The state of my teeth and gums gets praised by my dentist and hygienist. I can't remember the last time I had a cavity. I brush twice a day with homemade toothpaste (coconut oil, bentonite clay and baking soda), floss once a day and use the waterpik once a day. It seems to be working well for me. I still get my teeth cleaned 3 times a year but hope to reduce that to twice a year. I'm at an age when many of my contemporaries (and younger) have lost their teeth. I plan for that never to happen to me and so far there are no signs that it ever will. I have been told that given the state of my mouth I have nothing to worry about. I do eat some fermented food every day as well.