Waterpik vs. Flossing: Pros and Cons (2024)

When it comes to dental hygiene, it’s important to develop a routine that best suits your needs. A toothbrush alone won’t clean sufficiently in the spaces between your teeth. Here’s how using a Waterpik stacks up against flossing.

Nothing is more flattering than a gorgeous, healthy smile, but taking care of your teeth and gums is about more than just good looks. Poor oral hygiene can cause cavities, tooth loss, and gum disease.

Gum disease can negatively affect your heart health. The bacteria that causes gum disease can also get into your bloodstream. If someone is pregnant, the bacteria can target the fetus they’re carrying, possibly leading to premature birth and low birth weight in the baby.

Brushing your teeth at least twice a day with fluoride toothpaste is a good start, but regular brushing may not be enough to clean out food particles, plaque, and bacteria from between your teeth.

Toothbrush bristles aren’t small enough to clean effectively in these tight spaces. For this reason, interdental cleaning, such as flossing, is recommended by the American Dental Association (ADA).

You may be trying to decide which is better for cleaning in between your teeth: dental floss or a Waterpik water flosser. Getting input from a dentist is always a good idea.

It also helps to understand the differences and similarities between the two so that you can decide which will provide the most benefit for you. It’s important to understand each tool and understand what they can and can’t do.

Waterpik water flossers are also referred to as dental water jets or oral irrigators. The first oral irrigator was invented in 1962 by a Colorado dentist who was helped by his patient, a hydraulic engineer.

Water flossers use a pressurized stream of pulsating water to clean away food particles, bacteria, and plaque between your teeth and under your gumline.

When to use a Waterpik?

You may prefer to use a Waterpik instead of floss if you:

  • wear braces
  • have nonremovable bridgework
  • have crowns
  • have dental implants

A Waterpik may also be easier to use than standard floss for people with arthritis or for anyone who finds string floss difficult to maneuver and work with.

What are the benefits?

Using a Waterpik can be especially helpful for getting into hard-to-reach areas of your mouth, tightly spaced teeth, and periodontal pockets that may be caused by early gum disease. They can also help to keep your breath fresher and for longer, which is an added plus.

Waterpiks are easy to use. Some people may experience a learning curve while figuring out the water temperature and power setting they find the most comfortable.

In order to be as effective as possible, remember to place the tip of the Waterpik in your mouth before turning on the unit. Go slowly and glide the tip along your gumline gently.

For the best results, it’s recommended to start with your back teeth and work toward your front teeth. Continue until you have cleaned the inside and outside of both your upper and lower teeth. This can help ensure that your entire mouth gets cleaned thoroughly.

What are the disadvantages?

Cons

  • may not remove all plaque
  • can be costly
  • messy

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The rinsing action of Waterpiks may not be enough to remove plaque completely from the surface of your teeth. Some people like to use string floss first to scrape off and loosen plaque. A Waterpik can then be used to efficiently rinse out residue and plaque left behind.

Waterpiks are safe to use and contain no risk, except to your wallet, when compared with traditional string floss.

There’s evidence that people in ancient times used various tools to clean between their teeth. True dental floss was first recommended in print by a dentist named Levi Spear Parmly in his book, “A Practical Guide to the Management of the Teeth,” in 1819.

Floss was formally patented 55 years later by Asahel M. Shurtleff. He designed floss in packaging that included a cutter, similar to the way some floss is sold today.

The floss of the 1800s was usually made from unwaxed silk. It didn’t gain in popularity until after World War II, when silk was replaced with nylon.

Today, floss is available precut in plastic holders called dental picks and as long strands you cut yourself. You can find floss in flavored varieties and as waxed or unwaxed strands.

When to use floss?

Flossing benefits everyone. Flossing is an important part of dental hygiene to reduce your risk of gum disease and tooth decay.

What are the benefits?

Pros

  • easy to control
  • able to clean each tooth in full

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It removes bacteria, plaque, and food particles from between your teeth. Using floss also allows you to wipe each tooth clean of sticky plaque before it can turn into tartar.

The main benefit of using floss is control. Flossing manually allows you to carefully wipe down each tooth, in an up-and-down motion and to maneuver the floss between your teeth.

What are the disadvantages?

Cons

  • unable to reach some areas
  • can cause your gums to bleed
  • hard to use for people with limited manual dexterity

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Some people may not be able to reach certain areas of their mouth easily when relying only on floss. You may also have a hard time getting between teeth that are very close together. If you floss too far down below your gumline or too forcefully, your gums may bleed.

It’s important to rinse your mouth after you floss. This helps remove plaque and residue scraped free from your teeth.

Is it better to brush before or after flossing?

The ADA says that either way is acceptable, as long as you do a thorough job. Some people argue that they like to floss first to loosen food and debris from between their teeth, which can be brushed away after.

Others prefer to brush first to remove the bulk of plaque before flossing and to allow the fluoride from toothpaste to reach areas that could be blocked by food.

A recent study published in the Journal of Periodontology showed that the amount of plaque between teeth was reduced more in the floss first, brush second technique.

But the ADA and American Academy of Periodontology recommend brushing and flossing in any order to keep your smile healthy. Whether you floss or brush first is up to you!

The best dental hygiene method is typically one you’ll stick to, enjoy, and can see yourself using daily.

Many people prefer the control they get from manual flossing. Others rave about the fresh, deep-clean feeling they get after using a Waterpik. Research has shown that there’s minimal difference in plaque removal between using floss versus a Waterpik.

