AN ORAL CARE IMPLEMENT WITH A HANDLE INCLUDES A HEAD WITH A TISSUE CLEANSER. THE TISSUE CLEANSER MAY BE A PAD COMPOSED OF AN ELASTOMERIC MATERIAL. THE PAD IS DISPOSED ON THE HEAD ON A SURFACE OPPOSITE THE TOOTH CLEANING ELEMENTS. THE TISSUE CLEANSER MAY INCLUDE A PLURALITY, OF NUBS EXTENDING FOR CLEANING BETWEEN THE PAPILLAE OF THE TONGUE. THE TISSUE CLEANSER MAY INCLUDE A PLURALITY OF CONICALLY SHAPED NUBS. A TISSUE CLEANSER CAN BE USED TO REDUCE ORAL MALODOR PROBLEMS AND REMOVE ORAL EPITHELIAL CELLS.