An oral care implement comprising tooth cleaning elements and a tissue cleanser. In one aspect, the invention can be an oral care implement comprising: a head and a handle, the head having a first face, a second face, and at least one port extending through the head from the first face to the second face； a plurality of tufts of bristles extending from the first face of the head； a soft tissue cleanser positioned on the second face of the head, the soft tissue cleanser comprising a pad formed of an elastomeric material and a plurality of tissue engaging elements extending from the pad； and an elastomeric tooth cleaning element extending from the first face of the head, the elastomeric tooth cleaning element integrally formed with the pad and extending through the port in the head.
