A powered toothbrush refill head combines a typical round oscillating or primary tuft block which oscillates in a rotational manner with a secondary tuft block. The secondary tuft block may be oscillated in a rotational manner or may oscillate linearly back and forth in the same direction as the handle of the toothbrush. The secondary tuft block could be in the form of a pair of side by side plates mounted on the head adjacent to the round oscillating block. The invention could also be practice where the secondary tuft block is in the form of a plurality of sets of rows of bristles mounted for back and forth movement in a direction perpendicular to the handle.