It's Dental Week: Are Waterpiks worth it?

Many interdental cleansing devices are on the market and many approaches to interproximal plaque removal exist. The best choice for inter-dental cleansing is the one that works for the patient.

Physical limitations often determine choices. Certain individuals (e.g., those with arthritis, young children who are developing motor control) may not have the manual dexterity to manipulate floss effectively; others may prefer flossing over the use of inter-dental brushes or irrigation devices (such as the Waterpik). Irrigation devices are helpful to those with limited hand movement and often are beneficial for patients in orthodontic bands or wires.

Oral anatomy such as occlusion and the presence of certain restorative work (fillings, bridges, implants) can dictate what inter dental cleansing devices are preferable. For larger spaces or under fixed bridge work, irrigation devices (such as the Waterpik) or interdental brushes may be more effective in removing plaque than dental floss, as they tend to cover more area.

The price range for interproximal cleansing tools varies and appliances such as irrigation devices are more costly than traditional floss or interdental brushes. Most appliances used for oral cleansing have longevity and manufacturer warranties, particularly if the brand is well-known. If an irrigation device is most appropriate for a patient, its purchase should be considered an investment for oral health.

Any interdental cleansing device has the potential to be harmful, if used incorrectly. Irrigation devices are packaged with instructions that recommend the appropriate angle of the water jet. The user also can manipulate the power of the water spray to avoid injury. Overly forceful or extremely vigorous use of dental floss or interdental brushes (e.g., proxabrush) can cut and/or irritate gum tissue.

For the best results, interdental cleansing devices must be individualized to address patients' needs and adaptable to their oral and physical conditions. Oral health professionals are the best resources for determining what device is most appropriate for a patient's use.