Benefits of Implants

If you need to get teeth replaced, you’ve come to the right place at All Coast Dental in Pacific Beach. Our family practice offers several options for dental restorations, allowing us to treat patients in a wide variety of circumstances. But for long-lasting stability, one of the best treatments is a dental implant. These devices not only replace teeth, they also help restore the jaw bone, and can prevent a lot of other oral health problems.

An implant is like an artificial tooth root. It inserts in the jaw bone and supports an artificial crown. This differs from traditional dentures, which only replace the visible parts of teeth, in that the implant is immobile and spurs the growth of new bone tissue. When a tooth is lost, the jaw bone that used to surround its root recedes, causing the patient’s face to shorten. This can lead to temporomandibular joint pain and cause a person to grind their remaining teeth, further destabilizing them. But when an implant is inserted, new bone grows to surround it, in a process called osseointegration that takes a few months. When osseointegration is complete, a ceramic crown can be cemented onto the implant head and cared for like a normal tooth.

A patient will need to have some remaining jaw bone tissue to be a good candidate for an implant, and we’ll monitor the osseointegration process to ensure it’s working. But even if they lack bone tissue, it may be possible for a patient to get additive treatment. Implanted artificial teeth are still vulnerable to decay, and if the area around an implant becomes inflamed, the implant may have to be replaced. But most people can prevent this through regular brushing and flossing, and implants often last for over ten years.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

What Tools do Dentists Use?

How do you feel when you see dental instruments? Apprehensive? Curious? We hope it’s not the former. At All Coast Dental, we’re a family practice that provides general and dental care to the Pacific Beach community. We want our patients to feel comfortable talking to us about their oral care and to feel informed about their treatment decisions. To that end, we thought it would be helpful if our patients knew how to talk about the instruments we use the most frequently, and had a firmer idea of what they’re for.

The tool we use the most during a routine cleaning is the probe. This metal wand has a hook on each end and serves a variety of purposes. It is most often used to break up tartar, the hardened plaque that forms on teeth and causes gum recession. But it is also used to test the hardness of enamel and, in a specialized form called a scaler, to remove debris from a patient’s gum pockets. The probe is paired with a handheld mirror, which besides allowing us to see the backs of teeth, allows us to hold back the patient’s cheeks. As we remove debris, we’ll also use a tube called an evacuator to clean out the patient’s mouth with suction.

If a patient is suffering from tooth decay, our instruments will allow us to treat them with minimal discomfort. We use a syringe to inject anesthetic and modern dental drills emit water to prevent overheating. Fillings are sculpted with rounded instruments called burnishers to ensure the patient can close their teeth together completely. When teeth need to be extracted, we’ll remove them by wiggling them with flattened spoons called elevators, until they can be lifted out with reverse-action forceps. Some of these tools come in different shapes for more specialized procedures, which we’ll be happy to explain to any patient who’s curious.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

How Sugar Affects Your Teeth

Sugar impacts your teeth in a big way. All Coast Dental in Pacific, CA, takes pride in educating patients about the importance of restricting sugary foods and drinks. It’s ideal to cut out this kind of food from your diet completely, but we understand that sometimes there’s nothing better than a crisp soda on a hot day. More attention should be paid to, say, how many sugary beverages you consume in a day or week. Is it really adding up? If so, consider restricting your intake for the sake of your teeth.

 

Sugar easily coats the surface of your teeth and attracts the “bad bacteria,” such as Streptococcus mutans and Streptococcus sobrinus. These destructive bacteria feed on the sugar and disturb the natural pH of your mouth, to the point where the acidity is too much for your teeth. Over time, the enamel on your teeth is broken down little by little. This isn’t ideal since tooth enamel cannot be replaced. Once that natural barrier is gone, it’s gone for good. Improper dental hygiene only speeds up this destructive process.

 

If you can’t give up sugar completely, then consider these tips to fight tooth decay:

 

-Watch what you eat and drink. Make sure to incorporate healthy options, such as fibrous vegetables.

-Restrict the sugar. Try drinking more water, your teeth will thank you (and so will your body).

-Practice good oral hygiene by brushing and flossing two to three times a day.

-Visit your dentist regularly. Your dentist will be able to take a closer look inside your mouth, monitor anything suspicious, and give your teeth a good professional cleaning. 

