Firing the dentist is not an option, they all are the same, but instead I instruct specifically not to use any products containing fluoride beforehand.

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My wife fought with the dentist every time we visited about not using fluoride.

Eventually she found a biological dentist that does not use fluoride. It is a bit of a drive each time.

Here is a good explanation of Biological Dentistry.

https://whiteclinic.pt/en/biological-dentistry/

We replaced out toothpaste with fluoride with hydroxyapatite.