Apparatus, systems, and methods are disclosed for improved oral hygiene with reduced cleaning time required. The systems, methods, and apparatus disclosed in accordance with embodiments of the present invention comprises an attachment brush head that when attached to existing powered toothbrushes is capable of cleaning all tooth surfaces of upper and lower teeth simultaneously in compliance with effective brushing technique. In addition, the system and apparatus disclosed in accordance with embodiments of the present invention provides adjustable bristle angle and pressure in addition to adjustable brush head spacing, to avoid damage from excessive pressure to soft tissue, while ensuring sufficient bristle pressure for effective cleaning even with varying tooth thickness.