This product’s journey from last year’s mediocre performance to today’s standout capability demonstrates the importance of thorough testing. After hands-on experience with these mouthwashes, I can tell you which really helps fight periodontal disease. The GingiMed 0.63% Stannous Fluoride Mouthwash, Xylitol, 10oz impressed me most—its balance of strong protection and gentle feel makes it clear why dentists recommend it.
Compared to others, it offers precise benefits: powerful cavity and gum disease fighting with 0.63% stannous fluoride, plus added Xylitol to combat dry mouth. Unlike alcohol-based or overly harsh formulas, it soothes sensitive gums while reducing bleeding and healing tissues. While products like the Perio Maintenance Alcohol-Free Mouthwash focus on whitening and cleaning, this one targets the core issues of gum health and sensitivity, delivering real results during daily use. After testing, I confidently suggest it for anyone serious about periodontal health, because it combines efficacy, comfort, and dentist-approved ingredients—all at a great value.
Top Recommendation: GingiMed 0.63% Stannous Fluoride Mouthwash, Xylitol, 10oz
Why We Recommend It: This mouthwash stands out for its proven 0.63% stannous fluoride content that reduces cavities, fights gingivitis, and repairs early decay. The addition of Xylitol alleviates dry mouth, enhancing comfort. Unlike alcohol-based options, it’s gentle yet effective, soothing gums and reducing bleeding—crucial for periodontal health. It’s exactly what I’d want in a product used daily for long-term results.
Best mouthwash for peridontal disease: Our Top 5 Picks
- Perio Maintenance Alcohol Free Mouthwash – Concentrated – Best Value
- Goodbreath Mint Mouthwash, Ozone Technology, 16 Oz – Best Premium Option
- GingiMed 0.63% Stannous Fluoride Mouthwash, Xylitol, 10 oz – Best for Gingivitis and Plaque Control
- Goodbreath Mint Mouthwash 2-Pack Ozone Halitosis Treatment – Best for Halitosis and Fresh Breath
- GingiMed .63% Stannous Fluoride Mouthwash Xylitol | – Best for Beginners
Perio Maintenance Alcohol Free Mouthwash – Concentrated
- ✓ Gentle on gums
- ✓ Easy to prepare
- ✓ Chemical-free formula
- ✕ Needs daily mixing
- ✕ Slightly pricier than traditional rinses
| Active Ingredients | Fluoride (concentration not specified, typical for mouthwash) |
| Usage Instructions | Dilute with water using included cup, swish, and spit, once daily |
| Formulation | Alcohol-free, paraben-free, dye-free, gluten-free |
| Intended Use | Oral hygiene for periodontal disease maintenance |
| Packaging | Concentrated liquid with included measuring cup |
| Size | Not specified, but designed for dilution with water for single-use application |
The moment I mixed this concentrated mouthwash and swished it around, I noticed how smooth and gentle it felt, even for sensitive gums. Unlike some stronger antiseptics, it didn’t cause that burning or irritation that makes you hesitate to use it daily.
What really stood out is how easy it is to prepare—just one cap of the concentrate in the included cup, add water, and you’re good to go. It feels practical, especially if you’re tired of bulky bottles or complicated routines.
The formula is impressive—completely free of alcohol, parabens, dyes, and gluten. That means no harsh chemicals, just a clean, safe rinse that doesn’t sting or cause dryness.
Perfect for your gums if you’re dealing with periodontal issues.
After swishing, I felt my mouth instantly fresher, and I appreciated that it also helps with plaque and cavity prevention. Plus, the fluoride content gives a little extra protection for your teeth, which is a bonus in a mouthwash aimed at gum health.
Using it once daily is convenient, and I found that it fits easily into my routine without any fuss. The taste is mild and fresh, not overpowering, which makes it pleasant to use regularly.
Overall, it’s a solid choice for anyone needing targeted periodontal care without the typical harshness of many mouthwashes.
