Abstract: An oral hygiene system comprising a hand-held instrument attached to a mobile cart by an accessory hose. The instrument has two main components: a pistol-grip hand-piece, and an individualized patient attachment. The pistol-grip hand-piece includes irrigation, suction and brush speed controls, as well as an adjustable swivel piece for changing the orientation of the attachment. Inside the hand-piece is a light source with fiberoptic tubing which channels light to the attachment, and a two speed electric motor which powers a rotary brush. The attachment itself is a relatively inexpensive component, one of which is assigned to each patient. It is cylindrical with a right angle curve at the distal end, to which is attached a disposable rotary brush. An orifice for the suction, and irrigation portal, and the fiberoptic lighting are also located at the distal end of the attachment.