An oral care implement having a tissue cleaning pad. In one aspect, the oral care implement includes a head having a front surface and an opposite rear surface. A plurality of tooth cleaning elements extend from the front surface of the head. A tissue cleaning pad is positioned on the rear surface of the head. The tissue cleaning pad has a planar top surface bounded by a perimetric edge and a plurality of protrusions extending from the planar top surface. The perimetric edge of the planar top surface of the tissue cleaning pad has a first portion that is flush with the rear surface of the head and a second portion that is raised relative to the rear surface of the head.