The medium and small sizes have Kong's exclusive diamond braid cotton floss rope which effectively removes food debris... Reduces plaque and tartar build up. (Click on the image for a larger picture.)
The Small Dental KONG has a cotton flossing rope great for tugging and interactive play.
This is a great toy that is a little different from the usual Kong toy. However, even with our little (10 lb) dog, she was able to destroy the rope within two days of supervised play. Also, the small Kong was showing signs of destruction within a week of her playing. If you have a strong chewer (even if they are small), get the medium size of this toy.