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Ark Naturals’ patented ridge-shaped outside with toothpaste center ends brushing, and makes at-home dental care effortless! For best results, we recommend a regimen of twice a day, just like brushing your teeth! The only 4-in-1 dental care solution, this chew is an abrasive cleaner, plaque and tartar fighter, has a toothpaste center with active ingredients, and freshens breath. Grain free, gluten free and easy to digest! 4 oz bag. 9.4 kcal/Per Piece