I'm not sure if this really helped my dogs breathing and oral hygiene or not. I have a Chihuahua and small dogs often get gum disease. He had a few teeth removed and had terrible breath most of the time and I tried that and brushed the teeth he had left and I don't think it really helped much. Unfortunately he had to have all of his remaining teeth removed and I gave him to my sister who also has a Chihuahua and claims to notice a small difference but not a huge one.
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