Interdental Brushes vs. Floss vs. Water Flosser: Which Actually Fits Your Mouth

Restorative Dentistry · 8 min read

Interdental Brushes vs. Floss vs. Water Flosser: Which Actually Fits Your Mouth

Reviewed January 14, 2025
Written by
1PleasantonDentist Editorial Team, Editorial team
Reviewed by
Editorial team

Image: Based on sketch by: Offy, new digital iteration of drawing with more fauna, colour, and amplified detail by: PaleoGeekSquared · BY-SA 4.0 · Source

These three tools all clean between teeth, but they're not interchangeable for every situation. Here's how to figure out which one you actually need.

What Is Traditional String Floss?

A thin thread, either waxed or unwaxed, manually guided between each pair of teeth to physically scrape away plaque and debris from the tooth surfaces facing each other, remaining the most widely recommended standard tool for this purpose.

What Is an Interdental Brush?

A small, brush-like tool with fine bristles on a thin handle, designed to be inserted into the space between teeth, particularly effective for larger gaps, such as those created by gum recession, or for cleaning around fixed dental work like bridges and certain orthodontic appliances.

What Is a Water Flosser?

A device that uses a targeted, pressurized stream of water to flush debris and plaque from between teeth and along the gumline, offering an alternative approach that doesn't require manual dexterity with a thread the way traditional floss does.

Who Might Prefer Traditional Floss?

People with typical tooth spacing, no significant gum recession creating larger gaps, and reasonable manual dexterity often find traditional floss effective, affordable, and straightforward, making it a perfectly good default choice for many people.

Who Might Prefer an Interdental Brush?

People with larger spaces between teeth, whether from gum recession or naturally wider spacing, and people with certain fixed dental work like bridges, where the specific brush shape can more effectively clean underneath and around the appliance, often find interdental brushes more effective than traditional floss for these specific situations.

Who Might Prefer a Water Flosser?

People who find traditional floss physically difficult to use, whether due to dexterity limitations, braces or other orthodontic appliances making floss threading cumbersome, or personal preference, often find a water flosser a more comfortable, sustainable option they're more likely to actually use consistently.

Is One Tool More Effective Than the Others Overall?

Research comparing these tools generally shows all three can be effective when used properly and consistently, with the more important factor being which tool you'll actually use reliably as part of your daily routine, rather than one being definitively superior in every situation for every person.

Can You Use More Than One of These Tools?

Yes, this is common and reasonable — some people use an interdental brush for wider gaps between certain teeth while using traditional floss for more typically spaced teeth elsewhere, or use a water flosser as a supplement to, rather than complete replacement for, traditional floss.

Do Braces Change Which Tool Makes the Most Sense?

Yes, braces make traditional floss threading through wires more cumbersome, which is part of why many orthodontic patients specifically turn to a water flosser, a floss threader, or a specific orthodontic flossing tool designed to navigate around brackets and wires more easily.

Is a Water Flosser Alone Enough, Without Any Manual Tool?

For most people, research generally supports water flossers as effective, though some dental professionals still recommend combining this with either traditional floss or an interdental brush for the most thorough cleaning, particularly for tightly spaced teeth where the physical scraping action of floss or a brush provides an additional benefit beyond the water stream alone.

How Do You Know Which Tool Is Right for Your Specific Mouth?

Asking your dentist or hygienist directly during a checkup is the most reliable way to get a recommendation genuinely suited to your specific tooth spacing, any existing dental work, and your personal dexterity and preferences, rather than guessing based on general marketing.

Frequently asked questions