The PAP+ Powder can be used with or without toothpaste.
To be used without toothpaste
Shake any extra water off your toothbrush. Dip your toothbrush into the powder container, coating the bristles evenly. Brush for at least 2 minutes. After use, expel and rinse your mouth.
To use with toothpaste
Wet your toothbrush and shake off any excess water before applying toothpaste to it. Dip your toothbrush gently into the powder jar to coat the toothpaste evenly. Brush for at least 2 minutes. After use, expel and rinse your mouth.