The housing of an oral hygiene device is attachable to a water faucet. A regulator within the housing responds to the water which is subject to pressure variation. The regulator accommodates that variation in developing automatically a stream of water at a constant pressure. A turbine within the housing is caused to rotate in response to energy in the stream. A piston pump draws water deflected by impellers on the turbine and forms that water into a series of pulses. A flexible hose coupled to the housing includes a handle for directing the pulses against the teeth and gums of a user at a desired pressure.