Helps clean teeth naturally with a spongy texture that works to scrape tartar with every chew. Made with an ancient Himalayan recipe that turns milk into a hard, teeth-scrubbing cheese. With natural enzymes to help remove plaque and freshen breath, plus minerals to strengthen teeth. Contains wholesome ingredients like coconut powder, lime juice and spinach for a boost of goodness. Made in the USA with no lactose, grains, gluten, soy or anything artificial, and comes in two sizes; small for dogs under 20 pounds, and large for pups over 20 pounds.