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I wish I'd thought to take pictures or notes of my dogs' teeth before I started this to see if it's making a big difference. We've been using the small size for 2.5 months now (and are almost out we have 3 dogs and use 1 scoop 1x/day for each) and it appears to have worked to help clean their teeth, but doesn't get rid of everything. Once when I was checking their teeth for improvement, a chunk of plaque came off, which was a good indicator to me that it was doing something. The true test will be what the vet says at their yearly exams.
However, it does not help with breath. (Unfortunately, we have a poo-eater, so I didn't expect it to help with that breath, and it didn't.) But we have 2 other dogs, one whose breath was never bad and the other who is old and stinks, and her breath has not improved.
Overall, I'd recommend trying this product and seeing if you notice a difference. The price isn't bad, and if you're like me and are bad at brushing your dogs' teeth, it's worth it to pay $15-20 (for the 60gm) for several months' worth vs. several hundred for cleaning the dogs' teeth every few years.
Edit 5/18/10: Well, we took our youngest dog to the vet a few weeks ago and despite using this daily, they said he has some inflamed gums and plaqued teeth that will need a sedated cleaning to fix. The vet said this kind of product *might* help if pets have already clean/healthy teeth, but won't help if they already have issues.
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