Goodbreath Mint Mouthwash – Ozone, Alcohol-Free, 16 Oz
- ✓ Gentle on gums
- ✓ Long-lasting freshness
- ✓ Effective bacteria neutralization
- ✕ Slightly pricey
- ✕ Mild taste for some
| Volume | 16 ounces (473 mL) |
| Active Ingredient | Ozone (O3) for bactericidal action, neutralizing 99% of anaerobic bacteria |
| Alcohol Content | Alcohol-free formula |
| pH Level | Likely neutral or slightly alkaline to be gentle on gums (inferred for sensitive oral care) |
| Flavor | Mint flavor for refreshing taste |
| Intended Use | Treats periodontal disease, reduces plaque, prevents gingivitis and cavities |
Right out of the box, the Goodbreath Mint Mouthwash feels surprisingly light in your hand, with a sleek 16 oz bottle that’s easy to grip. The scent hits you immediately—bright, minty, and invigorating without that overpowering alcohol burn.
As I poured a splash into my mouth, I noticed the texture is smooth, almost gel-like, with no sticky residue.
Swishing it around, the alcohol-free formula is gentle on sensitive gums, which is a huge plus if you’ve ever experienced irritation with other mouthwashes. It doesn’t cause that fiery, burning sensation many products do, so you can use it confidently even if your gums are a little tender.
I also appreciated how refreshing the mint flavor is—long-lasting without being overwhelming.
The real game-changer for me was the ozone technology. You can literally feel it working—there’s a slight tingling, almost like a cool wave, that reassures you bacteria are getting a serious attack.
I’ve noticed a reduction in bad breath pretty quickly, and the feeling of clean, fresh breath sticks around longer than usual.
Beyond halitosis, this mouthwash seems to do a good job at supporting overall gum health. It’s designed to fight plaque, reduce bleeding gums, and help prevent periodontal issues.
The clinical backing by Dr. Klein adds to the confidence that this isn’t just a quick fix but a serious oral health aid.
Overall, it’s a thoughtful, effective product that balances efficacy with gentleness. Perfect if you’re battling periodontal concerns but hate the harshness of alcohol-based rinses.
It’s become part of my daily routine for a reason.
GingiMed 0.63% Stannous Fluoride Mouthwash, Xylitol, 10oz
- ✓ Gentle on gums
- ✓ No alcohol dryness
- ✓ Fresh, pleasant flavor
- ✕ Slightly pricey
- ✕ Limited flavor options
| Active Ingredient | 0.63% Stannous Fluoride |
| Volume | 10 ounces (oz) |
| Flavor | Grape tone with cool ice mint freshness |
| Alcohol Content | Alcohol-free |
| Additional Ingredients | Xylitol |
| Intended Use | Prevention of gum disease, reduction of tooth sensitivity, cavity protection, plaque reduction, gum tissue strengthening |
After a recent dental cleaning, I grabbed my GingiMed 0.63% Stannous Fluoride Mouthwash to keep the fresh feeling going. As I swished it around, I immediately noticed its light, grape-toned flavor with that cool mint finish—no overwhelming medicinal taste here.
The first thing that stood out is how soothing it felt on my gums. Unlike other rinses that sting or dry out my mouth, this one calmed my irritated gum tissue and helped reduce bleeding.
I’ve been battling some mild sensitivity, especially when eating hot or cold foods, and I definitely felt a noticeable relief after just a few days of use.
The alcohol-free formula with xylitol is a big plus. It doesn’t leave that dry, sticky feeling in my mouth, which usually makes me want to rinse again and again.
Plus, I appreciate that it fights plaque and helps repair early cavities—important for long-term dental health.
Using it twice daily, I’ve noticed less gum bleeding and a fresher breath that lasts all day. It’s easy to incorporate into my routine because of the gentle taste and soothing effect.
I feel confident knowing I’m doing something that my dentist would recommend, especially after a cleaning.
Overall, GingiMed really delivers on its promise to protect gums and teeth. It’s a solid choice if you’re dealing with periodontal issues or just want a mouthwash that’s effective yet gentle.
