An oral care implement including a handle and a replacement head that is detachably coupled to the handle. The handle may include a gripping portion extending from a proximal end to a distal end and a stem extending from the distal end of the gripping portion. The stem may have an inner cavity. A vibratory element including a motor and an eccentric may be partially located in the stem. The eccentric may have a first end that is operably coupled to the motor and a second end opposite the first end, the second end having an aperture therein. A guide pin may be fixed to the stem such that a first portion of the guide pin protrudes into the inner cavity of the stem. The first portion of the guide pin may extend through the aperture in the second end of the eccentric.