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Oral Care

William Robison DDS Dental Services Preventive

One easy way to improve your mouth health and preserve your teeth longer is to use the right equipment regularly.

We recommend that you add flossing to your dental care routine. If your teeth are tightly spaced, shop around for a floss that will slip more easily between your teeth, such as waxed ribbon, tape floss or Glide. If you find it difficult to handle floss, try a floss holder.
Read more about brushing and flossing

Little girl trying to floss her teeth

Soft-bristled toothbrushes bend and flex to reach more surfaces but be sure to get one that is comfortable to hold and works well in your mouth. A small brush head will reach back teeth more easily. Don't struggle with one that has bent or frayed bristles that can't be directed accurately. The American Dental Association recommends replacing your toothbrush every three to four months because it becomes less effective at plaque removal and bristles can harbor bacteria and other microorganisms.

For people with limited motor skills or arthritis, a powered toothbrush might be helpful.
Four Toothbrushes in Glass width of 400 pixels 178037107If your toothbrush has a rubber tip, use it to massage your gums after brushing. Additional tools include tiny brushes that get in between the teeth, called interproximal toothbrushes, and small interdental picks. Be careful to avoid injuring the gums when using these devices.

Oral irrigators can help remove particles of food around the teeth, especially if you wear braces or fixed partial dentures. But they are not a substitute for brushing and flossing as they lack the mechanical scrubbing action that toothbrushes and floss provide.

Mouth rinses with fluoride can help prevent tooth decay. Using an antiplaque or antigingivitis mouth rinse such as Chlorhexidine may be recommended if you have plaque or gum disease.

Check with us if you are not clear on the proper use of any of these products.

Cleanings and Exams

Professional cleanings performed by a registered dentist or hygienist are just as important to your dental health as daily brushing and flossing.
Read more about cleanings and exams


Using specialized instruments, your hygienist at Steven R. Pulido, DDS will:
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•  Measure and evaluate any bone loss and recession of gums.
•  Remove plaque build-up from the surfaces of teeth. Bacteria in the mouth form plaque, which collects on teeth and causes decay, gum disease and gingivitis
•  Remove tartar from teeth surfaces. Tartar, or calculus, is plaque that has become so hardened on the teeth that its removal requires special procedures. Tartar below the gum line is also an indicator of gum disease
•  Remove surface stains from teeth through polishing

Some patients will require a deep cleaning due to gum disease and past periodontal treatments. Dr. Steven Pulido will review your past dental history and identify any issues for which you may need treatment.


Dental oral exam with mirror instrument in mouthRegular examinations, by Dr. Steven Pulido, help detect and prevent health issues before they become serious. Consistent dental check-ups help catch problems when they are small and easier to treat. Left unattended, small treatable problems become worse and may require more extensive, expensive procedures to repair. Dental examinations generally include the following:
•  Gum disease screening
•  Oral cancer screening
•  Visual tooth decay evaluation
•  Gum pocket measurement and tracking
•  Bite and tooth grinding evaluation
•  X-ray examination to detect: tooth decay, cysts, tumors, problems below the gums and other hidden issues

Regular examinations by Dr. Steven Pulido are very important for your health. Remember, "An ounce of prevention is worth a pound of cure." -Benjamin Franklin

Periodontal (Gum) Disease

Gum disease accounts for approximately 70% of all tooth loss in adults.
Read more about periodontal disease

What Is Periodontal Disease/Gum Disease?

Gum disease is an infection of the tissues that surround and support your teeth. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by the bacteria that are constantly forming on our teeth, gums and cheeks.

Here Are Some Warning Signs That Can Signal a Problem

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•  Gums that bleed easily
•  Red, swollen, tender gums
•  Gums that have pulled away from the teeth
•  Persistent bad breath or bad taste
•  Permanent teeth that are loose or separating
•  Any change in the way your teeth fit together when you bite
•  Any change in the fit of partial dentures

There are many factors that increase the risk of developing gum disease, including: smoking, pregnancy and diabetes. It is important to visit Steven R. Pulido, DDS if you suspect you have gum disease, because the sooner you treat it the better.

The Early Stage of Gum Disease Is Called Gingivitis

If you have gingivitis, your gums may become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by a professional cleaning at your dental office, followed by daily brushing and flossing.

Advanced Gum Disease Is Called Periodontitis

Teeth and irritated gums close up gum disease"Chronic periodontitis" can lead to the loss of tissue and bone that support the teeth and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. It usually gets worse slowly, but there can be periods of rapid progression.

"Aggressive periodontitis" is a highly destructive form of periodontal disease that occurs in patients who are otherwise healthy. Common features include rapid loss of tissue and bone and may occur in localized areas or in the entire mouth. Periodontal disease cannot be cured, however, we have measures to help slow or stop the progression.

Research between systemic diseases and periodontal diseases is ongoing. While a link is not conclusive, some studies indicate that severe gum disease may be associated with several other health conditions such as diabetes, stroke, heart disease and pregnancy.

Regular dental checkups and periodontal examinations are very important. The treatment methods that we diagnose will depend upon the type of disease and how far the condition has progressed. Good dental care at home is essential to help keep periodontal disease from becoming more serious.

Steven R. Pulido, DDS
Family Dental
1734 Professional Drive
Sacramento, CA 95825-2105

Phone: (916) 481-5935

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Steven R. Pulido, DDS, 1734 Professional Drive, Sacramento, CA 95825; (916) 481-5935;; 2/2/2023; Associated Words: dentist Sacramento CA;