Link to picture of Oral-B Deep Sweep and FlossAction brush heads.

Oral-B brush heads.

Oral-B replacement brush heads - Which ones are the best? -

Design differences. | Pictures. | How to pick out the right one.

This page explains the replacement brush head options you have with the Oral-B rechargeable toothbrush line. The following brush designs are included in our discussion:

  • FlossAction,  CrossAction,  Dual Clean,  Precision Clean,  3D White,  Ortho Care,  Sensitive Gum Care,  Power Tip  and  Deep Sweep.

We show pictures of what each type of head looks like and explain its design features. We also give our opinion about which ones makes the best choice for different purposes (such as removing plaque, cleaning at the gum line, whitening teeth, etc...).

(Note: None of the information on this page applies to the Oral-B Pulsonic toothbrush.)


Oral-B replacement brush heads -

Before we can point out specifically which heads we think are the best ones, there are a few things you'll need to know.

  • What styles are available? How are they different?
  • Brush head / Toothbrush model compatibility.

(If you already know enough about these issues, jump ahead to which brush heads we think tend to make the best choice, and why.)

For the most part, Oral-B brush heads are interchangeable.

Unlike another major electric toothbrush manufacturer we could mention, Oral-B has a history of maintaining brush head interchangeability among it's models.

That's really a nice feature to have because it means that you're not tied to just using the one style that originally came with your toothbrush.

  • That allows you to experiment with the different style heads and determine which one really makes the best choice for you.
  • During your brushing sessions, you may find that switching to a second head helps you to do a better job in some areas.
  • If you share your brush, each of you can use whatever style brush head works best for you.
  • Or when you're looking for a new electric brush, you can just go ahead and buy the model that's on sale, even if it doesn't come with the head you prefer.

The Oral-B replacement brush head lineup.

Here's an overview of each of Oral-B's current lineup of brush heads (pictures included), and we explain what each one has been designed to do best.

As you'll see, the working end of most of them is round or oval-shaped and has a back-and-forth rotary motion. The exception is the Deep Sweep. It has a shape and is used more like a traditional toothbrush.

Picture comparison of the Oral-B Deep Sweep and FlossAction brush heads.

Oral-B Deep Sweep (L) and FlossAction (R) brush heads.

1) The FlossAction brush head.

Details.

This is an oval-shaped head (in our picture it's the one on the right). It's size is just a little bit larger than Oral-B's perfectly round ones, like the Precision Clean or CrossAction.

A big difference between this brush's design and other styles is that it has four rubber bristles (the yellow objects in our picture).

Formally these are referred to as "micropulse" bristles. Oral-B suggests that they give this head an improved ability (probably due to their relative stiffness) to clean in between teeth and along the gum line.

(Note: Not that we'd really expect that anyone would be confused on this point, Oral-B's website points out that the use of this head does not replace the need to actually use dental floss.)

Cost.

FlossAction brush heads cost on the order of $7.33 per head (see notes below about our methodology).

Note: Our proxy for Oral-B brush head prices.

A factor most people will want to consider when deciding which brush head makes the best choice for them is it's cost.

Oral-B's website doesn't display brush head prices (MSRP's). So as a proxy for price, we've picked out a major brick-and-mortar retailer that also has an online presence that sells each type of Oral-B's brush heads (that alone was a little difficult to find), and used their online prices as our basis of comparison.

By no means does this mean that the price we show is a good one. We'd hope that by shopping around even a little, either locally, online or both, you could do better. But using this method gives us a fairly apples-to-apples way to make cost comparisons between the different models.

Compare Oral-B prices and current deals on Amazon.com and Walmart.com
Using our referral links supports this website at no additional cost to you.

Our opinion about the FlossAction brush head.

Generally speaking, we like this head. We're under the impression that it's one of Oral-B's best plaque removers.

It's good at removing food and debris.

It seems best suited for people who have spaces between their teeth where food particles and associated debris tends to accumulate. (It's the micropulse bristles that excel in cleaning these areas.)

