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TropiClean Fresh Breath Puppy Clean Teeth Gel begins working immediately to address plaque and tartar before it starts - no toothbrush required. Periodontal disease is the number one disease among dogs, effecting nearly 80% by age three. Developing good oral care habits at an early age is key to promoting complete pet wellness throughout the entire life of your dog. This effective gel includes a blend of gentle and safe ingredients to promote a healthy oral environment.