 

Do you need a routine checkup or cleaning? We are happy to assess your mouth and advise you on your dental health. All Coast Dental is located at 2180 Garnet Ave., Suite 1-K, in Pacific, CA 92109. For more information or to schedule an appointment, please visit allcoastdental.net or call 858-270-4904.

 

 

 

 

Sealants for Extra Protection

We highly value preventive care at All Coast Dental in Pacific Beach. Since children are especially at risk for developing caries, they are often provided with sealants to protect their teeth. But sealants can work for people of any age, which is why we want our patients to understand what they are and why they may need them.

Tooth decay is caused by bacteria consuming food debris and excreting acid. The longer food remains in contact with the teeth, the more decay can occur. Our chewing teeth, the molars and premolars, are especially at risk because food gets lodged in the indentations in between their cusps. Although regular brushing should be sufficient to remove the food debris in most people, children are not always good brushers, and people with certain conditions, such as dry mouth, may experience tooth decay at faster rates.

A sealant is a plastic coating that protects the enamel from acid. After the patient is numbed and their teeth are mildly etched to increase their surface area, the liquid coating can be painted on. It is then hardened with a blue light, and the patient can expect to resume eating normally the following day. A person still needs to brush and floss their teeth thoroughly to avoid tooth decay, but sealants are also effective against the acidic content of drinks such as soda and citrus juices and can provide supplementary protection for years after being applied.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

Diet and Enamel Erosion

Although everybody should brush and floss twice a day, some foods pose a greater risk to oral health than others. At All Coast Dental in Pacific Beach, we frequently repair decayed and eroded teeth, providing patients with crowns and veneers that are beautiful and dependable. But prosthetic teeth need to be cared for just like natural teeth, so we thought it would be a good idea to detail how diet contributes to tooth decay.

Tooth decay is caused by the acid oral bacteria produce as they metabolize sugar. Most decay-causing bacteria eat debris left over from our own food, with simple sugars being easier for them to metabolize. They have longer to feed on debris caught between teeth, so sticky food allows them to produce more acid. But there are also substances, including citric juice and soda, that are acidic in their own right and erode teeth directly. Citric juice is commonly used as a sour flavoring in candy and energy gel, so patients need to make sure they drink water to rinse it off quickly.

Some foods are likelier to trigger a different source of acid. Red meat, caffeine, alcohol, garlic, and onions may contribute to acid reflux. When this happens, acid rises from the stomach and enters the oral cavity, eroding the back teeth. Sealants can help protect teeth from acid reflux, but patients who suffer from it frequently may need to change their diets and use toothpaste for people with sensitive teeth.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

Incipient Lesions

Do you ever notice that there are white spots on your teeth? Usually, they quickly disappear, but when they linger, they are a sign of a developing dental infection. We at All Coast Dental highly value prevention, so we want our patients to understand how white spot lesions work and why it’s so important to take them seriously.

White spot lesions are called “incipient lesions” because a glazed, white appearance is enamel’s initial response to being demineralized. When enamel is exposed to the acid produced by oral bacteria, there will be a period after it starts losing minerals but before it loses enough mass to form a cavity. This is when the white spot appears. It only takes about thirty days for a white spot to become a cavity, but after an infection is halted, the white spot may linger as a chalky-looking scar.

Incipient lesions can be halted through better brushing, but they usually appear in places such as around orthodontic brackets where the patient has trouble reaching. That’s why orthodontic patients need to master the use of Christmas tree toothbrushes and why people generally should keep a close eye on the bottoms and sides of their teeth, where tartar forms. We can determine whether a white spot still has an active infection, and if the scar lingers, we can discuss cosmetic solutions such as bonding.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

Tooth Decay and Holiday Food

Have you enjoyed any sweets this holiday season? You don’t need to feel guilty; good hygiene practices give us a little leeway. But with so many cookies and candies available this time of year, it is easy to let tooth decay gain a hold, which is why we at All Coast Dental in Pacific Beach want to ensure our patients are able to recognize what is risky to their teeth and take steps to keep them safe.

Tooth decay results from bacteria eating food particles that are caught on the teeth and producing acid. Bacteria can metabolize simple sugar more rapidly, so leaving sugar on the teeth for a long period allows them to produce a lot of acid. Hard candies such as candy canes are one of the worst things for the teeth because of this and because they dry the mouth out, depriving it of saliva that could be used to wash away sugar. Slowly sipping sugary drinks such as egg nog, hot chocolate, and alcohol also keeps the teeth continuously coated in sugar.

