To compare the use of a manual toothbrush and the Waterpik® Water Flosser with the Orthodontic Tip to manual toothbrushing and flossing with a floss threader on bleeding and plaque biofilm reductions in adolescents with fixed orthodontic appliances. A control group consisted of brushing only.
One hundred five adolescents with fixed orthodontics participated in this single-centre, randomized study. Bleeding and plaque biofilm scores were collected at baseline and days 14 and 28.
The Waterpik® Water Flosser was over 3 times more effective than flossing and over 5 times more effective than brushing alone for the reduction of plaque biofilm. For bleeding, the Water Flosser was 26% better than flossing and 53% better than brushing alone.
Adding a Waterpik® Water Flosser with the Orthodontic Tip to manual toothbrushing is significantly more effective at improving oral health in adolescent orthodontic patients, including those with braces, than adding manual floss or brushing only.