An oral care implement that includes a handle and a head. The head, which has an exposed front surface and an exposed rear surface, may include a support structure having a perimetric wall that defines a central opening and a monolithic cleaning unit including a pad located within the central opening and molded bristles extending from the pad. The support structure and the pad may collectively define the exposed front surface and the exposed rear surface of the head. Furthermore, the support structure may have a maximum thickness of 3 mm or less measured from a front surface of the perimetric wall to a rear surface of the perimetric wall.