Dentists have been using this gel for many years, with great success for dental health issues.
Synthetically added Fluoride is a big question mark in the health industry. Here is just one quote, and many more can be found on the internet:
“Synthetic Fluoride is a highly toxic substance. Consider, for example, the poison warning that the FDA now requires on all fluoride toothpastes sold in the U.S., or the tens of millions of people throughout China and India who now suffer serious crippling bone diseases from drinking water with elevated levels of fluoride."*
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Keep out of reach of children. Store in a cool, dry place. Do not use if seal under cap is broken or missing.