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Did you know 80% of dogs display signs of potentially life-threatening oral disease by age 3? You can help prevent oral disease by ensuring that your dog receives the best dental care. Arm & Hammer Fresh Spectrum Squeak to Clean was developed purely with your pet in mind. This multi-axis dog toothbrush is designed to maintain your dog's oral care as he plays. Chewing charges the interior self-dispensing reservoir to release toothpaste onto the soft bristles and brushes teeth as the toy flexes and squeaks. Directions: Step 1: Unscrew end cap. Step 2: Slide off blue outer sleeve. Step 3: Apply a pea sized amount of toothpaste onto both sides labeled "toothpaste." Step 4: Place blue outer sleeve back onto its original position. Step 5: Screw end cap on. For best results, encourage play for 15-20 minutes daily.