Xylitol (Xylitol is an all-natural ingredient found in the fibers of berries, vegetables and birch trees. Clinical studies show that xylitol may reduce the risk of tooth decay). All natural. Safe to swallow. No fluoride. No SLS (detergent). Branam Natural Toothpaste for Kids is recommended by dentists, pediatricians and pharmacists. Our naturally better formula has xylitol to clean teeth and remove plaque. Made in the USA.