My wife and I have not used toothpaste for about three years. We have been using a tooth oil called Pristine. It is a blend of almond, spearmint and peppermint oil. You don't spit it out like toothpaste, you swallow it. It leaves the breath fresh and is soothing to the stomach. We have gone to the dentist and the hygienist would do a mouth bacteria test and ours would be almost zero compared to other patients, plus there was very little plaque build up on the teeth.