#$%^&*AU2011200008B220120524.pdf#####ABSTRACT 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 5 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 epithelial cells.1/6 0l LL0W 0 C)~ CrCY.O Co e-