An adjustable angle adapter for a prophy angle comprises a nose, a rotating member, a body, a shaft, and a multi-axis rotation joint. The nose is configured to receive a portion of a 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 nose is rotatable relative to the body into at least a first configuration and a second configuration.