Aquafresh is one of the ony toothpastes that I can use as my stomach is very very sensitive to artificial sweetner. Aquafresh only has a small amount of artificial sweetner and it cleans all of our teeth great. I was very happy to find the "extreme clean" version also so we make sure to have great dentist visits with no cavities. My kids all have special needs and dentists visits that end with smiles and not tears is always the goal!