I use probably ten Windows computers between office and home, and use none of these tools, never had a need for that. Driving cautiously is much better than having big bumper and airbags.
I have used all in past, and i also find that none of them is necessary. At the moment, using CCleaner and Glary Utilities Pro whose inbuilt tool is able to defragment HDD a lot faster than Microsoft tool and also has a driver updater.