A powered toothbrush is provided and includes a handle portion having a neck formed at one end and a head coupled to neck. The head includes 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 is in selective engagement with a protrusion extending in a recess defined by the first carrier to impart movement in a second direction. The second carrier has bristles, elastomeric cleaning members or a combination thereof extending outwardly therefrom. In an exemplary embodiment, the first carrier oscillates in a rotational direction and the second carrier moves in a direction parallel to the head.