Regular flossing and brushing is the best defense against tooth decay, and we recommend taking floss everywhere. But sometimes it’s hard to slip away when socializing demands that you snack for a long period. In those cases, you can try chewing sugar-free gum, which will dislodge small morsels and get your saliva flowing. You can also alternate between sugary drinks and water to give your teeth a rinse.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

Dental Instruments

We work hard to make our patients comfortable at All Coast Dental in Pacific Beach. For too many people, dental instruments are a source of anxiety. We believe this is because patients have an outdated understanding of them or don’t know how to talk about them, which is why we wanted to explain some of the terms associated with our tools.

The instruments patients will see used by our hygienists the most often are handheld mirrors and explorers. The explorer is the metal wand with hooks at either end which are used to break apart dental calculus. Its name comes from how we use it to test the hardness of enamel. Differently shaped explorers are sometimes called probes and can be slipped between the gum and the tooth root to determine the gum pocket’s cleanliness. Specially-shaped hooks are used to remove decay and tartar from below the gum line. As tartar is broken apart, we use a vacuum tube called an evacuator to remove debris. (This is what patients are instructed to close their lips around.)

When tooth decay is found and anesthetic is needed, it is usually administered with a syringe. Dental drills emit water so that a patient will not incur heat damage. As we break apart decayed enamel, we’ll use a larger evacuator to remove it. The material of a filling is applied and contoured using blunt-tipped instruments called burnishers. They come in many shapes, allowing us to perfectly smooth each filling to close off gaps and remain firmly in place.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

Baby Bottle Tooth Decay

Children of any age can develop tooth decay, especially babies and toddlers. This is because bacteria in the mouth change the sugar in foods and drinks into acid that attacks the teeth. The most common way this happens is when parents put their children to bed with a bottle of formula, milk, juice, soft drinks, or sugared beverages. Our doctors at All Coast Dental are here to teach your child the importance of oral care at a young age, and to give parents tips as well.

Tooth decay may first appear as white spots at the gum line on the upper front teeth. These spots may be hard to detect at first but our doctors will perform a thorough oral exam once you bring your child in to see us. To avoid baby bottle tooth decay parents should never put their child to bed with a bottle, teach him or her to drink from a sippy cup as soon as possible, and limit the amount of sweet or sticky foods the child eats.

If you have questions or concerns regarding baby bottle tooth decay or pediatric dentistry, please give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.  

Back to School Check-Ups

If your children haven’t been to the dentist recently, there’s no time like the present. No child should have to start off the academic year with tooth decay, and a check-up is the perfect time to assess their long-term care needs

Children are the demographic with the highest rate of tooth decay. This is often due to difficulty brushing and flossing. While a toothache is bad news for anybody, it is especially harmful to children. Sleep deprivation can have far-reaching consequences for their academic performance and temperament. In young children, toothaches can also cause speech to be delayed. At the same time, children may brush too vigorously and damage their gum tissue. At a check-up, we can correct children’s hygiene mistakes and remove infected tissue.

Another potential cause of toothaches is an impacted adult tooth. X-rays allow us to determine whether a tooth is stuck and if it or a baby tooth needs to be extracted. If your child plans to play a sport, we can also provide athletic mouthguards or refit an old one to account for changes in their growing jaw structure.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

White Spots on Teeth

When people notice spots of their teeth turning unnaturally white, they may think they have a cosmetic problem to talk to the dentist about. But at All CoastDental in Pacific Beach, we want our patients to know that what they actually have is an incipient infection, and they need to take it seriously.

As tooth enamel is chemically eroded, it takes on a glazed appearance. This can be seen in people suffering from chronic acid reflux, which erodes enamel on the back teeth. It also happens when bacteria secrete acid as a by-product of metabolizing the sugar they find stuck to teeth. Whitening is the first stage of a dental infection, but if it isn’t stopped, it will continue until a cavity forms.

White spot lesions only take about thirty days to form. They mostly do so in places which are hard to brush, such as near the gum line or around orthodontic brackets. At All Coast Dental, we provide Clear Correct Aligners, which patients can remove in order to brush their teeth normally. If a dental infection does begin, we can help stop it and cover up the damage, if necessary.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

Research into Filling Failure

Patients at All Coast Dental in Pacific Beach receive preventive care in accordance with the latest scientific research. To help make sure everyone understands the importance of keeping regular appointments, we wanted to share the results of a new study which examined why dental fillings can fail early.

