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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Snoring and Sleep Apnea

Snoring and Sleep Apnea - San Francisco, CA

How Are Snoring and Sleep Apnea Related?

Although snoring may only be a benign nuisance to your bed partner, it may also be a symptom of a more serious sleep disorder called Obstructive Sleep Apnea or OSA.

What Is Sleep Apnea?

Sleep apnea is characterized by periods where breathing completely stops for 10 seconds or more when sleeping. Of the two types of sleep apnea, central and obstructive, dentists have the ability to help patients with their OSA. In OSA, this cessation of breathing is caused by some obstruction in the mouth and throat. 


Recommended video for Oral Appliance Therapy

What Are The Health Risks of Sleep Apnea?

Excessive Daytime Sleepiness or EDS is a common symptom of OSA. This is caused by the lack of oxygen to your body that results in waking hundreds of times a night and thereby preventing a full restful night of sleep. The person may not even realize that this is occurring. Other consequences of this lack of oxygen are the increase in blood pressure that can lead to heart attack and stroke, the tendency towards diabetes, headaches, weight gain, and stress. 

How Is Sleep Apnea Treated?

Besides some behavioral changes that you do on your own and the surgical treatments that are performed by your physician, there are two non-surgical methods to manage sleep apnea. One is a mask that fits over your face called Continuous Positive Airway Pressure or CPAP. The second is an oral appliance made by a dentist that can be custom fitted to your teeth. Then working in conjunction with your physician, the oral appliance is adjusted for both comfort and effectiveness. 

Want to learn more about Sleep Apnea?

Do you snore excessively? Do you suffer from daytime fatigue? Do you awake during the night with shortness of breath? You might suffer from the life threating sleep disorder known as sleep apnea. About 1 in every 15 Americans suffer from sleep apnea, and it's a problem that many don't even realize they might have. But what does this have to do with dentistry? Because sleep apnea is caused by an airway disruption, the disorder can be treated through the mouth. The Thornton adjustable positioner, or tap appliance, is one of the more popular ways to treat sleep apnea. When the jawbone is lax, the tongue and soft tissue obstruct the airway. The tap appliance advances the jawbone, allowing the air to flow freely and making sleep more restful throughout the night. If you think you might suffer from sleep apnea, talk to your dentist today about possible treatment options.

Will An Oral Appliance Work For Me?

Although CPAP is the most effective way to deliver oxygen, studies show that patient compliance with CPAP may only be 29% and lower. Oral Appliance Therapy or OAT can work well in mild to moderate forms of OSA, and can sometimes help with even severe forms of OSA. Your dentist can help you understand what to expect with OAT.

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Before and After Photos

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What our patients are saying...

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5.0

We’ve gone to Dr Arellano for many years and have never been disappointed with any of the work he’s done. Recently my husband broke a tooth and Leo got him in and had the tooth repaired within a few short hours. Service like that is very hard to finds these days. His office staff is fantastic. Nice people you are always glad to see. I would highly recommend Dr Arellano to anyone who is searching for an honest, competent, well trained dentist.

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