But if you don't have moderate to large interdental spacing, the Precision Clean or CrossAction heads probably make an equal or possibly better choice.

It's a vigorous brush head.

When using this head you can expect to feel a vigorous cleaning action. Two descriptions we noticed in some online reviews were that using it feels like experiencing a weedwacker or going through a car wash.

Once again, this is probably due to the micropulse bristles. And some people, especially those with sensitive teeth or gums, will consider this brush to be too firm or aggressive for their use.

It's size and shape aren't ideal.

We should point out that the FlossAction is a little bit larger than Oral-B's perfectly round replacements (like the Precision Clean or CrossAction). And that makes it a little harder to use in tight areas.

Also, since this head is oval shaped it's orientation against your teeth will change as you change the way you hold your brush in different areas of your mouth, with some alignments being more favorable for cleaning than others.

2) The Precision Clean brush head.

Picture of Oral-B Precision Clean brush head.

Precision Clean brush head.

Details.

This head is a little bit smaller and also more perfectly round than the FlossAction. (It's the smallest of Oral-B's non-specialty brush heads.)

Its outer ring of bristles are slightly longer than its center group of tufts, giving it a cupped configuration. This design helps the brush conform to each tooth's shape as it's cleaned, scrubbing both its side and at its gum line simultaneously.

The Oral-B website states that this is their most popular replacement brush.

Cost.

Precision Clean brush heads cost on the order of $5.10 per head (see notes above about our methodology).

Our opinion about the Precision Clean brush head.

We think this head makes a good choice but otherwise don't have a lot to say about it.

It has a very basic design.

The Precision Clean has a conventional/generic design, in the sense that it looks like what you'd expect a rotary, brush-one-tooth-at-a-time toothbrush head to look like. That makes it very straight forward to know how to use.

It's an effective plaque remover.

Oral-B states that this head is especially good at cleaning along the gum line (evidently more effective than the CrossAction on this point). And it's smallish round head makes it easy and consistent in the way it's able to access teeth in the different regions of your mouth.

Issues.

We were surprised to read in some online reviews that some (few) users felt that the Precision Clean's bristles were too firm for their liking.

We should also mention that the user reviews we read seemed to suggest that this is the most counterfeited Oral-B brush head (its basic design would lend itself to that). So beware of your source is for this product.

3) The CrossAction brush head.

Picture of Oral-B CrossAction brush head.

CrossAction brush head.

Details.

This is another of Oral-B's round brush heads. However, a big difference between its design and Oral-B's others is that rather than having a regular tuft alignment, its bristles are angled off at 16 degrees.

Oral-B states that this head represents their most advanced design. And suggests that its crisscrossed bristles makes it good at removing dental plaque from along the gum line of teeth.

Cost.

CrossAction brush heads cost on the order of $7.30 per head (see notes above about our methodology).

Our opinion about the CrossAction brush head.

We like this head and expect that overall it's an excellent plaque remover. A blurb on the Australian version of Oral-B's website says that it: "Delivers a clinically superior clean compared with Oral-B Precision Clean."

It has a unique design.

The idea of the CrossAction's angled bristles makes sense to us. If you're old enough to remember, it used to be that all manual (non-electric) toothbrushes had bristles arranged in even rows.

Nowadays that type of design is relatively hard to find. Instead what's most available is an arrangement where different groups of bristles have different lengths, jutting out at different angles. And studies indicate that this irregular-looking type of design helps to make a brush more effective.

Not too soft or hard.

The CrossAction seems to be a mix of soft and harder bristles, with the firmer ones being in the center of the head and the softer ones being the ones that clean at your gum line.

When reading online reviews for the CrossAction, it seemed that lots of posters felt this head offered the mix that they needed. It cleaned well without being too harsh on their gums.

A good size.

As compared to the FlossAction, this head is both round (instead of oblong) and slightly smaller, making it easier to clean all areas of your mouth.

4) The 3D White brush head.

