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Word of Appreciation





Updated: 02/23/2011

Request Information about Personal Oral Health Coaching in the San Diego Area

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Coaching includes: 

  • Assessment and treatment plans
  • Your Mouth Could Be Killing You! e-book
  • Product recommendations
  • Training in mechanical and chemical disinfection
  • Instructions for irrigation, brushing, “in-between” cleaning
  • Oral care beginner’s kit
  • Rates are $90 for each one hour increment.

Please complete this form. Items marked with * below are required. Thank you so much!

Mama Gums Home
Mama Gums
Personal Oral Health Consultant/Coach

1 - 866 MAMA-GUMs
1 - 866 626-2486
Contact Information

How can Mama Gums contact you? 

First name*:

Last name*:

Daytime phone*:

Evening phone*:

Fax:

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Subject Information
Please describe the issues you wish to discuss with Mama Gums*
Are you interested in Oral Health Educational Workshops for groups of 10 or more people? Yes No
What specific problems are you experiencing (check as many as apply)?
Have been diagnosed with periodontal disease and want to avoid gum surgery    
Sore bleeding gums, swollen, tender or itchy gums
Pus and blood oozing from gums
Gums bleed when brushing teeth, flossing, or using a toothpick - "pink in the sink"
Gums are receding (pulling away from teeth)
Teeth seem loose and appear to be moving
Spaces developing between teeth
Teeth are discolored along the gum line
Changes in fit of partial denture or changes in my bite
Constant bad breath
Pregnant and may have pregnancy gingivitis
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