A toothbrush, comprising: a handle: a head connected to the handle, the head having a proximal periphery, a distal periphery, a first surface and a longitudinal axis; a first set of cleaning elements forming a substantially closed loop that extends from the distal periphery of the head to the proximal periphery of the head, the first set of cleaning elements comprising: a first par-elliptical wall of bristles located at the distal periphery of the head, the first par-elliptical wall terminating in a first end and a second end; a second par-elliptical wall of bristles located at the proximal periphery of the head, the second par-elliptical wall terminating in a first end and a second end; a first arcuate row of bristles extending from the first end of the first par-elliptical wall to the first end of the second par-elliptical wall; and a second arcuate row of bristles extending from the second end of the first par-elliptical wall to the second end of the second par-elliptical wall; and wherein the first and second arcuate rows (142, 143) are symmetrically arranged about the longitudinal axis so that inner convex surfaces of the first and second arcuate rows (142, 143) face the longitudinal axis, characterized in that the toothbrush further comprises a first prophylaxis cup located within the loop and at least partially located within the first par-elliptical wall; and a second prophylaxis cup located within the loop and at least partially located within the second par-elliptical wall. a head connected to the handle, the head having a proximal periphery, a distal periphery, a first surface and a longitudinal axis; a first set of cleaning elements forming a substantially closed loop that extends from the distal periphery of the head to the proximal periphery of the head, the first set of cleaning elements comprising: a first par-elliptical wall of bristles located at the distal periphery of the head, the first par-elliptical wall terminating in a first end and a second end; a second par-elliptical wall of bristles located at the proximal periphery of the head, the second par-elliptical wall terminating in a first end and a second end; a first arcuate row of bristles extending from the first end of the first par-elliptical wall to the first end of the second par-elliptical wall; and a second arcuate row of bristles extending from the second end of the first par-elliptical wall to the second end of the second par-elliptical wall; and a first par-elliptical wall of bristles located at the distal periphery of the head, the first par-elliptical wall terminating in a first end and a second end; a second par-elliptical wall of bristles located at the proximal periphery of the head, the second par-elliptical wall terminating in a first end and a second end; a first arcuate row of bristles extending from the first end of the first par-elliptical wall to the first end of the second par-elliptical wall; and a second arcuate row of bristles extending from the second end of the first par-elliptical wall to the second end of the second par-elliptical wall; and wherein the first and second arcuate rows (142, 143) are symmetrically arranged about the longitudinal axis so that inner convex surfaces of the first and second arcuate rows (142, 143) face the longitudinal axis, characterized in that the toothbrush further comprises a first prophylaxis cup located within the loop and at least partially located within the first par-elliptical wall; and a second prophylaxis cup located within the loop and at least partially located within the second par-elliptical wall.