Q&A with Dr. Ellie: Water Flossing

February 15, 2021

Question: Is it safe to use a water flosser? -JoAnn

Hi JoAnn – Thank you so much for asking such a good question.

First of all, I’d like to explain that I have never suggested anyone should floss or use a water-flossing device to improve their mouth health.

Dentistry has promoted flossing in the US for decades. I came from a background in Europe, where flossing was never mentioned but I noticed patients enjoyed ultimate oral health – and never needed any help from floss. The focus was on good oral care, good habits, and good nutrition. Mechanical cleanings and floss were not part of the program.

When I came to the US I was surprised to hear the constant focus on 6-month cleanings and flossing. I also noticed that most people didn’t get healthier. There is no science to support flossing – and I believe the water flosser was simply a good way to divert attention from the lack of help provided by traditional string floss. It seems to make sense that this jet would help – but it does not because the pressure can damage the delicate healing fibers that heal periodontal pockets. The end result is that periodontal pockets never heal or go away. This is why it is not my therapy for anyone with gum disease.

For a lazy teen with braces I think the water flosser may be a helpful way to clean around difficult appliance corners. But again, if you have periodontal pockets and think a water flosser is going to help you, I suggest a far better method using the power of xylitol and selective mouth rinsing. My Complete Mouth Care System combined with good gum massage (using a firmer toothbrush) should help you resolve pocketing in a matter of months.

You may want to check the videos on my website for information on selecting a toothbrush and how to brush correctly. It is part of my video bootcamp. You can access the first two videos of this program for free if you choose to preview them.

I hope this is useful information for you!

Best wishes,
Dr. Ellie

Comments/Questions? Please submit below.

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Dr. Ellie


My passion is educating people about oral health. For decades I’ve worked with patients of all ages, in different countries, in high and low-risk communities, and from every walk of life. I’ve seen the same results over and over again –people who transformed their oral health – sometimes in days or weeks, even after they had suffered years of pain and frustration. It’s never too late, and my ways will give you the key to a lifetime of improved oral health.

Dr. Ellie Phillips

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