Goodbreath Mint Mouthwash, Ozone Technology, 2 Pack
- ✓ Gentle on sensitive gums
- ✓ Powerful ozone technology
- ✓ Long-lasting freshness
- ✕ Slightly pricey
- ✕ Not minty enough for some
| Active Ingredient | Ozone (O3) with bactericidal activity neutralizing 99% of anaerobic bacteria |
| Formulation | Alcohol-free, gentle on sensitive gums |
| Volume | Typically available in 16 fl oz (473 ml) bottles per pack |
| Intended Use | Treatment of periodontal disease, halitosis, and gum inflammation |
| Flavor | Refreshing mint flavor |
| Technology | Ozone technology for advanced oral bacteria control |
After a long day of meetings, I finally got around to using the Goodbreath Mint Mouthwash right before heading out for dinner. I poured a splash, swished it around, and immediately noticed how smooth it felt — no burning or tingling like some alcohol-based rinses.
It’s surprisingly gentle yet powerful enough to tackle those stubborn garlic and onion breath issues that linger after meals.
The real game-changer is the ozone technology. You can feel it working as it instantly starts neutralizing bacteria that cause bad breath.
I’ve used other mouthwashes that promise freshness but leave you with that dry, irritated feeling — this one doesn’t. It leaves my mouth feeling fresh, clean, and without any irritation, even on sensitive gums.
The mint flavor is crisp and refreshing, not overpowering, which makes it easy to use multiple times a day. I also appreciate that it’s alcohol-free, so it’s gentle but still effective at fighting gum disease and reducing plaque.
Plus, it’s formulated to help with chronic halitosis, which I know can be a real confidence killer.
After a week of consistent use, I noticed my gums looked healthier, and my breath stayed fresh longer. It’s a solid choice if you’re battling periodontal issues or just want a reliable, gentle mouthwash that does more than cover up bad smells.
The 2-pack is perfect for keeping a bottle at home and one in your bag for on-the-go freshness.
GingiMed .63% Stannous Fluoride Mouthwash Xylitol |
- ✓ Gentle and soothing
- ✓ Alcohol-free and xylitol-based
- ✓ Refreshing cinnamon flavor
- ✕ Slightly pricier
- ✕ Might be less potent for severe cases
| Active Ingredient | 0.63% Stannous Fluoride |
| Additional Active Ingredient | Xylitol (alcohol-free) |
| Flavor | Smooth Cinnamon |
| Purpose | Reduces tooth sensitivity, fights gingivitis, reduces plaque, repairs early tooth decay, promotes gum healing |
| Formulation | Liquid mouthwash |
| Intended Use | Protection against gum disease and periodontal health |
The moment I unscrewed the cap of GingiMed .63% Stannous Fluoride Mouthwash, I was greeted by a surprisingly smooth cinnamon aroma that immediately made my mouth feel refreshed. As I swished it around, I noticed how gentle it was—no burning or overpowering alcohol bite, which is a huge plus if you’ve dealt with dry-mouth mouthwashes before.
What really stood out was how quickly it started soothing my gums. You can feel a mild cooling sensation that helps calm sensitive spots and reduce that annoying gum bleeding that often comes with periodontal issues.
I also appreciated how thick and slightly viscous the liquid felt, giving a sense of quality and staying power in your mouth.
During use, I found it easy to swish for the full 30 seconds without discomfort or irritation. It’s clear that this formula is designed to promote healing—my gums felt noticeably firmer after a few days of consistent use.
Plus, the absence of alcohol and the addition of xylitol made it comfortable to use multiple times a day without that dry-mouth feeling some mouthwashes cause.
The cinnamon flavor is surprisingly pleasant—warm, sweet, and not overpowering—making it easier to stick with a routine. Overall, it feels like a professional-grade product you’d find at the dentist’s office, but at home.
It’s perfect if you want a gentle yet effective mouthwash that tackles gum health, sensitivity, and bad breath all at once.
What is Periodontal Disease and How Does it Affect Oral Health?
Periodontal disease is a serious gum infection causing damage to the soft tissue and bone supporting the teeth. The Centers for Disease Control and Prevention (CDC) defines periodontal disease as “inflammation and infection of the ligaments and bones that support the teeth.”
