I do the Iodine protocol and oil pull with a Coconut/Macadamia Nut blend then swish with salt water directly after. I still brush with non-fluoride toothpaste but could *probably* go without. My teeth are smooth, clean and white in spite of a two cup a day strong, black coffee habit.
I have a super sensitive gag reflex which makes my dentist's job harder. I told him it's only his paper, x-ray crapola and toothbrushes with long bristles to get between the teeth that make me gag. He said *You* don't need that kind of toothbrush. The oil pulling keeps my teeth clean even in between.
For me, gum irritation is my first clue that I'm dehydrated and not getting enough salt. When our mouths are dry they can't produce enough saliva, containing good bacteria to fight off infection. Two-three salt pushes a day for several days brings me into balance again.