A powered toothbrush includes a handle having a neck. A head is mounted to the neck and has a first surface and an opposed second surface. A first tuft block is mounted to the head, with the tuft block having tooth cleaning elements extending outwardly from the first surface. A tissue cleanser is mounted to the head and has a plurality of tissue engaging elements extending outwardly from the second surface. A drive assembly configured to cause the first tuft block and the tissue cleanser to move with respect to the head.
