Wearing an orthodontic appliance is an investment in a beautiful, healthy smile, but it also comes with certain challenges regarding daily oral hygiene. The components of fixed appliances – brackets, wires, and ligatures – create numerous spaces where food debris and plaque easily accumulate, which are difficult to remove with traditional cleaning methods. That is why specialists recommend supplementing the daily routine with a dental water flosser.

Why is regular brushing not enough with orthodontic appliances?

Even specialized orthodontic toothbrushes are not always able to thoroughly clean all the nooks of the appliance. Studies show that orthodontic patients are more prone to:

• development of cavities in hard-to-reach places,
• gum inflammation (gingivitis),
• demineralization of enamel around orthodontic brackets,
• unpleasant mouth odor caused by lingering food debris [1].

See also: 10 most common mistakes in dental care. Do you make them too?

Water flosser – principle of operation and effectiveness

The oral irrigator works on the principle of a controlled stream of pulsating water directed to specific areas of the oral cavity. This mechanism can be compared to a pressure micro-washer, which:

• reaches spaces inaccessible to toothbrush bristles,
• washes away food debris around orthodontic brackets,
• removes bacteria from gum pockets,
• massages gum tissues, improving their blood circulation.

Clinical studies confirm that using a water flosser in combination with brushing effectively reduces the amount of plaque and bacteria around orthodontic brackets [2].

Key benefits of using a water flosser during orthodontic treatment

Regular use of the irrigator brings orthodontic patients a number of measurable benefits:

• comprehensive appliance cleaning – the water stream effectively rinses food debris from hard-to-reach places around brackets, arches, and ligatures,
• caries prevention – thorough removal of bacterial plaque significantly reduces the risk of caries development around appliance components,
• gum health – the pulsating water stream stimulates blood circulation in gum tissues, reducing inflammation often accompanying orthodontic treatment,
• fresh breath – elimination of residual food prevents the growth of bacteria responsible for unpleasant odor,
• time saving – the irrigator allows for faster and more effective cleaning of the appliance compared to traditional methods using interdental brushes or dental floss.

See also: Dental ultrasonic cleaner – what kind of device [...]

ZENT® Stream+ irrigator – a specialized solution in orthodontic hygiene

Various models of irrigators are available on the market, among which ZENT® Stream+ stands out, designed with the specific needs of orthodontic patients in mind. This device is characterized by:

• advanced 360° tip rotation technology providing access to all areas of the oral cavity, especially hard-to-reach spaces around the appliance,
• three operating modes tailored to individual needs:
  • gentle mode – for people with sensitive gums,
  • normal mode – for daily use,
  • pulsation mode – for intensive cleaning.
• a set of three interchangeable tips allowing precise adjustment of the stream to different areas of the oral cavity,
• with optimal water pressure effectively removing debris without irritating tissues.

The device is available in various color options, allowing customization to individual aesthetics.

Specialists' recommendations for using a water flosser

Dentists and dental hygienists recommend that orthodontic patients use a water flosser:

• after every main meal,
• as a supplement, not a substitute for standard brushing,
• with the addition of mouthwash (in proportions recommended by the manufacturer) to help reduce bacteria in hard-to-reach places.

Remember that optimal orthodontic treatment results are not only a matter of proper tooth alignment but also maintaining excellent oral hygiene throughout the entire period of wearing the appliance.

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REFERENCES

1. Umalkar, Y. N. et al. (2023). Comparative Evaluation of Cleaning Efficacy of Interdental Brush and Interdental Floss in Orthodontics Patients From Vidarbha Region: An Interventional Study. Cureus.
2. AlMoharib, H. S. et al. (2024). The effectiveness of water jet flossing and interdental flossing for oral hygiene in orthodontic patients with fixed appliances: a randomized clinical trial. BMC Oral Health.

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Paulina Koziar – A dental hygienist who, thanks to her experience and passion, created ZENT Dental Box, a subscription hygiene set tailored to the real needs of users. Her professional goal and dream is a Poland free of cavities. With this mission, she inspires others to take care of a healthy smile daily in a convenient, effective, and modern way. In her texts, Paulina shares knowledge and emphasizes that daily oral hygiene requires not only regularity but also properly selected products that make the routine easier and more effective.