An adjustable angle adapter for a prophy angle comprises a nose, a rotating member, a body, a shaft, a pivot, and a multi-axis rotation joint. The nose is configured to receive a portion of a prophy angle. The rotating member is positioned within the nose. The body is adjustably connected to the nose. The shaft is positioned within the body. The pivot connects the body to the nose and includes a groove configured for a ball bearing that is passed through a channel formed within the pivot and the body. Also, the channel is parallel to the rotational axis of the shaft. The multi-axis rotation joint connects the shaft to the rotating member. The nose is rotatable relative to the body into a first configuration and a second configuration.