An oral care implement that includes a conical tuft of bristles. In one embodiment, the invention is an oral care implement that includes a handle and a head coupled to the handle, the head having a front surface. A plurality of tooth cleaning elements extend from the front surface of the head. The plurality of tooth cleaning elements include a conical tuft that has a bristle wall having an inner surface defining a cavity, the cavity having a transverse cross-sectional area that increases with distance from the front surface of the head. Furthermore, in some embodiments the bristle wall terminates in an annular top surface that is inclined relative to the front surface of the head. In some embodiments, the head includes more than one of the conical tufts, such as two of the conical tufts or four of the conical tufts.