Is a Water Flosser Better Than String Floss?

Short answer

In a head to head clinical study, a water flosser removed more plaque than string floss. In that randomized study of 70 adults, a water flosser used with a manual toothbrush removed 74.4% of whole mouth plaque, compared with 57.7% for string floss with a manual toothbrush. The better tool for you is the one you will use every day.

What did the study find?

The study was published in the Journal of Clinical Dentistry in 2013. Seventy adults were randomly assigned to one of two groups: a water flosser plus a manual toothbrush, or waxed string floss plus a manual toothbrush. Plaque was scored before and after use.

Plaque removed Water flosser String floss
Whole mouth 74.4% 57.7%
Between the teeth 81.6% 63.4%

The authors concluded that the water flosser was 29% more effective than string floss for overall plaque removal.

Who should use a water flosser?

String floss depends on technique. It has to be worked around each tooth, which is hard with braces, bridges or limited hand movement. A cordless water flosser only needs to be aimed along the gumline. If you find string floss awkward and skip it, a water flosser you use daily will do more for you than floss that stays in the drawer.

Who should stick with string floss?

String floss needs no charging or water and fits in a pocket. If you already floss every day with good technique, there is no need to stop. A woven floss is an option if you find standard floss slippery. Some people use both a water flosser and string floss.

Sources and evidence

Related questions

Can a water flosser replace string floss completely?
In the study above, the water flosser removed more plaque than string floss. You can also use both.

How do you floss with braces?
A water flosser, a floss threader or pre-threaded orthodontic flossers are the usual options.

How often should you replace Oral-B iO brush heads?
Every 3 months. See the full answer.

Relevant products

Oral-B Water Flosser Advanced cordless oral irrigator
Oral-B Water Flosser Advanced, cordless
COCOLAB Cocofloss woven dental floss, 30 m
COCOLAB Cocofloss woven dental floss, 30 m

General information only, not dental advice.

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