toothbrush heads , e . g ., for power toothbrushes , are provided . an embodiment of the toothbrush heads include a support structure , a plurality of upstanding accurate members extending upward from a surface of the support structure forming an open center area , a second cleaning element disposed within the open center area and plurality of bristle tufts extending from the support structure and at least partially surrounding at least one of the plurality of arcuate segments