Works great. Cleans tartar and plaque. If I had a tooth polisher, it would be like a regular cleaning! I wasn't aware that there are small clear plastic protective sleeves for each tip, they either fell off in transit or were simply placed in a case - seems like a good idea to keep, I almost lost them opening the case . I imagine this can damage tooth enamel if used too often, but once a month or so is a good in between.
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