Smoking is one of the most common factors among failed implants, and it’s the same with failed fillings. The study found that men who smoked had a much higher chance of a filling needing to be replaced after just two years. On average, a filling lasts for ten years. Alcohol use was also correlated with filling failure, as was a family history of failed fillings. While shared lifestyles may be behind this, scientists also are interested in researching whether there is a genetic predisposition toward filling failure. If so, it is especially important for people who are at-risk to get their fillings assessed and replaced regularly.

The study was initially prompted by a desire to compare amalgam to the new white composite resins. Encouragingly, the study found there was no difference in longevity between the two construction materials.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.

 

Tooth Decay in Seniors

At All Coast Dental, we put particular emphasis on oral care for seniors. Children are the demographic cavities most commonly occur in, but seniors are the second-most vulnerable. According to the most recent information from the Centers for Disease Control, one in five seniors had untreated tooth decay, making this a vital issue for seniors’ comfort and health.

Members of older generations usually did not have access to fluoridated water while their teeth were developing, making them particularly vulnerable to tooth decay (also known as dental lesions or caries). However, cavities commonly develop in seniors who previously had good oral health, implying that something changed which made their oral hygiene more difficult. There are a number of possible causes: poor dexterity, forgetfulness, change in diet to foods that are stickier or likelier to get caught between the teeth, and loss of dental care coverage, for example. Seniors also are commonly on medications with side effects that put them at higher risk for tooth decay. Dry mouth is a common side effect of cancer medications which makes it more difficult for the body to remove food debris and keep bacteria growth under control.

Seniors benefit from using toothpaste with extra fluoridation and throat moistening products. We can also introduce them to products appropriate for their specific needs while carrying out regular cleanings.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit AllCoastDental.net and fill out a contact sheet.

 

Seal Out Cavities with Dental Sealant

Children are prone to cavities but dental sealant can help prevent them. At All Coast Dental, our doctors use dental sealant – a thin coating that is painted on the chewing surfaces of teeth to protect against decay. Though brushing and flossing remove leftover food particles, it may not always be easy for your child to do a thorough job. Sealants are usually applied as a preventive measure to keep the mouth cavity free.

Brushing and flossing may remove plaque from the teeth, but sometimes extra measures need to be taken. Dental sealants add extra protection to vulnerable areas of the teeth that are prone to decay. When bacteria become trapped in these areas, cavities will develop. Dental sealant is a safe and effective way to stop them in their tracks. Don’t hesitate to ask about dental sealants during your child’s next checkup.  

If you have questions or concerns regarding pediatric dental services, please give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.  

Problems with Fillings

One of the first dental procedures people learn about as children is the use of fillings to repair cavities. When patients suffer from small bits of decay (known as caries), a white-colored filling can repair the appearance of their smile and prevent bacteria from hiding in a cavity. But while the tooth may be sensitive immediately after the decayed material is removed, prolonged pain is not normal and is a sign that patients should come in for an examination.

When a filling is first placed, it may be shaped badly and prevent the patient from closing their jaws together. It also may not be large enough to fill in the gap. These are both rare events but need to be fixed immediately. More commonly, the filling becomes painful years after it was placed due to the normal wear and tear of chewing having worn out the seal holding it in place. Fillings are not permanent solutions; they usually last for about ten years. Of course, trauma could cause a filling to come loose sooner. When the area around a filling is painful, it is probably because bacteria has entered through the cracks in the seal and are causing more decay. The sooner an old filling is replaced, the less likely it is that a larger restoration will be necessary.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit AllCoastDental.net and fill out a contact sheet.

 

Sugar and Tooth Decay

Most of us indulge in our fair share of sugary beverages, but those sugary drinks are harming our smiles with every sip. Considering that the average can of Coca-Cola have 10 teaspoons of sugar, our doctors at All Coast Dental encourages patients to limit sugar intake to avoid tooth sensitivity and to protect teeth from tooth decay.

Food and beverages that contain sugar create acid attacks that are harmful to tooth enamel. This is because the plaque that is left on teeth use sugar to thrive and stick to the tooth’s surface. Though children are more prone to cavities caused by sugar, this doesn’t mean adults are out of the woods. To protect teeth from decay, keep your mouth as clean as possible by drinking water, or low-acidic beverages such as milk. Additionally, you should be practicing proper oral hygiene and visit us twice a year for dental checkups.

