Concerns about the effectiveness of dental floss?
The latest edition of the Dietary Guidelines for Americans has removed the recommendation for the public to use dental floss.
A review of research studies on dental floss over the past decade found that the evidence regarding its effectiveness is "weak and unreliable," and the effects of using dental floss are "minimal." Does this mean that the recommendation to use dental floss may not be meaningful?
adkert, 50~59 year old female. Ask Date: 2020/10/17
Dr. Zeng Guanghui reply Dentistry
Hello, if food debris gets stuck between your teeth after eating, simply brushing your teeth without using dental floss to clean between the teeth can lead to the accumulation of dental plaque, which may cause gingivitis, periodontitis, and even cavities between the teeth.
It is recommended that in addition to brushing your teeth after meals, you should also use dental floss to clean between your teeth.
Dr.
Tseng Guang-Hui, Director of Dentistry, Nantou Hospital.
Reply Date: 2020/10/17
More Info
The recent updates to the Dietary Guidelines for Americans, which have removed the recommendation for the use of dental floss, have sparked considerable debate within the dental community and among the general public. This change is primarily based on a review of studies conducted over the past decade, which concluded that the evidence supporting the effectiveness of dental floss is "weak and unreliable." This raises an important question: Does this mean that the recommendation to use dental floss is no longer meaningful?
To address this question, it is essential to understand the role of dental floss in oral hygiene. Dental floss is designed to remove plaque and food particles from between the teeth, areas that toothbrushes often cannot reach effectively. Plaque buildup can lead to gum disease and cavities, making interproximal cleaning a critical component of maintaining oral health.
While the recent guidelines suggest that the evidence for flossing may not be robust, this does not necessarily imply that flossing is ineffective. Many dental professionals still advocate for the use of dental floss as part of a comprehensive oral hygiene routine. The perceived lack of strong evidence may stem from the challenges in conducting high-quality research in this area. Studies on dental floss often face difficulties in controlling variables, measuring outcomes, and ensuring participant compliance. As a result, the findings may not fully capture the benefits of flossing in real-world scenarios.
Moreover, the effectiveness of dental floss can vary from person to person. For some individuals, especially those with tight contacts between teeth, flossing may be essential for preventing gum disease and cavities. Others may find that alternative interproximal cleaning devices, such as interdental brushes or water flossers, are more effective or easier to use. The key takeaway is that oral hygiene is not a one-size-fits-all approach; individuals should choose the methods that work best for their specific needs and circumstances.
In light of the recent guidelines, it is crucial for dental professionals to continue educating patients about the importance of maintaining good oral hygiene practices. While the recommendation for dental floss may have been removed, the underlying principle of cleaning between the teeth remains vital. Dentists should encourage patients to explore various interproximal cleaning options and find what works best for them.
In conclusion, while the recent Dietary Guidelines for Americans have questioned the strength of the evidence supporting dental floss, this does not negate its potential benefits. Dental floss can still play a valuable role in oral hygiene, particularly for individuals at higher risk for dental issues. Ultimately, the focus should be on promoting effective oral hygiene practices tailored to individual needs, ensuring that patients understand the importance of cleaning between their teeth, regardless of the specific tools they choose to use. Regular dental check-ups and consultations with dental professionals can help individuals make informed decisions about their oral health care routines.
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