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A good premium toothbrush that has a good grip and the multi height bristles does a good job of cleaning teeth and gum lines. The main difference of this toothbrush is the cheek and tongue scraper on the reverse side of the the toothbrush. This eliminates the need for a seperate tongue scraper. I thought this would help when I am travelling or at work as it is one less implement to carry. So far, I have been very pleased with the results.