Good oral hygiene is vital to the prevention of periodontal (gum) disease

Gum Disease of San Francisco dentist


It is important to brush your teeth twice daily for at least two minutes each time. Use a small head toothbrush with soft, round tip bristles. It is important to brush every surface of every tooth, so choose a system that is easy to remember. For example, you may start brushing at the back tooth on the left side of the upper arch, working around to the right cleaning each surface of each tooth carefully. Repeat the procedure with the bottom arch, making sure to remember the back surface of the very back teeth. This method ensures that no teeth will be missed. Hold the toothbrush at a 45-degree angle to the teeth with the edge of the bristles directed toward the gumline and brush in small gentle strokes. Make sure to “sweep” the loosened debris away from the gumline so it can be rinsed out of the mouth. The toothbrush should be replaced every two to three months, as it can become a bacteria breeding ground. It should be replaced sooner than that if it becomes worn.


Flossing between teeth daily is critical to clean the areas that a brush cannot reach. If flossing is skipped, then 35% of the surfaces of the teeth have not been cleaned. There are a variety of dental flosses available. Avoid choosing very fine floss, as it can cut the gums. There are a number of flossing aids available. Very fine interdental brushes can be worked between natural teeth and around restorations effectively cleaning the surfaces. For those who have a dental bridge, a floss threader facilitates cleaning under the bridge. Oral irrigators, such as Waterpiks can be extremely helpful for those who wear braces.

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Use good quality fluoride toothpaste that isn’t too abrasive. Many of the brands advertised for whitening are highly abrasive. A small amount, about the size of a pea is all that is needed. For small children a light smear of toothpaste is sufficient. The toothpaste may also contain triclosan, which is an antibacterial agent that may be helpful in reducing mild gingivitis.


Antimicrobial mouthwashes, such as Listerine, Periogard, or Peridex, may help reduce plaque, and therefore facilitate the prevention of gingivitis.

Dental Care

Maintaining regular dental checkups and professional cleanings by a hygienist is crucial to the prevention of periodontal disease. The hygienist can clean the areas that brushing and flossing cannot reach. Regular exams enable diagnosis and early treatment of any oral conditions that do arise.

Call 415-881-4343 and schedule an appointment with Dr. Leo Arellano for a comprehensive dental exam and cleaning today. It is the first step down the path to lifetime optimal oral health.

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Addressing gum recession with gum grafting and the Pinhole® Surgical Technique

new procedure Pinhole Surgical Technique Before and After Paetient Learn More about Pinhole Surgical Technique
Patient Reviews
Image Of Dolores E

I've been going to Dr. Arellano for about 20 years and I continue because of the excellent care and treatment I get with him and his whole office team. He is both professional and personable.
Recently I had a newer technique of gum surgery/grafting at his office called, "Pinhole Surgical Technique of gum grafting." I personally found this to be much easier to handle than the other style of gum grafting that I received years ago for the other side of my mouth. That worked, it was where part of my roof of my mouth was cut and surgically sewn onto the gum. However, I much prefer the pinhole technique. It was actually the easiest dental work I've had (beyond regular cleaning.) It didn't take too long and it didn't feel uncomfortable getting it done. I was swollen, but I think that happens regardless of what kind of gum grafting is done. I needed ibuprofin for a few days, no major pain. It healed well and just felt easy. I am not a fan of having any work done in my mouth because that's me, but this was the easiest work I've ever had done.
So, if you are debating which kind of surgery to do I personally would recommend the pinhole surgery.

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Patient Reviews
Image Of Laura V

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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Patient Reviews
Image Of Steve G

I recently had a dental implant procedure performed by Dr. Arellano.
I could not be more pleased with the results. From the initial consultation to insertion of the implants, Dr. Arellano made this entire procedure understandable, easy, & pain-free !!
Highly recommend this professional dentist.

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