Pricey CURAPROX,
My pals have been speaking about switching from dental floss to interdental brushes for higher oral care and simpler brushing. Plainly everyone seems to be speaking about interdentals, however how do I ensure they’re proper for me? Is there a option to see whether or not I ought to use them or not? What’s the skilled perspective on interdentals?
— Alex M., Hamburg
Pricey Alex,
Though this recommendation comes from a licensed skilled, remember to see your dentist earlier than you do something new to your tooth.
The query now shouldn’t be whether or not it’s best to use interdentals or not – it’s about correct collection of these brushes and methods. So ensure you see your dentist to get assist with choosing the appropriate dimension and sort of interdental brush and studying correct interdental brushing methods.
Having stated that, let’s take a look at interdentals and oral care on the whole to offer you a greater understanding.
The issue: when pure biofilm turns into dental plaque
Like with virtually all the pieces in nature, there are at all times some micro organism in your mouth and in your tooth. Micro organism are mainly all over the place: within the air, in meals, in your pores and skin, the entire world is roofed in them, so don’t be shocked.
Normally, these micro organism are in good stability with the protecting brokers in our mouth. We now have sure antibacterial brokers in our saliva that hold the traditional bacterial flora in examine. However when micro organism meet a tough floor (our tooth) in a moist atmosphere, they have a tendency to choose that floor and begin increase.
In our mouth, micro organism construct constructions that we name biofilm – it’s a layer of residing organisms strengthened with protecting components. This biofilm permits micro organism to reside and breed in a extra protected atmosphere. Mainly, biofilm is like micro organism constructing villages, cities and cities – however in your tooth. The micro organism haven’t any concern about your well-being, so they simply construct the movie wherever they will.
When micro organism breed within the security of biofilm, they produce quite a lot of waste. The larger and stronger the biofilm, the extra waste micro organism produce. This waste offsets the chemical stability on our tooth, and results in tooth decay, unhealthy breath and all kinds of gum illness. When the movie is just too thick and powerful, we name it dental plaque. Naturally, we need to keep away from plaque as a lot as we will.

Easy methods to destroy the plaque
The one option to correctly destroy the biofilm is bodily disrupting its construction. You’re taking a mushy toothbrush and clear your tooth: two occasions a day, gently and totally, back and front, till the tooth are clear. Dashing by way of the method gained’t work: if you don’t brush correctly, there’s quite a lot of biofilm left on the tooth, so micro organism haven’t any downside rebuilding their colonies within the subsequent few hours.
Utilizing a mouthwash as an alternative of brushing gained’t work both: the movie can get actually sturdy, so a mouthwash gained’t do any lasting harm. You would possibly really feel freshness in your mouth, however this sense merely masks the truth that the biofilm continues to be there, and the bacterial colony is rising stronger.
The identical goes for chewing gum: it masks unhealthy breath, however the bacterial colonies are nonetheless there, breeding and producing waste. To do away with the plaque, you’ve acquired to brush; there is no such thing as a different approach.
Toothpaste additionally performs an necessary position in combating the plaque: the biofilm will get destroyed by way of the mechanical brushing motion, after which the paste helps enhance your pure defence (on condition that it incorporates fluoride, however that’s a narrative for one more time). Nonetheless, the paste alone doesn’t work.
Dental plaque hides within the interdental house
Typical brushing solely covers the entrance of your tooth. Correct brushing has to cowl the back and front. However no standard brush can attain the areas on the sides of your tooth – we name these areas the interdental house. When you could have meals caught in your tooth, that’s the place it goes.
Everybody has some form of interdental house, however since your tongue isn’t skinny sufficient to get there, you would possibly assume you could have none. However you do: in the event you ever used a toothpick, that’s the place it went.

Interdental house is the perfect place for the biofilm to build up: it’s normally undisturbed, quiet and stuffed with vitamins. So even individuals with nice brushing habits can have dental plaque accumulating within the interdental house. This place must be cleaned.
Cleansing the interdental house: flossing vs. interdental brush
There are two frequent methods to wash interdental house: dental floss and interdental brushes.
In line with a current meta-analysis, interdental brushes are considerably simpler and fewer aggressive than floss. Dentists additionally level to the truth that floss can minimize into gums and harm them, whereas the interdental brush doesn’t do this. Nonetheless, some locations will solely enable entry by floss, and your dentist will point out this if wanted.
Interdental brushes go between your tooth and destroy the constructions of the biofilm. A easy in-and-out motion is normally sufficient. The comb is then rinsed clear and could be reused.
In contrast to dental floss, interdental brushes have bristles that get into all corners and areas and clear out the plaque. This makes them simpler than floss.

For various sizes of interdental areas, you want totally different sizes of interdental brushes. Ensure that your dentist picks out the correct sizes for you and checks them out with you. You would possibly get totally different interdentals for various elements of your mouth: for instance, you’ll have entrance tooth cleaned with the thinner brush, and your again tooth with a thicker one.
It’s important to comply with your dentist’s suggestions on the sizes of your interdentals. Cleansing with a brush that’s too small could be ineffective – the bristles gained’t do the job. If the comb is just too large, it gained’t match. Toothbrush makers have sufficient sizes for all tooth, so simply comply with your dentist’s suggestions.
What to think about if you select an interdental
Since interdentals go between your tooth, it’s a must to select their dimension fastidiously to keep away from any harm or unpleasantness. It’s greatest to see your dentist and have them measure your interdental house. Each dentist has a correct software that helps them measure exactly your interdental house and match it with a correct sort of interdental brush. You’ll get a suggestion for the precise dimension of the comb and perhaps even some samples to attempt at house.
It’s a good suggestion to attempt utilizing your new interdental whereas nonetheless in your dentist’s workplace. That approach, you’ll ensure you’re doing it proper and never damaging your tooth and gums. Be happy to ask any questions and get aware of your new interdentals earlier than taking them house.
Some individuals expertise short-term bleeding after they use an interdental for the primary time: this can be a signal {that a} delicate type of gum illness has already began close to the interdental house, and by brushing you’ve disrupted a small portion of the gum that incorporates tiny blood vessels. It’s a very good factor you caught it early, as a result of somewhat later you may be getting the identical type of bleeding from standard brushing. Don’t fear: when you clear out the biofilm from in between your tooth, the gum irritation will go away, the blood vessels will probably be protected and there’ll be no bleeding.
If the bleeding persists, contact your dentist.
What to keep away from
Don’t self-diagnose gum ailments, don’t measure your personal interdental house and don’t top off on interdental brushes based mostly on self-diagnosis. Interdentals must be picked by an expert who can expertly consider your tooth. There are various sorts of interdental brushes that go well with sure tooth situations, so don’t self-prescribe or self-medicate, irrespective of how user-friendly the packaging appears.
Don’t substitute common brushing with interdental brushing altogether. Interdental cleansing is part of your brushing ritual. Correct common toothbrushing continues to be important: mushy brush, mild round motions, back and front, till clear, twice a day.
All the time begin with essentially the most tough locations: A correct toothbrushing approach that truly works
It’s typically a good suggestion to keep away from a high-carb, high-sugar weight loss program because it reduces your saliva’s capability to guard your tooth. Micro organism breed higher when sugars abound, so don’t give them the chance.
When you’ve got diabetes or immune-related points, be further cautious along with your oral hygiene and interdental house. Lowered immune response weakens your gums’ means to counteract the micro organism which are already in your tooth, making gums extra prone to irritation.