Water Flosser vs String Floss: Which Is Actually Better?
The flossing debate has divided dentists for years. Traditional string floss has been the gold standard for decades, but water flossers have gained massive popularity. Which one should you actually use?
We dug into 15 clinical studies to give you a straight answer.
The Short Answer
Both work. But they work differently:
String floss is better at scraping plaque off tooth surfaces between teeth
Water flossers are better at cleaning below the gumline and around dental work
The best choice depends on your specific dental situation. Here's the detailed breakdown.
String Floss: The Classic
Best for: Healthy teeth with normal spacing, tight contacts between teeth
String floss physically scrapes the biofilm (plaque) off the sides of your teeth โ surfaces your toothbrush can't reach. The mechanical scraping action is very effective at disrupting bacterial colonies.
Pros
Cheapest option (pennies per use)
Most effective at removing interproximal plaque
No charging or maintenance required
Portable โ fits in your pocket
Dentist-recommended for decades
Cons
Difficult technique โ most people do it wrong
Hard to reach back molars
Can cause gum bleeding if done incorrectly
People with braces, bridges, or implants struggle with it
Compliance is low โ only 30% of people floss daily
Proper Technique (Most People Get This Wrong)
Use 18 inches of floss, wind around middle fingers
Hold 1-2 inches between thumbs and index fingers
Slide gently between teeth โ don't snap
Curve into a C-shape against one tooth and scrape up/down
Repeat for the other side of the gap
Use a clean section of floss for each gap
The C-shape curve is the step most people skip. Going straight up and down misses most of the plaque.
Water Flosser: The Modern Alternative
Best for: Braces, implants, bridges, gum disease, arthritis, anyone who won't floss otherwise
A water flosser uses a pressurized stream of water to blast food particles and bacteria from between teeth and below the gumline. It's less about scraping plaque and more about flushing debris.
Pros
Much easier to use than string floss
Superior at cleaning below the gumline (gum pockets)
Excellent for braces, implants, and dental work
Reduces gingivitis more effectively than string floss (per several studies)
Better for people with dexterity issues
People actually use it consistently
Cons
Costs $30-$80 upfront
Needs counter space and an outlet (countertop models)
Messy until you get the technique down
Less effective at scraping tight interproximal plaque
Requires water refills during use
Key Research
A 2013 study in the Journal of Clinical Dentistry found that water flossers were 29% more effective than string floss at removing plaque overall, and 51% more effective at reducing gingivitis.
However, a separate study found string floss was better at removing plaque from tight contact points between teeth specifically.
Head-to-Head Comparison
Factor String Floss Water Flosser Plaque removal (tight spaces) Better Good Below gumline cleaning Good Better Gingivitis reduction Good Better Ease of use Moderate Easy Braces/implants Difficult Excellent Cost $2-5/year $30-80 once Portability Excellent Poor-Good Compliance rate Low (30%) High (60%+)
Who Should Use What
Use string floss if: - You have healthy teeth with normal spacing - You have good dexterity - You've mastered the C-shape technique - You're on a tight budget
Use a water flosser if: - You have braces, implants, bridges, or crowns - You have gum disease or deep gum pockets - You find string floss difficult or painful - You have arthritis or limited hand mobility - You want the easiest possible routine
Use BOTH if: - You want the absolute best results - String floss for plaque scraping + water flosser for gum irrigation - This is what most periodontists recommend for patients with gum disease
Our Water Flosser Picks
If you decide to go the water flosser route, here are our tested recommendations:
Waterpik Aquarius (WP-660) โ Best overall. 10 pressure settings, 7 tips, 90-second reservoir. The standard by which all others are judged.
Waterpik Cordless Advanced โ Best portable option. USB rechargeable, waterproof, travel-friendly.
Nicwell F5025 โ Best budget pick. 4 modes, 300ml tank, USB-C charging. Amazing value under $30.
The Bottom Line
The best flossing method is the one you'll actually do every day. A water flosser used daily beats string floss used once a week.
If you're currently not flossing at all, start with a water flosser โ compliance rates are dramatically higher, and the gum health benefits are well-documented.
If you're disciplined with string floss and have healthy teeth, there's no need to switch. But if you have any dental work or gum issues, adding a water flosser to your routine is one of the best investments you can make.
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