A powered toothbrush is provided and includes a handle portion having a neck formed at one end and a head coupled to the neck. The head includes a base, and a first carrier that is coupled to the head and is operatively connected to a first drive for moving the first carrier in a first direction. The first carrier has bristles, elastomeric cleaning members, or a combination thereof extending outwardly therefrom. The head also includes a second carrier that is coupled to the head and includes an upstanding elastomeric element disposed along an upper surface thereof. The elastomeric element has a first end that is coupled to the head and a second end that engages the first carrier so that the movement of the first carrier in the first direction is translated into movement of the elastomeric element in a second direction.