If you have questions or concerns regarding dental health, please give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.  

Prevent Periodontitis

If you’ve been told you have symptoms of gingivitis, it’s time to start brushing better. Gingivitis occurs before periodontitis and unlike gingivitis, periodontitis is not reversible. Periodontitis is defined as inflammation around the tooth. This serious gum infection damages the soft tissue and bone that surrounds the tooth, eventually leading to decay. Our doctors at All Coast Dental want you to keep your permanent teeth forever, so allow us to tell you how you can prevent periodontitis.

Periodontitis begins with plaque – a sticky biofilm that wreaks havoc on tooth enamel. To prevent plaque buildup, the solution is simple – keep your mouth as clean as possible. In addition to visiting us twice a year for routine cleanings, you should be brushing your teeth at least twice a day and flossing at least once a day. If you notice that your gums are bright red/purple, are receding, or if your gums are bleeding while brushing, call us immediately so we can treat the problem before it progresses.

If you have questions or concerns regarding periodontal disease, please give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904. 

How to Reduce Dental Plaque

Plaque develops when foods containing carbohydrates, such as soft drinks, cakes, candy, etc. are frequently left on the teeth. Bacteria that live in the mouth thrive on these foods, producing acid as a result. Over a period of time, these acids destroy tooth enamel, resulting in tooth decay. This is why our doctors at All Coast Dental want patients to know how they can reduce dental plaque to avoid dental decay in the future.

To prevent cavity causing plaque you must first pay attention to your diet. Since plaque needs carbohydrates to form acid, the fewer carbs you eat as in between meal snacks, the better. Avoid candy, cookies, and other sweet things as much as possible in order to prevent plaque from producing acid which demineralizes tooth enamel. If you need a snack, choose nutritious foods such as plain yogurt, nuts, cheese, fruit or raw veggies. Vegetables such as celery help remove food and help saliva neutralize the acids made by plaque.  In addition, the best thing you can do to reduce dental plaque is brush and floss twice a day. Brushing removes plaque that has built up on your teeth while flossing removes plaque from between your teeth. Last but not least, you should be scheduling professional cleanings with us twice a year.

If you are due for a dental checkup, please give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.  

How to Prevent Tooth Decay

Tooth decay is the destruction of your tooth enamel, the hard, outer layer of your teeth. Hundreds of different types of bacteria live on our teeth, gums, tongue and other crevices in the mouth. Some are helpful, but some can be harmful such as those that play a role in the tooth decay process. At All Coast Dental, we want our patients to know that good oral and dental hygiene can help you avoid cavities and tooth decay.

When a tooth is exposed to acid frequently – for example, if you frequently eat foods or drinks containing sugar and starches – the repeated cycles of acid attacks cause the enamel to continue to lose minerals. This will cause a white spot to appear if the minerals have been lost. When this happens, this is a sign of early decay.

You can help prevent tooth decay by following these tips:

• Brush twice a day with fluoride toothpaste.


• Clean between your teeth daily with floss or an interdental cleaner.


• Eat nutritious and balanced meals and limit snacking.


• Visit us for professional cleanings and oral examination.

If you need assistance maintaining your oral hygiene routine, give us a call. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.  

Cavity Characteristics

There are two main factors that contribute to cavities. One is bacteria in the mouth and the other is a diet that is high in sugar. It’s no surprise that cavities are common among children, but changes that occur with aging, make cavities an adult problem, too. To prevent cavities from occurring you should brush and floss on a daily basis, in addition to scheduling professional cleanings at All Coast Dental twice a year.

Cavities, or tooth decay, are the destruction of your tooth enamel, the hard, outer layer of your teeth. Tooth decay is heavily influenced by lifestyle, what we eat, how well we take care of our teeth, and the presence of fluoride in our water and toothpaste. Only your dentist can tell for sure if you have one because sometimes cavities cause little to no pain at all. Regardless of how and where they occur, the best way to spot them and treat them before they become serious is by visiting our doctors at All Coast Dental for checkups.

If you are experiencing tooth pain of any kind, please give us a call to discuss your treatment options. To learn about services provided at our practice, visit www.allcoastdental.net for more information. To schedule an appointment with one of our doctors at All Coast Dental in Pacific Beach, CA, call 858-270-4904.