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This package contains four Dual Clean replacement toothbrush heads with a larger shaped brush head for twice the cleaning action. They have a dual head that gives complementary cleaning movements for thorough cleaning and gentle gum massaging, which helps to remove up to twice as much plaque as an ordinary manual toothbrush. They also come with dentist recommended oscillate and rotate technology for maximum cleaning. These brush heads are interchangeable with all Oral-B handles (excluding Pulsonic/Sonic).