Many people today are confused about whether flossing teeth is actually necessary for good oral health.
Like with many dental practices, what conventional dentists recommend differs – sometimes dramatically – from what holistic dentists endorse to their patients. Flossing is no exception.
History of Dental Floss
In 1819, Levi Spear Parmly of New Orleans is credited with thinking up the practice of tooth flossing. He wrote about it in his book A Practical Guide to the Management of Teeth.
In less than a century, flossing was common dental practice with silk threads the most favored material.
In 1910, for example, the New York publication Practical Druggist and Pharmaceutical Review of Reviews emphatically declared the following to its readers:
You know the value of dental floss. No one realizes better than you that the constant use of it would save lots of tooth trouble. (1)
Flossing became more difficult during World War II when silk supplies became scarce. The ingenious dentist Charles Bass came up with a cheaper alternative by inventing the familiar nylon floss we know today. (2)
Flossing: Yes or No?
Long considered an indispensable tool for maintaining good oral health, flossing came under fire in 2016 with an Associated Press review of 25 studies on the subject.
The conclusion? Flossing has no scientifically measurable benefits for preventing cavities or gum disease. (3)
On top of this dental bombshell, the U.S. Department of Health and Human Services (HHS) and Department of Agriculture (USDA) quietly removed flossing from their guidelines for good oral health. (4)
According to a survey by the American Academy of Periodontology, this proved to be good news for a little over one-third of adults who would prefer to perform an unpleasant task like clean a toilet than floss their teeth. The survey also uncovered that about one-quarter of people lie to their dentist about their flossing habits.
Despite the lack of randomized clinical trials proving its effectiveness, most dentists continue to support the daily habit of flossing teeth. The American Dental Association (ADA) staunchly maintains that flossing “is an essential part of taking care of your teeth and gums.”
Most dentists, both conventional and holistic, concur with the ADA. Dr. Tim Iafolla, a dental health expert at the National Institutes of Health summarizes it nicely:
Every dentist in the country can look in someone’s mouth and tell whether or not they floss.
Cleaning all sides of your teeth, including between your teeth where the toothbrush can’t reach, is a good thing. (5)
At this point, we’ve established that flossing is still a good idea despite the lack of randomized studies. Dentists can easily tell just by looking in your mouth whether you floss or not. Hence, it’s likely only a matter of time before large trials that cover a significant amount of time are published proving its effectiveness.
Conventional vs Holistic Flossing
Now let’s discuss the difference between how conventional dentists say to floss and what holistic dentists suggest. The differences are two-fold.
Biological dentists recommend a different type of floss than conventional dentists typically do. They also recommend a more effective method.
Dental Floss Materials
Did you know that the vast majority of dental floss on the market is toxic? On top of that, it is made from environmentally unfriendly materials like petroleum-based nylon and Teflon. (6)
Teflon Dental Floss
Floss made from Teflon is particularly problematic. Polytetrafluoroethylene or PTFE is the synthetic resin used to make it. Durable, waterproof, and resistant to shredding and breakage, Teflon dental floss is very practical. However, putting this toxic chemical in contact with thin gum tissue on a daily basis is not a wise practice according to holistic doctors. (7)
Sometimes, nonstick coatings in floss are made from perfluorooctanoic acid (or PFOA). Long considered safe, PFOA may actually be toxic. An Emory University Rollins School of Public Health study shows that this chemical has the potential to harm the thyroid. Researchers found that more than 10 percent of people exposed to drinking water contaminated with PFOA reported having some type of thyroid problem. (8)
Nylon and Silk Floss
If you buy conventional floss, it’s hard to know what the floss is made from as labeling requirements for this personal care product are weak. However, even if made from nylon or natural silk, holistic dentists do not recommend most floss anyway.
The reason is that the vast majority of floss manufacturers wax their products. Whether natural or synthetic, the wax can adhere to the teeth during flossing. This can prevent minerals and other beneficial properties in the saliva from contacting some areas of the tooth’s surface possibly inhibiting natural tooth remineralization. (9).
Thus, naturally-minded dentists recommend unwaxed floss only.
Holistic Tooth Flossing Method
Besides recommending only unwaxed floss, the holistic dentists I’ve visited recommend an additional step.
They suggest coating a strand of floss with a small amount of ozone infused oil before flossing. They will also do this for each patient as part of the standard holistic dental cleaning.
Ozone is highly anti-bacterial. It works to prevent an acid environment from developing in the tooth. This is a biological state that causes cavity-causing bacteria to thrive. By flossing with ozonated oil, the bacteria in the plaque and tartar removed during a dental cleaning are inhibited from returning.
It is dental ozone that you can do at home!
Which Ozonated Oil to Use?
There are several types of ozonated oils on the market including ones made with hemp oil, sunflower oil, jojoba oil and avocado oil.
The holistic dentists I’ve visited use ozonated olive oil.
I use both the ozonated coconut oil and ozonated olive oil at home and find them both very effective.
Some people don’t enjoy the taste of ozone. In that case, try this peppermint ozonated oil which comes in a convenient squeezable tube.