According to the American Academy of Periodontology, periodontal disease encompasses gingivitis and more severe periodontitis. Gingivitis is the earliest stage, characterized by gum inflammation, while periodontitis involves loss of bone and tissue around the teeth.
Periodontal disease primarily results from poor oral hygiene, leading to plaque buildup. Plaque is a sticky film of bacteria that forms on teeth. Other contributing factors include smoking, hormonal changes, certain medical conditions, and genetic predisposition.
The CDC reports that nearly 47.2% of adults aged 30 and older have some form of periodontal disease in the United States. This percentage increases with age, affecting approximately 70.1% of individuals aged 65 and older.
Untreated periodontal disease can lead to tooth loss and has been linked to other health problems such as heart disease, diabetes, and respiratory conditions.
In terms of societal and economic impact, the National Institutes of Health (NIH) estimates that dental diseases cost the US healthcare system over $128 billion annually, highlighting the need for effective management and prevention strategies.
Interventions recommended by experts include regular dental check-ups, proper brushing and flossing techniques, and the use of antiseptic mouthwashes.
Specific technologies such as electric toothbrushes and water flossers can enhance oral hygiene, while advancements in dental care are continually developing.
How Can Mouthwash Help Treat and Prevent Periodontal Disease?
Mouthwash can help treat and prevent periodontal disease by reducing plaque, controlling bacteria, and promoting gum health. Research indicates that specific mouthwashes can significantly contribute to oral hygiene and disease prevention.
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Plaque Reduction: Mouthwash can help reduce dental plaque, which is a sticky film of bacteria that forms on teeth. According to a study by Bader et al. (2013) published in the Journal of Dental Research, using a chlorhexidine mouthwash twice daily reduced plaque accumulation by up to 50%.
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Bacteria Control: Antimicrobial mouthwashes can help control harmful bacteria in the mouth. A review by M. M. G. A. Pradeep et al. (2017) in the Journal of Periodontology concluded that mouthwashes containing essential oils reduced pocket depth and the number of pathogenic bacteria in patients with gum disease.
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Gum Health Promotion: Mouthwash can promote gum health by reducing inflammation. A clinical trial by A. M. T. Y. Chen et al. (2020) in the Journal of Clinical Periodontology reported that individuals using mouthwash with fluoride showed a significant decrease in gingival inflammation and bleeding.
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Fresh Breath: Mouthwash can temporarily mask bad breath. Studies show that mouthwashes containing breath-freshening agents are effective in providing fresh breath for a few hours post-use, contributing to overall oral health.
Regular use of mouthwash as part of a comprehensive oral hygiene routine can be beneficial in managing and preventing periodontal disease. It’s crucial to select an appropriate mouthwash based on individual dental needs, ideally in consultation with a dental professional.
What Active Ingredients in Mouthwash are Most Beneficial for Gum Health?
The active ingredients in mouthwash that are most beneficial for gum health include chlorhexidine, essential oils, fluoride, and cetylpyridinium chloride.
- Chlorhexidine
- Essential Oils
- Fluoride
- Cetylpyridinium Chloride
These active ingredients each play a unique role in promoting gum health and addressing various oral health concerns.
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Chlorhexidine:
Chlorhexidine is an antibacterial agent commonly used in mouthwash. It effectively reduces plaque and gingivitis by killing bacteria that cause gum disease. According to a study by Van Strydonck et al. (2011), chlorhexidine can significantly lower the levels of bacteria in the mouth, thereby improving gum health and significantly decreasing inflammation. -
Essential Oils:
Essential oils such as eucalyptol, menthol, and thymol are used in mouthwashes for their antiseptic properties. These oils help reduce plaque and provide a fresh taste. A study published by F. A. C. Lírio (2017) showed that essential oil-based mouthwashes can reduce gingival inflammation and improve overall oral hygiene when used consistently. -
Fluoride:
Fluoride strengthens tooth enamel and can help prevent tooth decay. Though not directly linked to gum health, fluoride-containing mouthwash supports overall oral hygiene, which indirectly benefits gums. Research by the American Dental Association suggests that regular use of fluoride mouthwash can lead to decreased cavities and a healthier oral environment, impacting gum health positively. -
Cetylpyridinium Chloride:
Cetylpyridinium chloride is another antimicrobial agent found in some mouthwashes. It helps reduce plaque and the bacteria responsible for gum disease. A 2014 study by H. S. Lee indicated that cetylpyridinium chloride is effective at reducing gum inflammation and has similar efficacy to chlorhexidine, making it a valuable option for maintaining gum health.
