I have been with my dentist for a few years and he never recommended me see thee hygenist. I think that is wrong. I guess as an adult he felt it is my responsibility to go to the hygenist. I have not been because at my previous dentist I went to the hygenist and had a bad experience and had very severe sensitive teeth afterwards and it put me off. The other thing was the hygenist was quite rough. When I changed dentists my current dentist never said anything about my gums so I assumed he did not think there was an issue. It was only because I queried something that he mentioned my gums were not as good as they should be.
I have now booked an appointment with the hygenist but am not looking forward to it because of my previous experience and i am now going off my dentit for not mentioning my gums to me. Every other dentist i have ever had, has mentioned gums but this one has never done so.