I love it and my Vet says he can see the difference in my gums since my we started using it. We use Petrodex Enzymatic Toothpaste for Dogs – Poultry Flavor. We got the toothpaste and Pet Dental Finger brushes by Four Paws from Amazon http://www.amazon.com. I am also a fan of Pedigree Denta-chews. At my April vet visit, I had Stage 1 Dental Disease. At my June checkup, I got the all clear.