If you’ve never flossed using ozonated oil, I think you will really enjoy adding it to your daily oral routine. Dr. Mercola is in favor of it too describing it as a very effective plaque remover. (10)
You may wish to go this route especially if you don’t have access to a biological dentist who offers dental ozone during cleanings. Note that the ozonated oil for flossing is different than the one designed for oil pulling.
The oil pulling ozonated oil is shown in the picture below.
In my experience, you can really feel the difference! After flossing this way, your teeth and gums feel almost like you just had a dental cleaning.
**I get many email requests about who I recommend as a truly holistic dentist. If you are looking for one, I recommend Dr. Carlo Litano of Natural-Smiles.com – (727) 300-0044. Be sure to tell Dr. Litano that Sarah, The Healthy Home Economist sent you and get 10% off your first visit 🙂
Joyce
I have a bottle of purO3 skin rescue salve Olive unscented….can I use that on the dental floss? It doesn’t say tooth and gum.
Sarah
If it isn’t fully ozonated then no, don’t use that. The one for the dental floss is in a small jar, not a bottle.
SUSAN
Due to small spaces between all my teeth, floss doesn’t work very well on my teeth. I use plastic dental pics many times a day and I’m worried about the BPA going in my mouth all day long for years. I found Stimudents on Vitacost. Ingredients: Biodegradable wood from managed forests. Wondered if you thought these were a better solution for me. Just wondering if trees usually have lots of chemicals in the wood? Thanks!
Laura
Hi Sarah, can you explain how ozonated oil is made?
Jennifer Smith
Hi Sarah, I have read your blog for many years now and really appreciate all of your great research based information!! I make a tooth powder for brushing and was wondering if it would be good to add a bit of the ozonated oil to it for brushing, in your opinion.
Sarah
It sounds like a good idea to me, but I would ask a holistic dentist for his/her opinion about that just to be sure.
hb
Thank you for article.Curious which traditional people eating carbs had perfect teeth, and what was their cleaning routine? Does it explain on the amazon page what ozonated oil is exactly? Hope I get emails of any further comments.
Sarah
The traditional society that had grains as a staple are the Swiss … talked about in Price’s book. Sourdough bread was a very large part of their diet. The children apparently didn’t clean their teeth much if at all and they were covered with some sort of slime, but when Dr. Price cleaned it off to examine them, they were perfect and decay free!
The Dinkas of Africa are also discussed in Price’s book and they ate grains as well. They were strongest and most sturdy tribe Price studied and dominated the Maasai that ate mostly animal foods and very few plant foods. They also dominated the Bantu, that ate a primarily vegetarian diet with a few animal foods. This tells me that a diet that avoids extremes is the best way to go …. unless someone has a health issue that requires avoiding one or more types of food.
Bobbie
Just went to the (regular) hygenist and asked about teflon floss.. according to her, the teflon is SO non-stick that it also will not pick up all of the bacteria and stuff you are expecting it to. Basically, EVERYTHING slides off! Yuck. As if we needed more reasons not to use teflon..
Sarah
Wow, that is excellent info. Thank you for sharing!
This could be one big reason why so many studies show no benefits to flossing. Were they allowing the study participants to use nonstick floss? Probably so since that is by far the most common type on the market.
suzanne
I use Dr. Tung’s floss. Not waxed. Flat string. I love this stuff. Some reviews are bad as they say it shreds or they can’t get in between the teeth. I have some crowns and some very tight teeth and I never have a problem. One has to guide the floss, not just snap it in.
Joan
“Ozonated flossing works for everyone”? Any hard evidence for this?
Speaking as someone who suffered through years of toothaches and extreme gum sensitivity, and spent thousands of dollars on multiple root canals and other procedures, losing half a dozen of my teeth while visiting dentists frequently, and doing everything they said to do, flossing without fail every single day – speaking as me, that is – I no longer take the unsupported word of dentists, holistic or not, about anything.
I broke the flossing habit about four years ago. Since then, my tooth sensitivity (so painful when air hit my teeth, that for weeks at a time smiling was impossible, and talking hurt) has disappeared entirely.
I concentrate on WAP-style good nutrition, using a small amount of raw honey most days, but refined sugar never. I’ve also found, like other commenters, that Water-Piks are wonderful. I also do a salt-water rinse after the last food I eat every day. I haven’t had a toothache in years, and my teeth are solid, much better and healthier than during my dentist-intensive years.
Sarah
Yes, here’s the evidence … everyone can use unwaxed floss to get the ozone in between and around their teeth and gums. Not everyone can use a waterpick because their teeth are too close together.
Lorese
Terrific information, Sarah. Terry, can you tell us what ingredients are in your dentist’s “tooth spread” or if it can be purchased online? I’ve had a lot of gum recession that dentists have blamed on hard brushing and flossing. I’d love to stop and reverse it if I can.
Hibber
Is this a Chinese dentist in northern CA? I have been recommended his routine by a friend who sees him.
Hibber
I heard of a Chinese dentist in northern CA who is convinced that flossing is bad, and instead has a whole other routine that includes the water pic.