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1st sentance in LebaIII advertisement describes death of a patient during a routine dental procedure (no history of patient/health/laboratory/anesthetic protocol,etc). Any product ad that begins with a scare tactic should be carefully examined. This product claims to protect other dogs from what happened to this patient. First, dental disease is caused by PLAQUE, not tartar. Plaque, then tartar, below the gumline is the real culprit and can only be dealt with by hand scaling or ultrasonic scaling. We humans tolerate the procedure, pets do not, therefore anesthetic is required to do an adequate job. Those who claim anesthetic free cleaning are being charged a tremendous fee for something that has virtually no value other than appearance. Let's use common sense here, if people that brush several times per day, floss, still require dental prohphlaxis every 6 months, how could you believe a water spray with some herbs/alcohol would solve virtually the same problem in a pet. Please ask you dentist what they think of a product like this!!!