(We've also seen this product sold as the Pro White replacement brush head, and possibly even the PowerPolisher.)

Picture of Oral-B 3D White brush head.

3D White brush head.

Details.

The 3D White has the same oval shape and is generally the same size as the FlossAction. But in the center of its bristle arrangement is a rubber polishing cup (not unlike the one your dentist uses to polish your teeth, although smaller).

We noticed that on the Oral-B website that they specifically state that this head is only intended for use by people age 12 years and older. That cutoff suggests that they feel this head should only be used by people who have all permanent (adult, non-baby tooth) teeth.

Cost.

3D White (Pro White) brush heads cost on the order of $7.35 per head (see notes above about our methodology).

Our opinion about the 3D White brush head.

This may be an OK head but we're not so convinced.

Questions about effectiveness.

We noticed that more than one online post by users stated that they (and often their dentist or hygienist too) felt that their brushing results were improved after switching to a different Oral-B head.

That would lead us to believe that if this brush head does have a place, it's not one for full time use.

Design questions.

In terms of brushing (plaque removing) effectiveness, just looking at this brush head raises questions. For example, its bristle configuration looks somewhat sparse as compared to the heads we've already discussed.

And we get the idea that the rubber cup scours and polishes your teeth. But we'd anticipate that most of that goes on in the center of the tooth as opposed to across it's entire surface, like in between teeth where stain certainly tends to form.

One clever user.

Here's something we ran across that we thought was interesting. In a comment on a retailer's website, the poster stated that they had cut the bristles off an old 3D White head and were using the cup alone to do touch up polishing on their teeth every once in a while.

Lousy marketing.

We just can't let this pass. It caught our eye that the Oral-B website seems to stress that this head "naturally" whitens teeth. So whatever is especially "natural" about a rubber cup filled with silica particles (grit) from toothpaste being used to scrub surface stain off teeth, yes, this head does that.

5) The Sensitive Gum Care brush head.

Picture of an Oral-B Sensitive brush head.

Sensitive brush head.

(We've also believe we've seen this product sold as the Sensitive and Sensitive Clean replacement brush head.)

Details.

This is a smallish round brush head that has extra-soft bristles. It's the smallest of Oral-B's conventional rotary heads. In comparison to the the Precision Clean, its bristle alignment is much flatter across (less cupped).

As its name suggests, the Sensitive Gum Care head has been designed to create a gentler brushing experience for users who have sensitive teeth and gums.

Cost.

Sensitive Gum Care brush heads cost on the order of $7.27 per head (see notes above about our methodology).

Our opinion about the Sensitive brush head.

The online reviews we've read seem to indicate that this head does a pretty good job of providing a solution for those who need a gentler brushing experience.

Brushing effectiveness.

We think we should point out that while it doesn't take using a stiff-bristle brush to do a good job of cleaning your teeth, most people will probably find that if they can tolerate using them that the Precision Clean or CrossAction heads will probably prove to be more efficient plaque removers.

Additional issues.

As a criticism of this head, it's relatively flat-across bristle arrangement doesn't adapt to a tooth's shape as well as the more cupped ones do.

To soften the bristles of this head further, some people soak it in hot water before use.

6) The Deep Sweep brush head.

(We're under the impression that this head is also marketed as the Trizone.)

Picture comparison of the Oral-B Deep Sweep and FlossAction brush heads.

Oral-B Deep Sweep (L) and FlossAction (R) brush heads.

Details.

The Deep Sweep is different than all other Oral-B brush heads by way of the fact that it has a shape that's fairly similar to a regular manual toothbrush.

As you can see in our picture, it's relatively large (the other head shown is the FlossAction, the largest of Oral-B's rotary-motion brushes). A smaller "compact" version of the Deep Sweep is not available.

When it's running, every other row of bristles (including those at the tip) sweep back and forth. (The white and lighter blue bristles are the ones that move.)

If you've bought an Oral-B electric and have discovered that you don't like using a rotary-action brush, switching to the Deep Sweep head gives you an out.

