We've been using a paste for the past 6 months... most of the time it gets spit out LOL... we only use the paste at night & nothing in the mornings. I think I will make an appt with the "Tooth Fairy". Its a special dental place for diagnosing. Its set up as a fairy castle & the dental staff are all dressed up as fairies. Even just to introduce Matilda to the idea. She hates sitting still so I have dreaded the thought but I think she will like this place