With tongue cleaner. Multi-level bristles. Healthy gums. Healthy life. Recommended by dental professionals. 1. Super Tip bristles clean hard-to-reach surfaces. 2. Outer bristles clean the tooth surface and massage your gums. 3. Raised center Dome Trim bristles are clinically proven to clean below the gumline where periodontal disease starts (data on file). 4. Tongue cleaner helps remove odor-causing bacteria. 5. Comfortable and easy-to-hold handle. Dental professionals recommend changing your toothbrush every 3 months or immediately following a cold, flu or any oral infection. Made in USA.