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While other Bamboo toothbrushes use plastic/nylon bristles, Brush with Bamboo has made every component plant-based: bristles, handle, wrapper, and box. Over 4.7 Billion plastic toothbrushes are produced every year worldwide and majority end up in landfill or our oceans. Brush with Bamboo is Certified 100% Organic Bamboo,BPA-Free, Vegan, and Verified Non-toxic.