A powered toothbrush head that, in one embodiment, includes a head portion including a first movable tuft block configured for holding tooth cleaning elements. The first movable tuft block is operably connected to a motor-driven drift shaft for movement. An eccentric cam formed on the shaft drives the first movable tuft block via engagement with a slot formed in the body of the first movable tuft block. The first movable tuft block is movable in a combination oscillating motion comprising vertical motion and lateral pivoting or tilting motion upon rotation of the drive shaft. A related method for oscillating the first movable tuft block is disclosed.