Dr. John"s Formula Toothpaste Gel Healthy Teeth start with Healthy Gums Dr. John"s Formula Toothpaste Gel is a new fluoride-free toothpaste gel that uses natural hyaluronic acid(HA) as it"s main ingredient. As we age the essential HA present in our gums decreases. Xylitol is also a highly recommended ingredient for dental products because of it"s role in preventing bacterial buildup on teeth. Brushing daily with Dr. John"s Formula- Supports Healthy Gums and Teeth Promotes Good Dental Health Supports Healthy Enamel Surfaces Recommended Use Apply toothpaste gel onto a soft bristle toothbrush. Brush thoroughly at least twice a day (best after meals) or as directed by a dentist. Ingredients Hyaluronic Acid, sorbitol, water, hydrated silica, xylitol, glycerin, zinc citrate trihydrate, sodium lauroyl sarcosinate, peppermint oil, xanthum gum.