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Pocket Irrigation & Water Flossing: Cleaning Around Teeth and Gums

Cleaning between teeth and around the gum line is an important part of maintaining healthy teeth and gums. Water flossers and other oral-irrigation devices use a directed stream of water to help remove food debris and disrupt plaque in areas that can be difficult to clean with a toothbrush alone.

What Is Pocket Irrigation?

Pocket irrigation generally refers to flushing areas around or within periodontal pockets using a directed stream of fluid, sometimes as an adjunct to professional gum treatment. Home water flossing uses a consumer oral irrigator to help clean between teeth and along the gum line. Neither replaces scaling and root planing when professional periodontal treatment is needed.

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What Is a Water Flosser?

A water flosser—sometimes called an oral irrigator or water pick—directs a controlled stream of water around the teeth and along the gum line.

It can be particularly useful for people who find traditional floss difficult to use or who have areas of their mouth that are challenging to clean.

The goal isn’t to force water deeply beneath the gums. It’s to use the device correctly to supplement your daily plaque-control routine.

Who May Benefit From Water Flossing?

Different cleaning methods work better for different mouths. Dr. Christine Chin or your dental hygienist may discuss a water flosser when it could make daily cleaning easier or more effective.

It may be useful for people who:

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Have difficulty using traditional dental floss
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Have bridges or other dental work that can be difficult to clean around
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Need another way to clean around orthodontic appliances
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Have been given specific periodontal home-care instructions
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Simply find water flossing easier to use consistently

Can a Water Flosser Replace Regular Floss?

Not necessarily. The best method for cleaning between your teeth depends on your individual oral health, the spacing between your teeth, your dental work and how effectively you’re able to use each device.

Traditional floss, interdental brushes and water flossers are different tools. For some patients, one may work better than another. In other situations, a combination of methods may be recommended.

Dr. Chin or your dental hygienist can help you determine which approach is most appropriate for your mouth rather than assuming everyone needs exactly the same home-care routine. For more on flossing, read How to Brush & Floss Correctly: Better Dental Care at Home.

Can Pocket Irrigation Treat Gum Disease?

Irrigation can be a helpful addition to periodontal care, but it should not be confused with treatment that removes hardened tartar and bacterial deposits from tooth and root surfaces.

Professional pocket irrigation may be used in selected circumstances, but it is not necessary for every patient with periodontal disease. Its role depends on the clinical situation and the dentist’s treatment plan.

When periodontal disease is present, treatment may require professional cleaning below the gum line. Scaling and root planing, for example, is designed to remove plaque and hardened tartar from areas that home-care devices cannot adequately treat.

A water flosser can support good home care, but it cannot remove hardened tartar and does not replace professional periodontal treatment. For more on deep cleaning, read Scaling & Root Planing: Deep Cleaning for Gum Disease.

How Should I Use a Water Flosser?

Follow the instructions provided with your device and any recommendations from your dental team.

In general, the water stream is directed along the gum line and between the teeth while you work systematically around the mouth. Start with a comfortable pressure setting and give yourself time to learn how to control the water flow.

If Dr. Chin or your hygienist recommends a particular technique because of periodontal disease, dental restorations or another condition, follow those individualized instructions.

What If My Gums Bleed?

Bleeding can be a sign of inflamed gum tissue, especially when plaque has been accumulating around the teeth.

If your gums bleed frequently, remain swollen or tender, or continue bleeding despite consistent home care, don’t assume that changing your flossing method will solve the problem.

A dental examination can help determine whether gingivitis, periodontal disease or another issue may be contributing to the bleeding.

Home Care Is Part of Periodontal Care

Managing gum health doesn’t end when you leave the dental office. What you do between visits can have an important effect on plaque control and your overall periodontal health.

Your ideal routine may include a toothbrush, traditional floss, interdental brushes, a water flosser or a combination of tools.

Rather than buying every dental device available, ask us which tools make the most sense for your teeth and gums.

Not Sure How to Clean Around Your Gums?
Call or email Cedar Hills Dental Care. We can help you find a home-care routine that works for your teeth and gums.

Dentally Reviewed by Christine Chin, DMD
Christine Chin, DMD is an Oregon Health & Science University-educated dentist with more than 35 years of dental experience.
Learn more about Dr. Chin and Cedar Hills Dental Care.

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