Sensi-Relief Herbal Toothpaste, based on ADVANCED PHYTO PROTECTION Technology from Spinach and Almond Shell Extract, gives rapid and lasting relief from sensitivity. Miswak, along with other natural astringents help reduce bleeding, thereby ensuring gums remain healthy and protected. Key Ingredients: Miswak Spinach Menthol Directions for use: Brush thoroughly, at least twice a day or as directed by a dentist or physician. Children 6 years or below should have adult supervision and use only a pea-sized amount. Do not swallow. Spit and rinse thoroughly after brushing.