WE HAVE RE-OPENED

Our community has been through a lot over the last couple months, 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.

Here are some new changes we have made 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.

Sincerely,
Dr. Leo Arellano

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Understanding obstructive and central sleep apnea in San Francisco

Understanding obstructive and central sleep apnea in San Francisco

Sleep Apnea is a common condition in San Francisco and worldwide. This potentially serious disorder is characterized by repeated pauses in breathing during sleep. There are two basic classifications of sleep apnea, central (CSA), and obstructive (OSA).

Central sleep apnea

Central sleep apnea is a condition that is thought to be associated with kidney or heart failure as well as neurologic problems. People with central sleep apnea stop breathing during the night when the brain signals that trigger breathing fail to work properly. The body makes no effort to breathe. In contrast, people who have obstructive sleep apnea attempt to inhale, but cannot get air into the lungs due to an obstruction in the airway.

Treatment for central sleep apnea typically involves using a servo-ventilator, which is a version of a CPAP machine. It senses when patients are not breathing and breathes for them. Fortunately, obstructive sleep apnea, which is much more common than central sleep apnea, is easier to treat.

Obstructive sleep apnea

Obstructive sleep apnea is essentially a mechanical problem. When a patient is sleeping, the muscles that keep the throat open relax. The tongue can fall back against the soft palate, and the uvula and soft palate can fall against the back of the throat and close the airway. When the sleeper attempts to inhale, the blockage prevents air from entering the lungs.

We are here to help Call us at 415-881-4343 or Schedule an Appointment

The condition is seen in patients of both sexes, all ages, and all body types; however, certain factors seem to increase the risk for obstructive sleep apnea.

  • Age – It is most common in those 40 to 60 years old
  • Gender – Men are more likely to develop this condition
  • Obesity – It is more commonly found in those who are overweight
  • Heredity – Those who have a family history of sleep apnea are at a higher risk
  • Race – The occurrence is higher in Pacific Islanders, African Americans, and Mexicans
  • Health – Diabetes, polycystic ovary syndrome, and gastroesophageal reflux disease increase the risk of obstructive sleep apnea
  • Lifestyle – Alcohol and tobacco use may be associated with the condition

Treatment Although CPAP machines are a common and effective treatment for the condition, patient compliance is low due to discomfort and inconvenience. Fortunately, comfortable, convenient dental devices have been proven effective in most cases of mild to moderate obstructive sleep apnea. An oral appliance similar to a sports guard can position the jaw slightly forward and down, keeping the airway open. A different style of appliance may be used to hold the tongue in place, depending on the patient’s need. Patient compliance is better with dental appliances than it is with CPAP treatment.

Dr. Leo Arellano and his talented team have extensive experience in helping San Francisco sleep soundly. Call 415-881-4343 and schedule an appointment today.