Advanced Flossing

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  Posted by: Dental Design      2nd March 2018

Research has shown that tooth brushing alone is not enough to mechanically remove supragingival plaque, which is essential for the prevention of gingivitis.[1] The toothbrush is designed to remove plaque from facial, lingual and occlusal tooth surfaces, but the majority of individuals do not use it thoroughly or effectively enough. It is also not designed to reach the proximal surfaces of teeth or the interdental area between the papilla and the tooth. Instead, daily cleaning of the interdental area and proximal tooth surfaces requires a device that can penetrate between adjacent teeth. Traditionally, interdental brushes have been recommended to patients, but there may be alternative products that have greater evidence supporting their effectiveness.


For example, while interdental brushes were shown to be more effective at reducing plaque and probing depth than string floss a couple of decades ago,[2] the Waterpik® Water Flosser is even more effective. [3],[4] Available in different colours, it offers a great solution to all patients, including those with braces, implants, crowns, bridges and veneers. Recent studies show the Water Flosser is up to 50% more effective than traditional dental floss and Sonicare® Air Floss Pro (model HX8341) for reducing gingivitis and improving gum health.[5]


Waterpik® Water Flosser

Proven safe and effective in more than 70 published clinical studies at 25 independent and university-based research centres is the Waterpik® Water Flosser.[6] This functional adjunct is specifically designed to clean the interdental space and proximal surfaces of the teeth, so that less plaque remains.[7] It provides a unique combination of water pressure and pulsations to clean deep between teeth and below the gumline, removing harmful bacteria and debris that traditional brushing and flossing cannot reach. The pulsation action of the device results in an impact and flushing zone, which produces a compression and decompression phase and allows clearing of bacteria from periodontal pockets. In a study comparing water irrigation, chlorhexidine (CHX) irrigation, CHX rinsing, and brushing alone, researchers found that only the irrigation groups showed a reduction in subgingival bacteria.[8] Equally, when examining 6 mm pockets that were scheduled for extraction, the investigators found that the water flosser group had reduced the numbers of microorganisms by up to 6 mm compared to the untreated areas, which had thick mattes of microbes. Importantly, they also reported no differences in the epithelial lining of the pocket or evidence of penetration into the tissue.[9]


The Waterpik® Water Flosser can provide significant oral health benefits to all patients, including those with braces, implants, crowns, bridges and diabetes.5 With just a three-second application, the Waterpik® Water Flosser has been proven in laboratory tests to remove up to 99.9% of plaque from treated areas. [10] What’s more, the team at Waterpik not only continue to clinically appraise their products, they have also been busy advancing and developing innovative models to make flossing even easier.


Waterpik® Cordless Advanced

From a long line of clinically proven Water Flossers, the Waterpik® Cordless Advanced is the best and most innovative, cordless, rechargeable model yet. Featuring no cables and a state-of-the-art charging system complete with micro-processor controls for longer battery life, rapid charge and global voltage, the new model makes flossing hassle-free.


Whether on-the-go or at home, patients can benefit from everything a Waterpik® Water Flosser offers and more with the new cordless model. The extra-quiet design features an easy-to-fill reservoir with 45 seconds of water capacity. The Cordless Advanced also includes four water flossing tips and comes complete with its own tip storage case and travel bag. It features easy touch electronic controls and LED indicator lights for pressure and battery charge status, as well as improved tip rotation and three pressure settings allowing individual customisation. Plus, with fully waterproof casing, the Cordless Advanced can even be used in the shower.


It is important to remind patients that it is never too early or late to begin a good oral hygiene regimen. Rather than wait for a problem to arise, individuals should be recommended safe, easy and clinically proven devices that will foster compliance. The Waterpik® Cordless Advanced Water Flosser is one of the most proven safe and effective models available, making oral care even more convenient and easier than ever before.



For more information on Waterpik International, Inc. please visit Waterpik® products are available from Amazon, Costco UK and Superdrug stores across the UK and Ireland





[1] De la Rosa MR, Guerra JZ, Johnson DA, Radike AW. Plaque growth and removal with daily tooth brushing. Journal of Periodontology, 1979;50:660-665.

[2] Christou V, Timmerman MF, Van der Velden U, Ven der Weijden FA. Comparison of differnet approaches of interdental oral hygiene: interdental brushes versus dental floss. J Periodontol. 1998 Jul;69(7):759-64.

[3] Lyle DM, Goyal JG. Qaqish JG, Schuller R. Comparison of water flosser and interdental brush on plaque removal: a single-use pilot study. J Clin Dent 2016;27:23-26.

[4] Goyal CR, Lyle DM, Qaqish, JG, Schuller R. Comparison of water flosser and interdental brush on reduction of gingival bleeding and plaque: a randomized controlled pilot study. J Clin Dent 2016; 27:61-65.

[5] Goyal CR, Lyle DM, Qaqish JG, Schuller R. Efficacy of two interdental cleaning devices on clinical signs of inflammation: a four-week randomized controlled trial. J Clin Dent. 2015;26:55-60.

[6] Jolkovsky DL, Lyle DM. Safety of a water flosser: a literature review. Compendium of Continuing Education in Dentistry, 2015;36(2):146-149

[7] Chapple ILC, Van der Weijden F, Doerfer C et al. Primary prevention of periodontitis: managing gingivitis. Journal of Clinical Periodontology, 2015;42(16):S71-S76.

[8] Chaves ES, Kornman KS, Manwell MA, et al. Mechanism of irrigation effects on gingivitis. J Periodontol. 1994;65(11):1016-1021.

[9] Cobb CM, Rodgers RL, Killoy WJ. Ultrastructural examination of human periodontal pockets following the use of an oral irrigation device in vivo. J Periodontol. 1988;59(3):155-163.

[10] Gorur A, Lyle DM, Schaudinn C, Costerton JW. Biofilm removal with a dental water jet. Compend Contin Ed Dent, 2009;30:1-6.

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