that everyone who snores has obstructive sleep apnea. Dental snore appliances can be effective in preventing this type of apnea and snoring.

There are several risk factors that are associated with people who suffer from obstructive sleep apnea. They include having a large neck or collar size larger than 17 inches in men or 16 inches in women; being overweight; and having high blood pressure. Also having a large tongue that falls back into your airway, and lying on your back while sleeping are other common causes for obstructive sleep apnea. You see, when you sleep all your muscles become relaxed. This includes the muscles that keep your airway open to allow airflow into your lungs. The above factors increase the potential for the airway to become obstructed.

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Another type of sleep apnea is called central sleep apnea. Unlike obstructive sleep apnea, central sleep apnea is a condition where the area of your brain that controls your breathing isn’t sending the right signals to the muscles responsible for breathing. This means that you aren’t breathing due to your brain messing up important signals. This condition can happen to anyone but it is more common in people who use certain types of medications or have certain medical conditions.

It is also common for central sleep apnea to happen to people who suffer from obstructive sleep apnea though snoring isn’t typical in people who do suffer from central sleep apnea. People with brainstem injuries or diseases, often suffer from problems with normal breathing during sleep and even when they are awake. Some typical illnesses that can cause central sleep apnea are degenerative diseases affecting the cervical spine or brain, severe obesity, stroke and pain relievers that contain narcotics.

It is also linked with people who suffer from congestive heart failure. So whether someone is suffering from obstructive sleep apnea or central sleep apnea, getting proper medical attention is very important in order to ensure that breathing goes uninterrupted while sleeping which can cause irritability, day time sleepiness, and in severe cases, death.

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Before and After Photos

A removable partial denture and failing remaining lower teeth replaced with a dental implant supported hybrid denture that is firmly retained by screws.

Photo by Dr. Leo Arellano

Dental Implants – BNA Image – 12-1
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Great dentist and very pleasant to work with. He has been very helpful in helping you understand the entire process of your dental needs! If you want someone to take has time with you, he is your guy. I am very happy and pleased with his fantastic service. Also, his front staff is wonderful and very ease to talk to and very helpful. May provide excellent patient service!

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