Cost.

Deep Sweep brush heads cost on the order of $7.67 per head (see notes above about our methodology).

Our opinion about the Deep Sweep brush head.

We get that if you don't like using a rotary-action brush that switching to the Deep Sweep head provides you with a solution. But otherwise, if we initially knew that we wanted an electric that's used similarly to an ordinary toothbrush, we'd investigate buying a Sonicare first.

In defense of this head, there is some (minimal) published researched that suggests that using the Deep Sweep compares favorably to a Sonicare (Goyal 2012) [page references]. (3 studies from a related group of researchers, all published in just a single issue of one journal.)

We have no information about how the Deep Sweep compares to using other Oral-B heads.

What users think.

While reading online reviews posted by actual Deep Sweep users, we were a little surprised at how many of them really liked this brush.

Some stated that its design and gentle bristles made it possible for them to use their Oral-B where otherwise they found it too uncomfortable. It seems "gentle but intense" is a fair way to describe the experience this brush head provides.

Pros.

Some user postings that we read mentioned how this head's longer-length bristles at the tip of the brush were very much too their liking. Others mentioned that they liked using a full-sized head (one similar in size to a manual toothbrush) rather than a small rotary one.

Cons.

In contrast to the last statement above, some users simply found this brush to be too big and bulky to easily use everywhere. It's large size may also make it difficult for some to angle its bristles toward their gum line.

7) The Dual Clean brush head.

Picture of Oral-B Dual Clean brush head.

Dual Clean brush head.

Details.

The Dual Clean has two moving sections that move independently. The one at the very end of the brush has Oral-B's basic rotary action. The other end swivels back and forth (side to side). Overall, this is the biggest, bulkiest head in their lineup.

Interestingly, when the Dual Clean is mounted on a Vitality electric toothbrush handle, Oral-B states its fully charged battery should last for "5 days" of use. When any other (single-action) rotary brush is mounted on a Vitality, they state "2 weeks" of use can be expected. We assume that that's evidence that when you use this head on your brush it makes its motor work harder.

Cost.

Dual Clean heads cost on the order of $7.47 per head (see notes above about our methodology).

Our opinion about the Dual Clean brush head.

We're not fans of this brush's design. To us, the whole thing just seems too gimmicky. We think any of the heads discussed above would make a better choice than this one.

This is the largest brush head.

We'll point out that some people won't have enough available space in their mouth to make full use of this head's action. For example, many won't be able to position the swiveling portion on their molars furthest back.

One online poster stated that they found this head so big it even made cleaning the backside of their front teeth difficult for them.

8) The Ortho Care brush head.

Picture of Oral-B Ortho Care brush head.

Ortho Care brush head.

Details.

This brush head has a design specialized for cleaning hard to reach areas, like underneath and around orthodontic brackets and wires.

It has Oral-B's smaller round shape (same as the Sensitive Gum Care). But compared to other heads, this one has fewer tufts of bristles and they're more spread out and smaller in diameter.

The idea of this design seems to be one where the bristles splay out easily, thus reaching in between and around obstacles.

Cost.

Ortho Care brush heads cost on the order of $7.80 per head (see notes above about our methodology).

Our opinion about the Ortho Care brush head.

This head can make a good choice. It's probably best used in conjunction with the Power Tip (discussed next). Oral-B even packages these two heads together.

A possible alternative.

When reading online user reviews about the FlossAction we couldn't help but to notice that some people stated they were using it with their braces.

Use this brush head selectively.

We think it's a good idea to keep in mind that for teeth or tooth surfaces that don't have braces (brackets and wires) mounted on them that brushing with one of Oral-B's conventional heads likely makes the more effective brushing choice.

This head isn't just for braces.

Because this head lies in that position where it's more of a brush than the Power Tip but less of one than the other rotary designs, it seems possible that many people might have a location or situation (around bridgework, spaces between teeth, etc...) that might be better cleansed using the Ortho Care.

9) The Power Tip brush head.

