A toothbrush, comprising: a head (16, 90) having a length, a width and a top surface and a bottom surface, the head (16, 90) extending from a neck which extends from a handle, the head (16, 90) having a plurality of tooth cleaning elements (28, 30, 34, 36, 38) extending therefrom; a first group of tooth cleaning elements located towards a free end of the head (16, 90) and oriented at an acute angle relative to that portion of the top surface of the head (16, 90) from which the elements project; wherein the toothbrush further comprises a second group of tooth cleaning elements being rotatable relative to that portion of the head (16, 90) from which they extend and being located towards the outside of the head (16, 90), wherein each of the second group of tooth cleaning elements is made of a thermoplastic elastomer, wherein each of the second group of tooth cleaning elements is in the shape of a curved wall, each of the second group of tooth cleaning elements having an anchor pivot disposed in the head (16, 90), wherein the anchor pivot has a first portion and a second portion, the first portion being smaller in an X and Y dimension than the second portion; a third group of tooth cleaning elements which alternate with the second group of tooth cleaning elements, wherein the third group of tooth cleaning elements are oriented at an acute angle to the top surface of the head (16, 90) in a direction that is across the width of the head (16, 90), the third group of tooth cleaning elements being located towards the outside of the head (16, 90); a fourth group of tooth cleaning elements fixed toward the inside of the head (16, 90); and a fifth group of tooth cleaning elements located towards the inside of the head (16, 90), the fifth group of tooth cleaning elements being four pair of tufts wherein in each pair one tuft is closer to the neck than the other tuft and in each pair of tufts a base of one tuft is closer to a first side of the head (16, 90) and this one tuft leans towards a second side of the head (16, 90), and a base of the other tuft is closer to the second side of the head (16, 90) and this other tuft leans towards the first side of the head (16, 90) and having an angle of tilt towards the side of the head (16, 90) being about five degrees, and a vibrator for vibrating the head (16, 90) and the tooth cleaning elements (28, 30, 34, 36, 38). a head (16, 90) having a length, a width and a top surface and a bottom surface, the head (16, 90) extending from a neck which extends from a handle, the head (16, 90) having a plurality of tooth cleaning elements (28, 30, 34, 36, 38) extending therefrom; a first group of tooth cleaning elements located towards a free end of the head (16, 90) and oriented at an acute angle relative to that portion of the top surface of the head (16, 90) from which the elements project; wherein the toothbrush further comprises a second group of tooth cleaning elements being rotatable relative to that portion of the head (16, 90) from which they extend and being located towards the outside of the head (16, 90), wherein each of the second group of tooth cleaning elements is made of a thermoplastic elastomer, wherein each of the second group of tooth cleaning elements is in the shape of a curved wall, each of the second group of tooth cleaning elements having an anchor pivot disposed in the head (16, 90), wherein the anchor pivot has a first portion and a second portion, the first portion being smaller in an X and Y dimension than the second portion; a third group of tooth cleaning elements which alternate with the second group of tooth cleaning elements, wherein the third group of tooth cleaning elements are oriented at an acute angle to the top surface of the head (16, 90) in a direction that is across the width of the head (16, 90), the third group of tooth cleaning elements being located towards the outside of the head (16, 90); a fourth group of tooth cleaning elements fixed toward the inside of the head (16, 90); and a fifth group of tooth cleaning elements located towards the inside of the head (16, 90), the fifth group of tooth cleaning elements being four pair of tufts wherein in each pair one tuft is closer to the neck than the other tuft and in each pair of tufts a base of one tuft is closer to a first side of the head (16, 90) and this one tuft leans towards a second side of the head (16, 90), and a base of the other tuft is closer to the second side of the head (16, 90) and this other tuft leans towards the first side of the head (16, 90) and having an angle of tilt towards the side of the head (16, 90) being about five degrees, and a vibrator for vibrating the head (16, 90) and the tooth cleaning elements (28, 30, 34, 36, 38).