A toothbrush is provided including: a handle; a head attached to the handle; a plurality of tooth cleaning elements projecting outwardly from a first surface of the head; and a cleanser including at least one projection protruding outwardly from a second surface for removal of microbial and other debris from soft tissue in the mouth, which second surface is arranged opposite to the first surface; wherein the at least one projection is made of a hard component; wherein the second surface is an elastomeric second surface.