This disclosure relates to oral care mouthpieces and methods of forming oral care mouthpieces. A disclosed oral care mouthpiece includes a base shaped to a dental arch. The base elastically deforms in response to pressure variations in the mouthpiece. The mouthpiece also includes a set of one or more supports attached to the base and placed to allow the base to elastically deform in response to the pressure variations in the mouthpiece. The mouthpiece also includes a set of oral care elements attached to the set of one or more supports and placed to transmit pressure to the dental arch when the base elastically deforms in response to the pressure variations in the mouthpiece.