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Beyond the String: The Best Floss and Flossing Alternatives

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Protect your smile with alternatives like water flossers and interdental brushes.

Most people experience a dental visit as one filled with guilt about their flossing habits. They plunk down in the dentist’s chair as if in readiness for a lecture. Yet, there are many reasons why plain floss often fails. For one, it requires a bit of time and good technique. And for those who have had extensive dental work, regular floss might not be the right tool at all.

At Lema Dental Clinic, we are privileged to meet people who come to Turkey from different parts of the world for their major smile reconstruction. One of the things we have realized is that no single tool is the best for everyone. Tooth brushing without flossing is comparable to cleaning just the front door of the house and leaving the windows wide open. Although the exterior looks neat, the interior is still vulnerable to harm.

A great simile shared by Prof. Dr. Coşkun Yıldız is that plaque is like a wild ivy on a brick wall. Initially, it is harmlessly spread over the surface. However, if it is ignored, it sends its very small, acidic roots all the way down to the soft gums and bones. To prevent this internal decay, one must have the ideal cleaning tool.

Traditional Floss: The Classic Choice

For natural teeth that are held tightly together, traditional flossing remains the best option. However, the different categories of floss are not all the same.

PTFE (Teflon) Floss

Do you possess tightly set teeth or the most expensive dental adornments,s such as gold crowns or diamond tooth jewelry? PTFE is a very reliable option. It slides just like smooth silk over glass. It will not snag or tear your soft gums.

Spongy and Expanding Floss

Have your gums been receding slightly? Expanding floss is your best bet. In the mouth, it increases its volume, similar to a soft sponge. It nets the bad bacteria with a soft, broad net rather than a sharp wire.

The Best Flossing Alternatives

best dental floss alternatives tools turkey
best dental floss alternatives tools turkey

For those who can’t stand the thought of using string, there is an opportunity. These are the most common patient groups that come to the clinic: those who have new teeth and want easier solutions.

1. Water Flossers

Water flossers have a focused water jet that can easily reach that stuck piece of food. In other words, it is a tiny and extremely powerful cleaning device for your mouth.

  • Where we see the necessity: Implant patients in Turkey are the main users of these devices in our dental practice with Dentist Polen Akkılıç and her team. Having not only an All-on-4 system but also those complex zygomatic implants, water can reach very deep under the bridge, where it is simply impossible for a string to reach.

2. Interdental Brushes

These resemble miniature, mineralized pipe cleaners. They easily slide back and forth between teeth.

  • Why we rely on it: They are excellent for wider gaps. Theoretically, children with space maintainers and adults with some bone loss are capable with their use to help clean the curved tooth roots.

3. Air Flossers

These machines combine fast air jets with a liquid mist to dislodge food particles forcefully.

  • Why we rely on it: Because it is very fast and simple. This is a great, simple starting point if you currently do not clean between your teeth at all.

Comparing Your Options: What Works Best?

person using water flosser for gum health
person using water flosser for gum health
Cleaning ToolBest ForTop BenefitThings to Know
PTFE / Waxed FlossNatural teeth, tight spacesGlides easily without breakingNeeds a bit of getting used to
Water FlosserAll-on-4, implants, bridgesCan clean deep areas under dental hardwareMore expensive than string/floss
Interdental BrushesWider gaps, sensitive gumsCleans the curved roots really wellYou have to get the right size
Air FlosserThose who hate flossingVery fast and simpleNot as effective as a water flosser

Frequently Asked Questions

If water flosser usage means no more string?

Keep them as a team. A water flosser can wash away food, no matter how big. Floss acts as a wipe to every tooth contact area, keeping it smooth and clean. For natural teeth, go for both, but in case of a full implant bridge, the water flosser is the main.

Do little dental brushes cause tooth gaps?

Absolutely not, they do not cause gaps. They just remove the gunk. When diseased gums get better, they shrink to their healthy size. Measure carefully with clinical help for easily sliding ones is the take-home point.

On my way back from Berlin to Istanbul for implants. What to get?

Freshen up the mouth with a mild wet after the operation. After Dentist Polen Akkılıç gives the green light for doing so, spend money on a high-quality water flosser of high quality. Nothing is better in terms of maintaining a smile worthy of a dental museum.

Will water flossers damage the new veneers or gold crowns?

Not at all, veneers and teeth crowns are safe and sound with water flossers. In fact, they help keep the margins of your new teeth nice and clean. Just make sure to use the lowest and gentlest setting to avoid giving your soft gums any unnecessary pressure.

How often should I use the cleaning tools?

One per day is the minimum when it comes to interdental cleaning. If you are patient with full mouth implants, try to perform once after each meal a quick water rinse. This way, you will be maintaining your work of art all day ​‍​‌‍​‍‌​‍​‌‍​‍‌long.

  1. Worthington, H. V., MacDonald, L., Poklepovic Pericic, T., Sambunjak, D., Johnson, T. M., Imai, P., & Clarkson, J. E. (2019). Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database of Systematic Reviews, (4).
  2. Kotsakis, A. S., French, D., & Misch, C. E. (2016). Implant cleaning methods and their effects on the titanium surface. Journal of Periodontology, 87(5), 515-520.
  3. Lyle, D. M., Qaqish, J. G., & Schuller, R. (2020). Efficacy of a water flosser compared to string floss on clinical signs of inflammation. Compendium of Continuing Education in Dentistry, 41(8), e1-e4.
  4. Slot, D. E., Dörfer, C. E., & Van der Weijden, F. A. (2008). The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: a systematic review. International Journal of Dental Hygiene, 6(4), 253-264.
  5. Ng, E., & Lim, L. P. (2019). An Overview of Different Interdental Cleaning Aids and Their Effectiveness. Dentistry Journal, 7(2), 56.
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Dentist Polen Akkılıç

Dentist and Lema Dental Clinic founder Nisa Polen Akkılıç shares valuable information on dental health and care, providing readers with practical tips they can apply in their daily lives.