Flossing vs interdental brushes – which is better? (2024)

By City Bridge Dental & Implant Clinic

For many of us, flossing is a standard part of our daily teeth cleaning routine, and most dentists recommend it. However, recently a few newspaper headlines have rather muddied the waters, with headlines like“Flossing teeth does little good.”

The debate was kicked off by the US government dropping its recommendation that people floss regularly. The claim was that interdental brushing was more effective in preventing plaque and gum disease.

In response, theBritish Society of Periodontologysaid: ‘Evidence supports the use of small interdental brushes for cleaning between the teeth where there is space to do so, in preference to flossing… Floss is not a waste of time – it is a viable alternative to interdental brushing where appropriate.

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Our Lead Dentist,Mark Aston, has his own thoughts on this confusing state of affairs and what this means for our oral healthcare routines. This is his advice.

When it comes to taking care of our teeth, there is no single approach that fits everyone.

Here atCity Bridge Dental, we offer tailored advice to every individual depending on a number of factors, including:

  • Whether or not there are gaps between teeth and how tight these are
  • Whether the mouth is affected by periodontal (gum) disease
  • The manual dexterity of the patient – this is particularly important for flossing
  • Mouth size – in smaller mouths, it can be much harder to get access to floss back teeth
  • Gag reflex
  • Muscular guarding – oral muscles can involuntarily contract when brushing which can make access for oral hygiene much harder
  • Level of oral hygiene motivation of the patient

We often advise patients adopt more than one technique, usually a combination of flossing and interdental brushing, for different areas of the mouth. We also take into account the presence of dental bridges anddental implants, which require specialist techniques to clean thoroughly.

If there are spaces between teeth or loss of gum attachment from periodontal (gum) disease, we normally prescribe interdental brushes (TePe), which are small brushes that can clean between teeth.Patients are often provided with an interdental brush card, which outlines the brush sizes to be used for specific areas of the mouth. Additionally, if you have dental bridges or implants, we often recommend specialist tools, such as the extra thick Oral B superfloss.

In general, if patients have good oral hygiene with no gum inflammation, no modification of oral hygiene measures are required. But if you are concerned, I recommend visiting yourdentistto get advice on the best cleaning techniques for you.

Regardless of whether you use interdental brushes or floss, it is still important to brush with fluoride toothpaste for approximately 2 minutes twice a day.’

If you’re concerned about your oral health or your cleaning routine, why not book an appointment with one of ouraward-nominated hygienists, Julie Peterson or Sarah Hayward? Both ourhygienistsare available for appointments through the direct access scheme, meaning they can be accessed without prescription or needing to see a dentist first.

Flossing vs interdental brushes – which is better? (2024)

FAQs

Flossing vs interdental brushes – which is better? ›

In response, the British Society of Periodontology said: 'Evidence supports the use of small interdental brushes for cleaning between the teeth where there is space to do so, in preference to flossing… Floss is not a waste of time – it is a viable alternative to interdental brushing where appropriate.

Is it better to floss or use interdental brushes? ›

So, if you want to use both methods, we advise using flossing when there's no visible gap between teeth; in other cases, it's better to use an interdental brush.

What are the disadvantages of interdental brushes? ›

Disadvantages of interdental brushes

Due to their bristle structure, they can injure the gums if the wrong interdental brush is chosen or used incorrectly. It is therefore important to choose a metal-free brush and the right size of brush for your own interdental space.

Can you replace flossing with interdental brushes? ›

Interdental brushes were an effective alternative to dental floss for reducing bleeding and plaque between four and 12 weeks. Overall, this review was well conducted and benefited from a thorough search, robust review methods and reliable analyses. The findings of this review are likely to be reliable.

Is it better to floss then brush or brush then floss? ›

While it may be surprising, a study has found that flossing first followed by brushing with a fluoride toothpaste is more effective in removing interdental plaque than brushing first, flossing second. In addition, flossing before brushing results in greater fluoride retention between teeth.

