12/case directions: using a generous amount, brush your teeth thoroughly, preferably after each meal but at least twice a day, or as recommended by your dentist or physician. Rinse, brush your tongue with clean bristles, then floss. Ingredients: distilled water, diatomaceous earth, non-gmo xylitol, bentonite clay, coconut oil*, activated coconut shell charcoal, spearmint oil*, citric acid, grapefruit seed extract, sweet orange oil*, peppermint oil*, potassium sorbate, rosemary oil, stevia*, tea tree oil*, vanilla extract*, xanthan gum. *certified organic ingredients vegan/cruelty free/gluten free/non-gmo/fluoride free 07/20/17