Picture of Oral-B Power Tip brush head.

Power Tip brush head.

(We also see this head referred to as the Oral-B Interproximal Clean.)

Details.

This is Oral-B's tiniest brush head. It only has 4 tufts of bristles that are angled together to form a point.

It's easy enough to envision how the Power Tip might be used in cleaning difficult areas, such as spaces between teeth, under bridgework, around implants and along the gum line (especially for teeth having gum recession).

Cost.

Power Tip brush heads cost on the order of $8.57 per head (see notes above about our methodology). We found that even online this brush head can be a little difficult to find. As mentioned above, it often comes packaged with the Ortho Care.

Our opinion about the Power Tip brush head.

Clearly this head serves a purpose that no other Oral-B design does. But keep in mind that it's best suited for just cleaning trouble areas (around braces, gaps, spaces, at the gum line of periodontally involved teeth, etc...).

Trying to use a Power Tip to clean your entire mouth would be quite tedious. And would almost certainly prove to be less effective than using any of Oral-B's conventional heads.

Compare Oral-B prices and current deals on Amazon.com and Walmart.com
Using our referral links supports this website at no additional cost to you.

Which of the Oral-B brush heads makes the best choice?

For people with all permanent teeth (generally age 12 years and older) ...

a) What's the best Oral-B brush head for plaque removal (improved gum health / cavity prevention)?

We think the FlossAction, CrossAction, Precision Clean and Deep Sweep heads can each make a good choice for this purpose, depending on your specific situation and needs.

The FlossAction.

If you have spaces between your teeth that tend to trap food particles and assorted debris, the FlossAction will likely make the best choice for you. However if your teeth or gums are very sensitive, the brushing experience it creates may be too vigorous for you.

The Precision Clean.

If being able to remove plaque at the gum line is your biggest concern, then the Precision Clean probably makes the right choice.

A blurb on the Oral-B website says that this head cleans 400% better at the gum line than a manual brush. (For the CrossAction this statistic is 300%. We don't see this stat mentioned for the FlossAction.)

The CrossAction.

Oral-B states that this head represents their most advanced design. And as mentioned above, the Australian version of their website says that this head is "clinically superior" to the Precision Clean, although the data on which this statement is based is not provided.

Generally speaking we'd have faith in the angled-bristles design of this brush and would think that for people with no special brushing concerns, it probably makes the best choice.

The Deep Sweep.

While not a conventional Oral-B brush head, the Deep Sweep probably makes a reasonable choice.

As stated above, there's some published research that suggests that this head can perform on par with a Sonicare. We personally don't consider that evidence overwhelming but it does suggest that this head deserves a look.

What does Oral-B state about which brush head is best?

Oral-B seems to be fairly mute on this point. As we've mentioned above, there are some passing blurbs on their websites that possibly give some hint about the comparative effectiveness of their different heads. But they offer no ranked comparison like you might expect.

What does published research say about which Oral-B brush head is best?

We were hoping to find that some researcher somewhere had evaluated the comparative effectiveness of Oral-B's brush head designs. However after combing through the government's PubMed index of published health-related research, we were unable to locate any study that had performed this type of comparison.

A proxy for determining which head researchers think is best.

In lieu of a direct head-to-head comparison, we decided to identify which brush heads had been chosen for published research studies. Our assumption was that the one's chosen would be those that the researchers felt were the most effective in helping to prove their premise (like which type of electric tooth brush improves gum health the most, etc...).

What we found was just a smattering of studies that had used Oral-B's CrossAction, FlossAction and Precision Clean heads. No one head predominated. However, what we can state is this:

  • We didn't find any study since 2014 that had elected to use the FlossAction or Precision Clean.
  • Since and including the year 2014, four studies had chosen to evaluate the use of the CrossAction.

We don't know that any of these researchers were especially knowledgeable about the options Oral-B offers. They may have just used what they thought was the brush with the newest design. But without question, the CrossAction has been used in more recent research studies than the other two.

b) What's the best Oral-B brush head for people who have sensitive gums or teeth?

