I have a gel that is used like tooth paste. I use a soft baby tooth brush. He HATES his teeth being brushed, I have to (This might sound really mean) hold his chin hair to get him to stay and hold still... some times I hold by his cheek also... It doesn't hurt him unless he is moving all over...He is pretty good about it and holds still most times now. He has learned it goes quick and painless if he doesn't fight me but it took FOREVER to get him to this point. i also had to force myself to do this very often so he got used to it.