An oral care implement comprising: a head extending along a longitudinal axis (A-A) from a proximal end to a distal end, the head comprising a first peripheral side and a second peripheral side opposite the first peripheral side; a plurality of tooth cleaning elements extending from a front surface of the head, the plurality of tooth cleaning elements arranged in a tooth cleaning element field, the tooth cleaning element field comprising: a first peripheral grouping of tooth cleaning elements adjacent the first peripheral side of the head, the first peripheral grouping of tooth cleaning elements comprising a first type of tooth cleaning element and a second type of tooth cleaning element; a distal grouping of tooth cleaning elements adjacent the distal end of the head, the distal grouping of tooth cleaning elements comprising a third type of tooth cleaning element; a proximal grouping of tooth cleaning elements adjacent the proximal end of the head, the proximal grouping of tooth cleaning elements comprising the third type of tooth cleaning element; and a central grouping of tooth cleaning elements located between the distal and proximal groupings of tooth cleaning elements (160, 170), the central grouping of tooth cleaning elements comprising a fourth type of tooth cleaning element, characterised in that each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are different from one another; and each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are selected from a grouping consisting of a tuft of tapered bristles, an elastomeric element (144, 145, 154, 155, 185, 186), a tuft of spiral bristles, a tuft of single component end-rounded bristles, a tuft of core-sheath bristles, and a tuft of crimped bristles. a head extending along a longitudinal axis (A-A) from a proximal end to a distal end, the head comprising a first peripheral side and a second peripheral side opposite the first peripheral side; a plurality of tooth cleaning elements extending from a front surface of the head, the plurality of tooth cleaning elements arranged in a tooth cleaning element field, the tooth cleaning element field comprising: a first peripheral grouping of tooth cleaning elements adjacent the first peripheral side of the head, the first peripheral grouping of tooth cleaning elements comprising a first type of tooth cleaning element and a second type of tooth cleaning element; a distal grouping of tooth cleaning elements adjacent the distal end of the head, the distal grouping of tooth cleaning elements comprising a third type of tooth cleaning element; a proximal grouping of tooth cleaning elements adjacent the proximal end of the head, the proximal grouping of tooth cleaning elements comprising the third type of tooth cleaning element; and a central grouping of tooth cleaning elements located between the distal and proximal groupings of tooth cleaning elements (160, 170), the central grouping of tooth cleaning elements comprising a fourth type of tooth cleaning element, characterised in that each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are different from one another; and each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are selected from a grouping consisting of a tuft of tapered bristles, an elastomeric element (144, 145, 154, 155, 185, 186), a tuft of spiral bristles, a tuft of single component end-rounded bristles, a tuft of core-sheath bristles, and a tuft of crimped bristles. a first peripheral grouping of tooth cleaning elements adjacent the first peripheral side of the head, the first peripheral grouping of tooth cleaning elements comprising a first type of tooth cleaning element and a second type of tooth cleaning element; a distal grouping of tooth cleaning elements adjacent the distal end of the head, the distal grouping of tooth cleaning elements comprising a third type of tooth cleaning element; a proximal grouping of tooth cleaning elements adjacent the proximal end of the head, the proximal grouping of tooth cleaning elements comprising the third type of tooth cleaning element; and a central grouping of tooth cleaning elements located between the distal and proximal groupings of tooth cleaning elements (160, 170), the central grouping of tooth cleaning elements comprising a fourth type of tooth cleaning element, characterised in that each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are different from one another; and each of the first, second, third, and fourth types of tooth cleaning elements (140, 160, 170, 180) are selected from a grouping consisting of a tuft of tapered bristles, an elastomeric element (144, 145, 154, 155, 185, 186), a tuft of spiral bristles, a tuft of single component end-rounded bristles, a tuft of core-sheath bristles, and a tuft of crimped bristles.