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The Oralis360- Medium interdental brush is the size that will suit most patients over the age of 35 who have experienced minor shrinkage of the gums from periodontitis. Medium 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. If you are unsure what size interdental brush is most suitable for you, please consult with your dentist or Periodontist.