ADVANCE Dental Care contains an exclusive triple effect formula to provide dental care for your medium-sized adult dog. The results have been clinically proven: in 1 month*, 94% of dogs reduce tartar formation, 82% of dogs reduce plaque build-up and 65% of dogs have fresher breath. The special shape of the stick helps to remove food residue from your dog's teeth. * Scientific study. Fresher breath with a lower amount of volatile sulphide compounds compared to dogs that have not eaten Advance Dog Dental Care Stick.