How to use: crunch one tablet up between your teeth (a few bites should do) to create a paste. Grab a wet toothbrush and brush as usual. Active Ingredient: MCC(Microcrystalline Cellulose), Xylitol, Natural Peppermint Flavor, Twist Acid, Xanthan, Guar Gum, Magnesium Stearate, PEG Bright White Factor. Made in United States of America