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The Issa 2, uses 11,000x Sonic Pulse technology for the most advanced & largest oral care toothbrush for top teeth cleaning and gentle gum massage. With interchangeable heads, to purchase separately, the sturdy PBT polymer bristles break down plaque, whilst the silicone bristles gently massage the gums then flip the Issa 2 to use the tongue & cheek cleaner on the back to keep your whole mouth clean!