A brush head (100) and a method of making a tuft spike (20) and a brush head with a plurality of tuft spikes. The brush head includes a matrix (30) having a plurality of receptacles (32) formed therein. A plurality of tuft spikes are each formed of a plurality of bristle strands (22) arranged in a tuft (21) having a free end (25) and a proximal end (23) inserted in a spike body (24). Each tuft spike is disposed in one of the receptacles of the matrix. A brush head neck (40) has a distal platen (42) that is connected to and at least partially encompassed in the matrix.