Every patient is different. Some like toothpaste with fluoride and others don’t and some prefer to use all natural toothpaste. Everyone has a different taste, that’s why Dr. Fresh has provided you with this selection of toothpaste. Flavors consist of spearmint, cinnamon, peppermint, and even bubble gum. Dr. Fresh also offers a large assortment of Dr. Ken’s all natural toothpaste which consists of several tubes to choose from.