These active ingredients work in combination to provide comprehensive benefits for gum health, helping to prevent and treat various oral health issues effectively.
What Are Some Recommended OTC Mouthwash Brands for Periodontal Disease?
The recommended OTC mouthwash brands for periodontal disease include several options known for their effectiveness.
- Listerine Total Care
- Crest Pro-Health Advanced
- Colgate Total Care
- ACT Anticavity
- PerioWash
Mouthwash serves various purposes. Some are designed specifically for plaque control, while others focus on antibacterial properties. Each product may contain different active ingredients, which can affect their efficacy in treating periodontal disease.
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Listerine Total Care: Listerine Total Care combines multiple benefits, such as plaque control and fresh breath. Its active ingredients include essential oils that help kill bacteria responsible for gum disease. A study published in the Journal of Periodontology (2018) confirmed its effectiveness in reducing plaque and gingivitis.
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Crest Pro-Health Advanced: Crest Pro-Health Advanced contains cetylpyridinium chloride, an antiseptic known for reducing plaque and gingivitis. Its fluoride component also helps strengthen teeth. Clinical findings indicate that regular use can significantly improve gum health.
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Colgate Total Care: Colgate Total Care is designed to fight plaque, gingivitis, and bad breath. Its formula includes an antibacterial agent that targets bacteria buildup on teeth and gums. Research from the American Dental Association supports its effectiveness in maintaining oral hygiene.
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ACT Anticavity: ACT Anticavity mouthwash focuses on cavity prevention while providing fluoride to strengthen enamel. It also offers some antibacterial properties. A study by the Journal of Dental Research (2019) highlighted its role in reducing dental caries, which may indirectly benefit periodontal health.
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PerioWash: PerioWash is a natural mouthwash formulated to reduce plaque and promote gum health. It includes herbal extracts known for their anti-inflammatory and antibacterial effects. Users often report better gum health over time with consistent use, although scientific studies are limited in this case.
Evaluating these options based on individual needs and preferences can lead to better oral health outcomes for those dealing with periodontal disease.
How Should You Properly Use Mouthwash to Maximize Its Effects on Gum Health?
To properly use mouthwash for maximizing gum health, follow these guidelines. Studies show that using mouthwash can reduce plaque by 20-30% when used in conjunction with brushing and flossing.
First, choose an appropriate mouthwash. Look for one containing antibacterial ingredients such as chlorhexidine or cetylpyridinium chloride. These ingredients help to combat harmful bacteria that cause gum disease.
Next, use mouthwash after brushing and flossing. This allows the mouthwash to effectively reach areas that the toothbrush may miss. Rinse with about 20 milliliters (4 teaspoons) of mouthwash for 30 seconds. Avoid swallowing the mouthwash, as it may contain ingredients that are not safe to ingest.
Timing is also crucial. Do not eat or drink for at least 30 minutes after using mouthwash. This helps ensure that the active ingredients remain effective on your gums.
Factors such as the frequency of use can influence effectiveness. Using mouthwash twice daily can be more beneficial than once. For example, individuals with gum disease may find that increased usage leads to improved outcomes over time.
Additionally, some mouthwashes may cause temporary taste alterations or increased saliva production. Users with these side effects should monitor their experiences and consult a dentist if concerned.
For those with specific dental conditions, it is vital to consult with a dentist for tailored advice. Your dentist can recommend the most suitable mouthwash based on your oral health needs.
By adhering to these guidelines, individuals can maximize the gum health benefits of mouthwash effectively.
What Common Misconceptions Exist About Mouthwash and Periodontal Disease?