Sensitive Gum Care.

The obvious choice here is the Sensitive brush head. Per our discussion above, the other clear conclusion on this matter would be not to choose the FlossAction.

Beyond that, everything is relative. If you can tolerate the brushing action generated by the Precision Clean or CrossAction heads, they're probably more effective, or at least more efficient, cleaning devices.

c) What's the best Oral-B brush head for people who have gum recession?

FlossAction, CrossAction, Precision Clean.

People who have, or have had, gum disease (periodontal disease) frequently experience gum recession. Or, a person may experience recession with age.

For gum recession that's caused moderate interdental spacing, the FlossAction brush head could make a viable option (if it's action isn't too aggressive for you or your situation). In lieu of that, the CrossAction or Precision Clean might be chosen.

Power tip and Ortho Care.

If the size of the spacing between your teeth is large, using the Power Tip, and possibly even the Ortho Clean head too, may be what's needed.

The general idea would be that you would use these brushes to clean your interdental spaces and along your gum line, and then use a conventional Oral-B head to clean everywhere afterward.

d) What's the best Oral-B brush head for people who have braces?

Ortho Care and Power tip.

For people with braces the Ortho Care makes the obvious choice. And as discussed above, using the Power Tip will probably be helpful too. (Oral-B sells both of these together in one package.)

Keep in mind that those teeth and tooth surfaces that don't have braces mounted on them should be cleaned using a conventional Oral-B brush head.

e) What's the best Oral-B brush head for whitening your teeth?

With this issue it's important to understand that the only thing that a toothbrush can do to whiten teeth is to remove or prevent stain that forms on the surface of your teeth (surface staining).

Stain prevention.

CrossAction, FlossAction, Precision Clean.

In the case where you've just come from your dentist's office and your teeth have been polished white and clean, all that's needed to prevent surface staining from forming is the best plaque remover possible. (All tooth surface stains start out as debris accumulation.)

Depending on your circumstances, that would probably be either the CrossAction, FlossAction or Precision Clean heads (see discussions above). We don't feel that the 3D White makes the best choice for this purpose.

Removing stain.

If light surface staining has already formed on your teeth, it's possible for a toothbrush to scrub it off over time (a little comes off each time you brush).

3D White.

The 3D White brush head with its center rubber cup has been designed to speed up this process. If chosen, our comment would be that we would focus on using this head just in areas that have stained. Then afterward, we would use one of Oral-B's main-stream heads just to make sure that we had brushed as effectively as possible. (We're not so impressed with the use of the 3D White on its own.)

CrossAction, FlossAction, Precision Clean.

We'll also mention that using any of Oral-B's better plaque removers should produce the same general effect of removing stain over time, although likely more slowly. (As proof, Sonicare states their brushes remove staining yet none of their heads features a rubber cup.)

We'd anticipate that the vigorousness of the FlossAction with its micropulse bristles would be best at this, although we have no data to backup this statement.

If you want to evaluate brush heads first hand.

If our pictures above don't provide enough information for you, we've noticed two retailers (Bed, Bath & Beyond and Target) that tend to have a number of Oral-B models, as well as other electrics, on display.

And since different models frequently come with different brush heads, you'll have an assortment of designs to touch and evaluate first hand. (Note: The display models don't actually run. In our local area, Target had the wider selection of Oral-B's out.)

Compare Oral-B prices and current deals on Amazon.com and Walmart.com
Using our referral links supports this website at no additional cost to you.

Brush head replacement intervals.

Oral-B's standard recommendation.

Oral-B literature states that brush heads should be replaced at 3 month intervals.

Indicator bristles.

Most Oral-B brush heads feature blue indicator bristles that fade in color with use, thus indicating when the head should be replaced.

Brush head FYI.

Another evaluation is to simply compare the bristles of the head you're using to a new one to see if they seem noticeably splayed or damaged. Brushing with too much pressure tends to wear out brush heads quicker.

 

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