Objective
This study aims to compare the effectiveness of the water flosser and dental floss in improving gingival health around dental implants, particularly regarding the reduction of bleeding on probing (Bleeding on Probing, BOP), a key indicator of gingival inflammation and the risk of peri-implantitis.
Methodology
The study conducted by Magnuson et al. evaluated the effects of the water flosser and dental floss on the gingival health of implants after a 30-day usage period. Two groups were formed:
- Water flosser group: Patients using a water flosser in addition to brushing
- Dental floss group: Patients using dental floss in addition to brushing
The progression of gingival health was measured by observing the reduction in bleeding on probing (BOP).
Results: Up to 2.5X greater effectiveness
The results demonstrate that the water flosser is significantly more effective than dental floss in improving gum health around implants:
- Reduction in bleeding on probing (BOP): After 30 days of use, 81.8% of implants in the water flosser group showed a reduction in BOP, compared to only 33.3% in the dental floss group.
- Relative effectiveness: The water flosser was 2.5 times more effective than dental floss in reducing signs of gingival inflammation around implants.
- Prevention of peri-implantitis: A reduction in bleeding on probing is a key indicator in preventing peri-implant diseases. The water flosser demonstrates here an enhanced ability to support the stability and health of peri-implant tissues.
Conclusion
The clinical results confirm that the water flosser is a significantly more effective alternative to dental floss for improving gingival health around dental implants. Its action allows for a significant reduction in bleeding, thereby contributing to the prevention of peri-implant complications such as mucositis and peri-implantitis. The water flosser is therefore a recommended tool for implant wearers who want to optimize their oral hygiene and extend the longevity of their implant restorations.
Scientific sources
Magnuson B, Harsono M, Stark PC, et al. Comparison of the Effect of Two Interdental Cleaning Devices Around Implants on Bleeding and Plaque: A 30-day Randomized Clinical Trial. J Clin Periodontol. 2013;40(3):214-222. PMID: 24568169
