Good. the handle and packaging are bamboo, which is good (environmentally friendly), but that's the end of the good stuff. The bristles are flat and the head is large; both make access to all parts of the mouth difficult. The toothbrush also has a "soapy" taste (very weird), and when combined with toothpaste, that taste becomes very, very weird. The handle doesn't repel water like a plastic toothbrush and takes a while to dry completely. This means that mold or other bacteria can grow. in which you need to buy an electric disinfectant so that this toothbrush can be used safely every time you brush your teeth. Cannot recommend this product.
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