Love the idea that it's fully compostable, I'm trying to reduce plastic at home as much as possible. It cleans your teeth like any other toothbrush, you probably need to pay more attention to the brushing motions to make sure you cover any stains. So far I haven't had any problems with bristle shedding like with the free Colgate toothbrushes you get after a dentist cleaning. My biggest complaint would be how uncomfortable it is to hold while you're brushing, you can feel the bamboo just digging into your hand and it's hard to get a hold of.
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