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The Oralis360- X-Large interdental brush is suitable for cleaning between teeth where there has been significantrecession (shrinkage of the gum). This is the case for patients with periodontitis or some older patients where the gum has receded over time. X-Large Oralis360 interdental brushes are built with premium Dupont bristles and German Nylon coated wire so they are strong and durable and can be used many times. It is recommended that you discard the brush if the wire bends or after a week of use.