Works very well, cleans hard to reach areas, does not harm gums and I don't see an expensive brand that beats these. comes without batteries, needs AAA, mine will work for another month, need to use spare heads, about $3-5 per pack (2), each head lasts a good month before you start to notice wear: then it depends on the user ab To tell when it's time to change, mine is always in the water and it doesn't hurt!
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