An oral irrigator (also called a dental water jet, water flosser or,
by the brand name of the best-known such device, Waterpik) is a home
dental care device which uses a stream of high-pressure pulsating water intended to remove
dental plaque
Dental plaque is a biofilm of microorganisms (mostly bacteria, but also fungi) that grows on surfaces within the mouth. It is a sticky colorless deposit at first, but when it forms tartar, it is often brown or pale yellow. It is commonly found be ...
and food debris between teeth and below the gum line. Regular use of an oral irrigator is believed to improve
gingiva
The gums or gingiva (plural: ''gingivae'') consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health.
Structure
The gums are part of the soft tissue l ...
l health. The devices may also provide easier cleaning for
braces and
dental implant
A dental implant (also known as an endosseous implant or fixture) is a prosthesis that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, or facial prosthesis or to act as an orthodo ...
s. However, more research is needed to confirm plaque
biofilm
A biofilm comprises any syntrophic consortium of microorganisms in which cells stick to each other and often also to a surface. These adherent cells become embedded within a slimy extracellular matrix that is composed of extracellular po ...
removal and effectiveness when used by patients with special oral or systemic health needs.
History
The first oral irrigator was developed in the 1950s by Dr. C.D. Matteson, who patented the invention in 1955. Dr. Matteson's invention was designed to cleanse the teeth and gums after meals as an alternative to using hand syringes. It attached directly to a sink's faucet and featured a mechanical valve to control water pressure.
Later, in 1962, dentist Gerald Moyer and engineer John Mattingly invented Waterpik. The Waterpik featured a built in reservoir and motor to pump water out of a tip at rhythmic pulses. The Waterpik is now sold by
Water Pik, Inc.
Efficacy
Oral irrigators have been evaluated in a number of scientific studies and have been tested for periodontal maintenance, and those with
gingivitis
Gingivitis is a non-destructive disease that causes inflammation of the gums. The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) that is attac ...
,
diabetes
Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ...
, orthodontic appliances, and tooth replacements such as
crowns, and
implants.
[
A 2008 ]systematic review
A systematic review is a scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on t ...
found improvement in gingival health with irrigation compared with regular oral hygiene, although there was no reduction in plaque. A 2019 meta-analysis
A meta-analysis is a statistical analysis that combines the results of multiple scientific studies. Meta-analyses can be performed when there are multiple scientific studies addressing the same question, with each individual study reporting m ...
found that water-jet irrigation is more effective at reducing bleeding on probing
Bleeding on probing (BoP) which is also known as bleeding gums or gingival bleeding is a term used by dentists and dental hygienists when referring to bleeding that is induced by gentle manipulation of the tissue at the depth of the gingival su ...
than flossing.
Other uses
Oral irrigators have also been used to remove tonsil stones ("tonsiloliths") in those subject to them.
See also
*Dental floss
Dental floss is a cord of thin filaments used in interdental cleaning to remove food and dental plaque from between teeth or places a toothbrush has difficulty reaching or is unable to reach. Its regular use as part of oral cleaning is designed ...
References
{{DEFAULTSORT:Oral Irrigator
Dental equipment
Oral hygiene