An electric toothbrush having a central longitudinal axis is disclosed. The electric toothbrush has a brush head having a bristle roll shaft with a plurality of bristle tufts radially and outwardly disposed thereon, thereby forming a bristle roll covered by the cover member. The bristle roll shaft, the horizontal drive shaft and the central drive shaft are operatively connected by a belt and pulley system and a bevel gear system, causing the bended or angle feature of the toothbrush head. The central drive shaft and the horizontal drive shaft cause a one-way forward rotating motion of the bristle roll. This rotating motion and direction simulates the brushing technique recommended by most dentists to the conventional manual toothbrush users.