Both Waterpiks and flossing are good ways to take care of your teeth and gums along with brushing. The ADA recommends brushing twice a day and cleaning in between your teeth once a day. For the ultimate in teeth cleaning and plaque removal, consider using both twice a day.

Be sure to speak with a dentist about any concerns you may have. They can also help you decide on the best option for you.

Waterpik vs. Flossing: Pros and Cons (2024)

FAQs

Is there a downside to using a Waterpik? ›

Cons of Using a Waterpik

A dental water jet does not clean plaque from the teeth as well as floss. Floss hugs the tooth and scrapes plaque away, which prevents it from causing tooth decay and gingivitis. A Waterpik just rinses it. Therefore, a Waterpik is not a substitute for flossing.

Is it better to use a Waterpik or floss? ›

A Waterpik cannot offer the same level of cleaning, since the stream of water creates no friction that can loosen hard-to-reach pieces of food and other debris. Instead, most dentists recommend using a Waterpik as a complement to flossing.

Can bacteria grow in Waterpik? ›

Because water flosser heads touch your mouth and stay wet, oral bacteria can grow on it. Even despite following the provided cleaning recommendations. That's not all, this study limited itself to studying only the nozzle, not the hose or water reservoir itself.

Do dentists recommend using a Waterpik? ›

Thousands of dental professionals recommend the WATERPIK water flosser to their patients, and they see the difference it makes. The Waterpik water flosser should be the standard of care for in-between clean. The clinical science behind the effectiveness of biofilm removal is unrivaled.

Can Waterpik cause gum recession? ›

No, water flossing does not cause gum recession nor damage to teeth or crowns. On the contrary, water flossing aids in flushing debris out of bridges, crowns, implants, braces, and other dental restoration better than brushing and flossing alone which can extend the lifespan of your dental restorations.

Can you overuse your Waterpik? ›

You can safely use a Waterpik as often as you like, it will only help to improve your oral care. If you have gum disease or have trouble brushing or flossing, your dentist may even recommend that you use a Waterpik more often than once per day.

Can I use Listerine in my Waterpik? ›

Can I use mouthwash or other additives in a WATERPIK water flosser? Yes, although all you need for effectiveness is warm water, there are additives including certain types of mouthwash that are safe to use.

Should I floss before or after brushing? ›

Recent research suggests flossing before brushing your teeth is the way to go. This approach is superior for eliminating dental plaque on tooth surfaces and boosts the fluoride concentration in your mouth. Flossing before brushing helps strengthen your tooth enamel, making it more resistant to decay.

Do I need to use string floss if I use a Waterpik? ›

In these cases, you'll find a Waterpik tremendously useful because a high pressure stream of water will get gum line areas and deep pockets cleaner, faster. For patients with deep gum pockets and spaces between their teeth, I often recommend that they use a Waterpik and dental floss, in tandem, each and every night.

What is the black stuff coming out of my Waterpik? ›

It may be the wintertime and mold may grow more easily in a bathroom that is more humid but there was probably a teaspoon of filthy moldy dark material that came out of the unit. I used a small brush and went up into the handle and more came out.

Is it safe to use tap water in a Waterpik? ›

It is not necessary to use distilled water. If you would brush your teeth with your tap water, then it is safe for your water flosser. Just make sure to clean the unit at least once a month (more often if you have hard water).

Do you brush your teeth before or after using a Waterpik? ›

The ideal time to use a Waterpik is before you brush your teeth. This is because doing so can allow you to remove food debris and plaque. When you use a Waterpik before brushing your teeth, teeth brushing becomes more effective.

What are the disadvantages of using a Waterpik? ›

The rinsing action of Waterpiks may not be enough to remove plaque completely from the surface of your teeth. Some people like to use string floss first to scrape off and loosen plaque. A Waterpik can then be used to efficiently rinse out residue and plaque left behind.

Can a Waterpik remove tartar? ›

Water flossing can be an effective tool for maintaining good oral hygiene and preventing the buildup of tartar. However, a water flosser may not remove existing tartar once it has formed. Using a water flosser can aid in tartar prevention, but it's not a substitute for professional dental cleanings.

How to sanitize Waterpik? ›

- Soak the water flosser tip in a container of 2 parts water, 1 part hydrogen peroxide or white vinegar for 5 minutes. - Rinse the tip under warm water. - For maximum effectiveness over time, we recommend replacing water flosser tips every 3-6 months. The tips can become clogged and/or affected by mineral deposits.

Can Waterpik damage fillings? ›

Within the limitations of this study, the use of water-jet flossing is safe for composite restorations. However, patients should be advised not to continuously use the highest-pressure setting when they have restored teeth with resin composite restorations.

How many times a day is it safe to use a Waterpik? ›

Recommended Frequency and Duration of Use: It's generally safe to use a water flosser once or twice a day for two minutes at a time. Correct Technique for Water Flossing: Hold the water flosser tip at a 45-degree angle to the teeth and gums and aim the stream of water directly at the gum line.

Can you use a Waterpik wrong? ›

Many patients often have trouble using proper water flossing techniques due to lack of usage and not knowing the proper methods. Of course, improper methods of using string floss or Waterpiks® place users at risk of damaging their gums and causing them to bleed.

Should you use a Waterpik before or after brushing? ›

Be sure to allow the water to empty from your mouth into the sink. The ideal time to use a Waterpik is before you brush your teeth. This is because doing so can allow you to remove food debris and plaque.

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