Personally I go for cleanings but never do Fluoride treatments. I switched from Crest to a gentle non Fluoride toothpaste I buy at a natural store. I did not tell my hygienist or dentist. After switching, at my next 6 month cleaning, my hygienist, who had been my hygienist for over 20 years commented that my gums looked the best she had ever seen them. I also noticed she did no have to scrape as much and by my next cleaning I had zero sensitivity. It is perfectly OK to refuse flouride and also x-rays every year. I do x-rays other year, 😇

Been going to dentist all my adult life, every quarter, when I started getting gum issues! Now my teeth are revolting from all their treatments!
Gums were always inflamed for the last year!
Started my own routine, swishing with water after eating anything, hydrogen peroxide, swishing with either sea salt or baking soda, coconut oil (10 minutes)or castor oil (2 minutes) pulling!
They all helped the cause but what gave me peace with this was taking ivermectin & rubbing it all over my gums! First time in over a year I found relief from their hideous long term slow torture of my mouth! Sorry dentists, I think of you much like I think of the medical field & the procedures they enacted on me!
Now my mouth lets me know when I need to kill off the buggers in my mouth!😁

One other routine I have found in between the ivermectin rubs is this! I empty one capsule in my mouth at bedtime & take my tongue and push it in between my problem areas to fight any bacteria while I sleep!
I wish you all healthy teeth & gums🙏😁