You have to emerge alsa-plugins with pulseaudio USE flags. Otherwise alsa won't be able to talk with pulseaudio and will seize the sound devices instead.
You also need a file /etc/asound.conf with the following content:
pcm.pulse {
type pulse
}
ctl.pulse {
type pulse
}
pcm.!default {
type pulse
}
ctl.!default {
type pulse
}
This file force alsa to use pulse instead of seizing the sound device for itself and its subordinate.