Evaluation of the Plaque Removal Efficacy of a Water Flosser Compared to String Floss in Adults After a Single Use
Objective
To compare the plaque-removal efficacy of the Waterpik™ Water Flosser to string floss when used alongside a manual toothbrush.
Methodology
Seventy subjects participated in this randomised, single-use, single-blind, parallel clinical study.
Participants abstained from all oral hygiene for twenty-three to twenty-five hours prior to their appointment.
Subjects were screened and assigned to one of two groups:
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Waterpik Water Flosser plus a manual toothbrush
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Waxed string floss plus a manual toothbrush
Instructions were provided for each product. Each participant brushed for two minutes using the Bass method.
Group One used the Water Flosser with 500 ml of warm water, and Group Two used waxed string floss to clean all interproximal areas.
Subjects were observed to ensure proper use and complete coverage.
Plaque scores were recorded for whole mouth, marginal, approximal, facial, and lingual regions using the Rustogi Modification of the Navy Plaque Index.
Results
The Waterpik Water Flosser was 29% more effective than string floss for overall plaque removal, 29% more effective for approximal surfaces, and 33% more effective for marginal surfaces.
Conclusion
The Waterpik Water Flosser is significantly more effective than string floss in removing plaque from all tooth surfaces after a single use.