Floss Matters: Choosing the Best Option for You
Flossing is one of those tedious things that most people don’t love to do. But, do you ever notice yellowing and/or hard build-up between the teeth? Concerns with bad breath? Had cavities between the teeth? Bleeding gums? Regular flossing reduces gingivitis (gum inflammation), plaque, bacteria, cavity risk, and bad breath.
It’s optimal to clean between the teeth at least once a day to effectively remove food and plaque from areas your toothbrush cannot access.
Floss is Not Created Equal
Many people don’t realize that floss is more than just a string. Floss comes in different thicknesses, textures, and flavors, and it’s important to find one that works well for you. This will make the task less tedious and more effective.
Waxed versus Unwaxed
The good news is that research has showed that there is no measurable difference in effectiveness between waxed versus unwaxed floss, which means you can choose whichever you prefer and not suffer on results.
Studies suggest ~79% of people prefer waxed floss because it goes more smoothly and shreds less. Others prefer unwaxed because they feel it cleans better, has better grip, and doesn’t leave behind a residue or artificial flavor.
Alternate Interdental Cleaning: Floss Picks, Interdental Brushes, and Water Flossers
You’ve probably seen floss picks—unfortunately at least on a street or beach. Some people prefer floss picks, finding them to be easier on-the-go and sometimes easier to use. They are a useful option for those with dexterity issues, and they’ll definitely remove more than brushing alone. So if this is your preferred method, it is better than not flossing at all.
However, their design makes it difficult to accomplish the ideal “C” shape flossing to clean not just in between the teeth but below and around the gum-line. They are also single-use, non-recyclable plastic, making them a poor environmental choice. Sadly, I see these frequently littered on a regular basis. Further, if you are not using multiple, you are likely redistributing plaque and bacteria.
Interdental (between the teeth) brushes are some of the least discussed, but actually one of the most effective options for interdental cleaning. Studies have shown they are at least as effective if not more than traditional floss.
Interdental brushes are small brushes with a little handle made to fit in between the teeth. You must select the correct size for you (fits snugly but not forced) then gently insert and remove in between each tooth (rinsing between) being careful not to poke the gums or roof of your mouth.
Interdental brushes can be re-used like a regular toothbrush can be re-used until the bristles are broken or worn, which for these is typically 1-2 weeks if used regularly.
But, interdental brushes are generally more expensive than regular floss. If the wrong size is chosen or the wrong technique is used, it can damage gums.
You may have heard of Waterpik™or water flossers. Water flossers create a pressurized stream of water to flush away food and plaque. Several studies actually show greater plaque reduction with the use of water flossers over regular string floss. This could be due to ease of use compared to most people’s maneuvering of floss string and does not mean they will necessarily work better for removing plaque between the teeth for everyone.
They tend to be especially helpful for hard to reach areas such as during braces and orthodontics and around crowns, bridges, and implants.
Specific Options
(I am not paid or affiliated with any)
POH Dental Floss Unwaxed-
Utilized at some dental schools, this is pure nylon with no additives. Users report that it effectively gets between even the tightest teeth and removes plaque more effectively than alternatives. While some find it thin enough for tight spaces, others report it shreds too easily. Customers generally consider it a good value. (Currently $0.01/ft on Amazon)
REACH ULTRACLEAN-
Has unwaxed and waxed options that are both praised by users. Customers find it effective at removing food and plaque and like the material, saying it is easy on the gums. It is also liked for its flavor and quality. Some say the unwaxed is too thick and shreds easily. (Currently $0.04/ft on Amazon- Unwaxed)
Cocofloss-
Customers find this floss effective at removing plaque and tend to like the flavor. Some love the thickness saying it works super well, but if your teeth are heavily in contact with each other and/or crowded, I can almost assure you this floss will shred and make you frustrated. It is one of the higher costing flosses.
(Currently $0.08-0.10/ft on Amazon)
For water flossers, some things you can do when deciding on one include, look for the ADA Seal of Acceptance. This seal tells you it is safe and has shown efficacy for removing plaque along the gum-line and between teeth and helping to prevent or reduce gingivitis, when used as directed. Also, look for one that has multiple tip options and pressure control options. Typically new users should start at a lower pressure. Also, consider the water capacity and portability depending on what is more important to you.
Choose the Option You Will Do!
At the end of the day the best option is the one you will be most consistent with. Any interdental cleaning is superior to brushing alone. The ultimate goal is to remove food and plaque from in between the teeth and under the gum-line.
If you will only do regular flossing once a week, but you would do water picks every day, do your water picks every day and add the regular floss once a week if you feel up to it. Some patients are motivated to combine options, and that is great, as well.
If no options have worked well for you yet or you have difficulties maneuvering or understanding use or another barrier, talk with your dentist or dental hygienist for help. There are also great videos available online for aid, but ensure they are from reputable sources like dentists, dental hygienists, or from the product’s specific instructions for use.
Dr. Kelsey B.P. Garza is a General Dentist and the owner of Darling Dentistry in Bulverde, TX. She is delighted to be able to provide patients in and around Bulverde and Spring Branch with an elevated experience to the dentist through quality, compassionate, and ethical care with special attention to providing a more relaxing environment and helping patients overcome dental anxiety and fear. She is an active member of the Academy of General Dentistry, American Dental Association, American Association of Women Dentists, Texas Dental Association, San Antonio District Dental Society, and the Bulverde - Spring Branch Area Chamber of Commerce. She is accepting new patients. Click the Schedule Now button to reserve your spot through our online scheduling, or reach out to 830.357.7177 or care@darlingdentistry.com.