Do I Really Need to Floss?

Yes. Floss removes plaque and debris that sticks to teeth and gums in between teeth, polishes tooth surfaces, and controls bad breath. Plaque is a sticky layer of material containing bacteria that accumulates on teeth, including places where toothbrushes can't reach. This can lead to gum disease. By flossing your teeth daily, you increase the chance of keeping them for a lifetime and decrease the chance of getting gum disease.

Why should I floss?

Floss removes plaque and debris that adhere to teeth and gums in between teeth, polishes tooth surfaces and controls bad breath. By flossing your teeth daily, you increase the chances of keeping your teeth a lifetime and decrease your chance of having periodontal (gum) disease and tooth decay.

Flossing is the single most important weapon against plaque, perhaps more important than the toothbrush. A toothbrush cleans the tops and sides of your teeth. Dental floss cleans between them. Some people use waterpicks, but floss is the best choice. Many people just don't spend enough time flossing and many have never been taught to floss properly. When you visit your dentist or hygienist, ask to be shown.

Which type of floss should I use?

Dental floss comes in many forms: waxed and unwaxed, flavored and unflavored, wide and regular. Wide floss, or dental tape, may be helpful for people with a lot of bridge work. Tapes are usually recommended when the spaces between teeth are wide. They all clean and remove plaque about the same. Waxed floss might be easier to slide between tight teeth or tight restorations. However, the unwaxed floss makes a squeaking sound to let you know your teeth are clean. Bonded unwaxed floss does not fray as easily as regular unwaxed floss but does tear more than waxed floss.

How should I floss?

There are two flossing methods: the spool method and the loop method. The spool method is suited for those with manual dexterity. Take an 18-inch piece of floss and wind the bulk of the floss lightly around the middle finger. (Don't cut off your finger's circulation!) Wind the rest of the floss similarly around the same finger of the opposite hand. This finger takes up the floss as it becomes soiled or frayed. Maneuver the floss between teeth with your index fingers and thumbs. Don't pull it down hard against your gums or you will hurt them. Don't rub it side to side as if you're shining shoes. Bring the floss up and down several times, forming a "C" shape around the tooth and being sure to go below the gumline.

The loop method is suited for children or adults with less nimble hands, poor muscular coordination or arthritis. Take an 18-inch piece of floss and make it into a circle. Tie it securely with three knots. Place all of the fingers, except the thumb, within the loop. Use your index fingers to guide the floss through the lower teeth, and use your thumbs to guide the floss through the upper teeth, going below the gumline and forming a "C" on the side of the tooth.

How often should I floss?

At least once a day. To give your teeth a good flossing, spend at least two or three minutes.

What are floss holders?

You may prefer a prethreaded flosser or floss holder, which often looks like a little hacksaw. Flossers are handy for people with limited dexterity, for those who are just beginning to floss or for caretakers who are flossing someone else's teeth.

Is it safe to use toothpicks?

In a pinch, toothpicks are effective at removing food between teeth, but for daily cleaning of plaque between teeth, floss is recommended. When you use a toothpick, don't press too hard, as you can break off the end and lodge it in your gums.

Do I need a waterpick (irrigating device)?

Don't use waterpicks as a substitute for brushing and flossing. But they are effective around orthodontic braces, which retain food in areas where a toothbrush cannot reach. However, they do not remove plaque. Waterpicks are frequently recommended by dentists for persons with gum disease; solutions containing antibacterial agents like chlorhexidine or tetracycline, available through a dentist's prescription, can be added to the reservoir in these cases.

Using Floss Once a Day Helps Fight Decay

Some people loop. Some people spool. Others simply refuse. The verdict is in: Flossing is one of the best things you can ever do to take care of your teeth.

"Flossing every 24 hours to break up plaque is imperative for good oral health," says Academy of General Dentistry (AGD) spokesperson Gordon Isbell, DMD, MAGD.

An article in the October 2005 issue of AGD Impact, AGD's monthly newsmagazine, describes how floss is the single most important factor in preventing periodontal (gum) disease, which affects more than 50 percent of adults.

Flossing, which is just as important as brushing, helps removes the plaque and debris that stick to teeth and gums between the teeth. It also helps polish the tooth's surface and control bad breath.

Dental floss can be waxed or unwaxed, flavored and unflavored, wide and regular. All floss helps clean and remove plaque. Wider floss, also known as dental tape, may help people with a lot of bridge work and is usually recommended when the spaces between teeth are wide. Waxed floss can be easier to slide between teeth with very little space between. Unwaxed floss makes a squeaking sound, which lets the user know their teeth are clean.

Electric flossers are now on the scene, but most dentists contend there is no substitute for manually flossing one's teeth.

"Electric flossing is no substitute, but if someone has a disability and can't manually floss, it is better than nothing," says Dr. Isbell.

Similarly, dentists say that waterpicks should not be used as a substitute for brushing and flossing because they don't remove plaque. Dentists do recommend waterpicks for people with braces or dentures or those with gum disease who have trouble flossing because of pain.

Benefits of flossing:

• Decreased risk of gum disease
• Better breath
• Removes plaque between teeth
• Polishes tooth surface

Can't Floss Regularly? Once a Day Keeps Tartar Away!

Despite recommendations and warnings from dentists about the importance of regular flossing, many people admit they still don't do it, and countless more floss only in the days and weeks before or after their semi-annual cleanings and checkups, reports the Academy of General Dentistry (AGD).

The reasons patients cite for not flossing are many, but lack of time is the most common. Many patients feel guilty about not flossing daily, and some abandon the practice all together.

"I request that my patients floss once a day for control of tartar build-up on their teeth, because plaque is continually developing on your teeth, causing cavities and gum disease," says AGD spokesperson Barbara Rich, DDS.

Dr. Rich tells people not to give up – flossing even two or three times a week has its benefits, and it's far better than not flossing at all. "At least get in there and break up those colonies of bacteria and germs so they aren't accumulating for quite so long."

"I tell patients they don't have to make flossing a 20-minute routine in front of the mirror, but floss correctly by sliding the floss against the side surfaces of the teeth – not just sliding it between the teeth. Once you are familiar with flossing, floss when and where you have time. You can even keep floss near your favorite chair and do it while watching television."

She also tells patients who have trouble fitting it into their routine that they might try flossing earlier in the evening, or even during a break at work. "Although the best time to floss is before bed, getting it done is more important than what time it's done."

Some patients report they stop flossing because they noticed that their gums bleed when they floss. "That means there are germs and inflammation in there. Patients should continue flossing, and the bleeding will usually stop within a week or two," says Dr. Rich. Those who don't floss due to arthritis or lack of dexterity can try specially designed plastic holders for dental floss.