A replacement head for an oral care implement, such as a powered toothbrush, wherein the replacement head utilizes a specially designed structure for coupling the replacement head to an oral care implement body. In one embodiment, the invention can be a replacement head comprising: a head having a plurality of tooth cleaning elements mounted thereto; a tubular sleeve comprising a cavity for receiving a stem of the body, a proximal edge defining an opening into the cavity, and a distal end to which the head is coupled, the tubular sleeve comprising a locking tab for engaging an undercut surface of a locking section of a boss.