Is Daily Flossing Harmful? Dental Health Concerns

Is using dental floss for cleaning teeth correct?

Hello Doctor: In the past, when I visited the dentist, I was advised to use dental floss regularly to maintain oral hygiene.
Therefore, I make it a point to use dental floss after every meal.
Sometimes, when food gets stuck between my teeth, I also use dental floss to clean it, so I always carry dental floss with me.
Currently, I do not have any new cavities (I had cavities as a child due to a sweet tooth, but they have been filled).
However, I have recently noticed that after using dental floss, the spaces between my teeth seem to be getting larger, and food often gets stuck in these gaps.
Additionally, my gums appear to be receding, and I can see a bit of the root of one tooth.
When I use dental floss on that area, I experience pain (but it doesn't hurt if I don't touch it, and it doesn't affect my ability to eat at the moment).
I'm unsure if using dental floss so frequently is correct.
Are there any remedies for the symptoms mentioned above?

sam, 30~39 year old female. Ask Date: 2000/11/16

Dr. Wu Jinjun reply Dentistry

Periodontal disease should certainly be treated by a periodontist.
In Taichung City, there are many hospitals with periodontists, such as Taichung Veterans General Hospital, Kuang San Hospital, Chung Shan Medical University, China Medical University, and Taichung Municipal Hospital.
As for a comprehensive periodontal treatment plan and precautions, I have previously written a detailed article on the Yahoo Health website in the "In-Depth Report" section.
Due to the length of the article, please refer to that website for more information.

Reply Date: 2000/11/16

More Info

Daily flossing is generally considered an essential part of maintaining good oral hygiene, but it can raise concerns if not done correctly or if there are underlying dental issues. Your experience of noticing larger gaps between your teeth and gum recession, along with sensitivity when using dental floss, suggests that there may be more going on than just the effects of flossing.

First, let's address the importance of flossing. Flossing helps remove food particles and plaque from between the teeth and under the gumline, areas that toothbrushes often miss. Regular flossing can significantly reduce the risk of cavities and gum disease. However, if you are experiencing pain or discomfort when using dental floss, it may indicate that you are flossing too aggressively or that there are existing dental problems that need to be addressed.

The sensation of increased spacing between your teeth could be due to gum recession, which is often caused by periodontal disease, aggressive brushing, or improper flossing techniques. When gums recede, the roots of the teeth become exposed, leading to sensitivity and a higher risk of decay at the root level. If you are noticing that your gums are receding and you can see the roots of your teeth, it is crucial to consult with a dentist. They can assess the health of your gums and teeth and provide guidance on how to manage your oral hygiene routine effectively.

In terms of your flossing technique, it is essential to be gentle. Here are some tips to ensure you are flossing correctly:
1. Use the Right Amount of Floss: Use about 18 inches of dental floss, winding most of it around your middle fingers, leaving a few inches to work with.

2. Gentle Motion: Slide the floss gently between your teeth using a sawing motion. Avoid snapping the floss into your gums, as this can cause irritation and contribute to gum recession.

3. Curvature: When the floss reaches the gumline, curve it into a C-shape against one tooth and slide it into the space between the tooth and gum. Repeat this for each tooth.

4. Frequency: Flossing once a day is generally sufficient. If you find that your teeth are frequently getting food stuck between them, consider using a water flosser or interdental brushes, which can be gentler and more effective for some people.

5. Monitor Your Gums: If you notice persistent bleeding, pain, or increased sensitivity, it is essential to stop flossing in that area and consult your dentist for a thorough examination.

Regarding your concern about the potential harm of daily flossing, if done correctly, it should not be harmful. However, if you are experiencing adverse effects, it may be a sign that your technique needs adjustment or that there are underlying dental issues that require professional attention.

In summary, while daily flossing is beneficial for oral health, it is crucial to ensure that you are using the correct technique and to be aware of any signs of gum disease or other dental issues. Regular dental check-ups are vital for maintaining oral health, especially if you are experiencing changes in your gum health or tooth sensitivity. If you have concerns about your flossing routine or the health of your gums, I recommend scheduling an appointment with your dentist for a comprehensive evaluation and personalized advice.

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