An adjustable angle adapter for a prophy angle comprises a nose, a rotating member, a body, a shaft, a multi-axis rotation joint, and an outer joint. The nose is configured to receive a portion of the prophy angle. The rotating member is positioned within the nose. The body is adjustably connected to the nose. The shaft is positioned within the body. The multi-axis rotation joint connects the shaft to the rotating member. The outer joint includes a ball portion connected to one of the body and the nose, and a ball receiver connected to an other of the body and the nose. The nose is configured to pivot relative to the body into at least a first configuration and a second configuration.