The actual item is unopened. This is a medicinal toothpaste born from the very popular etiquette supplement. The highly talked-about toothpaste, Breath Smile Clear, is a quasi-drug. Features: Bad breath対策・Bad breath prevention, Whitening, Periodontal disease対策 Effects and efficacy (quoted from the back of the tube): ・Whitens teeth ・Prevents periodontitis (pyorrhea) ・Prevents gingivitis ・Prevents the deposition of tartar ・Prevents the occurrence and progression of cavities ・Prevents bad breath ・Removes tobacco stains ・Purifies the mouth ・Freshens the mouth Instant purchase is OK.