Miracle PerioGel Toothpaste is unique in that it is Miracle PerioGel formatted as a toothpaste. A toothbrush is used to carry the Miracle paste up to the edge of the gum pocket (but not into the pocket) as would be the case with the Miracle PerioGel product. Brushing should use a short, side to side motion, about ½ inch back and forth. The Miracle PerioGel Toothpaste is not intended as a substitute for the tube-squirted Miracle PerioGel product, but rather as a complement. The other Miracle PerioGel products (like the gel or mouthwash) achieve their full effects no matter what toothpaste brand a consumer desires to use, but the Miracle PerioGel toothpaste has the special formulation.