How many times a day should you use interdental brush? ›

Use your interdental brush once a day, preferably in the evening and in front of the mirror. Move the brush gently back and forth a few times in each interdental space.

Can you overuse interdental brushes? ›

Too much toothbrush

An excess of brushing may erode the enamel and expose dentin with no protection, apart from damaging our gums and soft tissues. The same for dental floss or interdental brushes. We must slide gently the floss between the teeth, without damaging gums.

Do interdental brushes cause gum recession? ›

There is no evidence to say that interdental brushes cause gum recession. In fact, interdental brushes can actually help to prevent receding gums as they are designed to fight plaque and tartar build-up, which can contribute to gum recession.

Why do my gums hurt after using interdental brushes? ›

When you first start using interdental brushes, your gums may bleed, they may also be tender as you start to remove any plaque build-up. Bleeding is a sign that the gums are not healthy, but this is completely normal if you have not cleaned in between your teeth in this way before.

What is an alternative to interdental brushes? ›

Floss, Waterpik Or Interdental Stick?
  • Dental floss. Before we look at the alternatives, it is worth discussing dental floss. ...
  • Interdental sticks. Traditionally called 'toothpicks' and not to be confused with interdental brushes which we will look at in a minute. ...
  • Interdental brushes. ...
  • Waterpiks.
Dec 3, 2020

Is a Waterpik better than interdental brushes? ›

Results. The WaterpikTM water flosser was significantly more effective than the interdental brushes for reducing gingival bleeding. Notably, the water flosser was 56% more effective for reducing whole mouth bleeding, and 53% more effective for reducing whole mouth approximal bleeding.

Should you use interdental brush before or after toothbrush? ›

Should I use interdental brushes before or after brushing? According to the Oral Health Foundation, we should perform interdental cleaning before brushing to maximise its effectiveness. The study found that flossing loosens bacteria and debris from between the teeth, making them easier to clean.

What's better than flossing? ›

Interdental Brushes: Like tiny toothbrushes, specially designed to clean between your teeth, these brushes are a great alternative to flossing. Interdental brushes are usually easier to use than a thread of floss, are just as effective as floss, and are probably your best option if you have braces.

Should you floss morning or night? ›

Throughout the day, food particles and plaque build up between teeth and along the gumline. Flossing at night helps remove these accumulated debris, preventing bacteria from thriving in these areas overnight. By clearing out these spaces, you reduce the risk of cavities, gum disease, and bad breath.

Should you brush your teeth before or after breakfast? ›

Takeaway. When you're looking to protect your tooth enamel, brushing right after you wake up in the morning is better than brushing your teeth after breakfast. If you have to brush your teeth after breakfast, try to wait at least 30 minutes before you brush.

Should you floss or mouthwash first? ›

Flossing first can provide better results, but overall, if you're brushing and flossing daily, you're doing a great job with your oral health, regardless of which order you choose. However, it's still important to use mouthwash last, as the product won't work as well if rinsed away during subsequent oral hygiene steps.

What is the healthiest way to floss your teeth? ›

“Make a C-shape to hug the side of the tooth, and move floss up and down five times, going slightly below the gums. Then make the C-shape around the adjacent tooth up and down to clean the side surface of that tooth before pulling the floss out and moving to the next tooth.” Keep it simple.

Do you use interdental brushes before or after cleaning teeth? ›

Should I use interdental brushes before or after brushing? According to the Oral Health Foundation, we should perform interdental cleaning before brushing to maximise its effectiveness. The study found that flossing loosens bacteria and debris from between the teeth, making them easier to clean.

Why do my gums bleed when I use interdental brushes? ›

When you first start using interdental brushes, your gums may bleed, they may also be tender as you start to remove any plaque build-up. Bleeding is a sign that the gums are not healthy, but this is completely normal if you have not cleaned in between your teeth in this way before.

Do interdental brushes prevent cavities? ›

Regular use of interdental brushes can significantly reduce the risk of periodontal disease (gum disease), cavities, and other oral health issues.

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