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Study Questions Effectiveness of Flossing for Plaque Reduction

Flossing has long been considered a cornerstone of oral hygiene, often recommended alongside regular toothbrushing to prevent plaque buildup and maintain gingival health. However, new research has cast doubt on its effectiveness, suggesting that even when performed with correct technique, flossing may not significantly reduce plaque levels. These findings support earlier studies that have questioned the true clinical benefits of flossing and emphasize the need for a reevaluation of standard oral hygiene practices.
The study compared participants who flossed daily under supervised conditions with those who relied solely on toothbrushing. Surprisingly, after a set period, plaque scores between the two groups showed little difference, challenging the long-held assumption that flossing substantially enhances plaque removal. Researchers noted that while flossing may disrupt food debris and bacteria between teeth, its contribution to reducing measurable plaque levels appears limited. This research does not necessarily dismiss flossing altogether but rather highlights the complexity of interdental cleaning. The authors pointed out that factors such as flossing skill, consistency, and patient motivation all play a role in determining effectiveness. Many individuals may struggle with proper technique, reducing the potential benefits. Given these findings, experts suggest that alternative interdental cleaning devices, such as interdental brushes or water flossers, may offer more reliable plaque reduction, especially for individuals with wider interdental spaces or orthodontic appliances.
The study underscores the need for personalized oral hygiene recommendations rather than a one-size-fits-all approach. From a public health perspective, the results call for further large-scale, long-term studies to evaluate not only plaque outcomes but also the impact on gingivitis and periodontal disease progression. Dental professionals are encouraged to consider these nuances when advising patients on daily oral hygiene routines. Ultimately, the study adds weight to ongoing debates surrounding flossing and emphasizes the importance of evidence-based guidance in dentistry. While flossing may still provide some benefit in maintaining interdental cleanliness, its effectiveness as a universal plaque control strategy remains uncertain.
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.