Is there a prophy paste that is not as gritty for my patients that do not tolerate the prophylaxis procedure well?

There is a new product called Pixie Pearls (Germiphene Corporation) that is perfect for patients who do not tolerate the gritty feel of prophy paste. This product is a calcium carbonate powder made up of microspheres, which does not feel gritty, but is smoother in texture and kinder to gingival tissues. It works well for light to moderate staining but does not remove heavy stains.