My oldest is nine and we have been with Dr. Kalke since she was an infant. We have always been a non-fluoride using family and the office has never given us any grief. They make sure to use non-fluoride toothpaste. We request Stormy and she is ALWAYS our hygienist. I am very particular about TV watching and I told them PBS only. They have all these things marked on our files and EVERY visit is awesome. Dr. Kalke is my 'partner' in caring for my children's teeth. I can't give him and Stormy enough praise. We have moved a couple times and I have always made sure I am an hour from the office so as not to disturb my children's twice a year visits with Dr. Kalke.