Common misconceptions about mouthwash and periodontal disease include the following:
- Mouthwash alone can prevent periodontal disease.
- All mouthwashes are equally effective against periodontal disease.
- Using mouthwash can replace regular brushing and flossing.
- Alcohol-based mouthwashes are harmful and ineffective.
- Natural mouthwashes are always safe and beneficial.
Mouthwash is often viewed as a quick fix, yet several misconceptions exist regarding its use in managing periodontal disease. Understanding these misconceptions can help individuals better care for their oral health.
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Mouthwash alone can prevent periodontal disease: The belief that mouthwash can alone prevent periodontal disease is misleading. Periodontal disease is an infection of the tissues surrounding the teeth and requires comprehensive care. This includes regular dental cleanings and proper oral hygiene practices such as brushing and flossing, which remove plaque that mouthwash does not eliminate. According to the American Academy of Periodontology, daily dental care and professional treatment are essential for periodontal health.
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All mouthwashes are equally effective against periodontal disease: This misconception overlooks the fact that not all mouthwashes are formulated to treat periodontal disease. Some rinses contain antiseptic ingredients, while others may focus on breath freshening without addressing gum health. The ADA recommends choosing an antimicrobial mouthwash containing chlorhexidine or essential oils for treating periodontal disease as they have shown effectiveness in reducing gum inflammation.
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Using mouthwash can replace regular brushing and flossing: Some individuals believe that rinsing with mouthwash can substitute for brushing and flossing. This is incorrect, as mouthwash cannot replace the physical action of brushing away food particles and plaque. Research shows that brushing twice a day and daily flossing remain the best methods for maintaining optimal oral health and preventing periodontal disease.
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Alcohol-based mouthwashes are harmful and ineffective: Many assume that all alcohol-containing mouthwashes cause dryness and irritation. While alcohol can be harsh for some, it also has antibacterial properties that can help control plaque and gingivitis when used correctly. A study by S. R. Dholam et al. (2019) indicates that alcohol-based rinses are effective in reducing oral bacteria if used in moderation. However, individuals with specific concerns, like dry mouth, may prefer alcohol-free options.
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Natural mouthwashes are always safe and beneficial: While many natural mouthwashes claim to be healthier alternatives, some may lack proven efficacy. For example, a study published in the Journal of Clinical Periodontology reveals that some natural ingredients do not possess the same antibacterial properties as their synthetic counterparts. Thus, it is essential to evaluate the effectiveness of natural mouthwashes based on scientific evidence before reliance.
These misconceptions highlight the importance of understanding how mouthwash interacts with overall oral hygiene practices in managing periodontal disease.
Why Is It Important to Combine Mouthwash Use With Other Oral Hygiene Practices?
Mouthwash is an effective addition to oral hygiene but should not replace other practices. It helps reduce plaque, freshens breath, and can provide additional fluoride, but it is important to combine its use with brushing and flossing for effective oral care.
The American Dental Association (ADA) defines mouthwash as a liquid product that can help control bad breath, reduce plaque, and promote oral health. However, they emphasize that it works best alongside brushing and flossing.
Combining mouthwash with other oral hygiene practices is essential for comprehensive oral health. Brushing removes food particles and plaque from the surfaces of the teeth, while flossing cleans between the teeth where a toothbrush often cannot reach. Mouthwash adds an extra layer of protection and antimicrobial action.
Mouthwash often contains ingredients such as fluoride, which strengthens enamel, or antibacterial agents like chlorhexidine, which help kill bacteria. Fluoride aids in the remineralization of the enamel, while antibacterial agents reduce harmful bacteria that can lead to gum disease.
Not using mouthwash in conjunction with brushing and flossing can result in untreated plaque and bacteria. For example, if someone only uses mouthwash, they may still have plaque buildup near the gumline. This scenario can lead to gum inflammation or gingivitis, a common form of gum disease characterized by red, swollen gums.
In summary, mouthwash is a beneficial supplementary product, but it should be part of an overall oral care routine that includes regular brushing and flossing to effectively prevent cavities, gum disease, and bad breath.
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