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How often do you brush your teeth?
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Had cavities with no local anesthesia in Asia when I was younger so I am now religiously brushing twice a day and flossing at least once a day and visit the dentist every 6 months.
I got a dentist that would give me the option to not use a local for much of the teeth work he did. I actually prefer it, need to find another one that will do the same since the first guy retired.