I'm a hygienist so trust me when I say this, I now replace this brush with an electric one once a day (I still use an electric one). I recommend this to my patients with receding gums, chipping and tooth wear. It also works well for people with heavy plaque. The only negative is the bulky bamboo, it is difficult for them to maneuver, constantly banging their teeth against the bamboo. Would like a slimmer design with a bit more angles
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