Does what it is supposed to do.
This is a good toothbrush as far as natural products go. I no longer purchase plastic handled toothbrushes so using one of these toothbrushes helps the environment. In fact you could use it to kindle your fire once it was worn down. I have no idea what the bristles are made of, they could be plastic based. The claim of being "Charcoal -Infused". is rather dubious. But for all that I'll continue using bamboo toothbrushes.