I also wanted to add -- Winston who is 2 has had three dentals, two by a vet dentist, and the dog makes tartar on his teeth very fast. He had a dental about 5 or 6 weeks ago tartar is forming even with healthy mouth and daily brushing. This dog eats the same diet as my other boys who form little to no tartar. Barney who is 13 has had one dental in his life, has no tartar and no gum issues. It's all about genetics in my view. My plan is an annual dental for Winston. If I can do home care and stretch it to 18 months I will but it isn't looking promising