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Interdental brushes: how to pick a size and clean without hurting gums

How to fit an interdental brush, how to use it without injuring the gum, and when floss or a water flosser is a better extra.

Interdental brushes: how to pick a size and clean without hurting gums

A toothbrush barely reaches the sides of teeth. An interdental brush does: a short bristle cylinder on a thin wire. It is usually a better fit when the gaps are wide enough, or if you have bridges, crowns, or braces.

How to pick a size

The brush should go in with light resistance, without pain and without shoving the gum aside. Too thin and it barely cleans. Too thick and it cuts. A mixed-size pack beats one “universal” brush, because front and back gaps are not the same.

Brand colour codes help you remember your size. They are not a medical scale. If you are unsure, ask for a fitting at a hygiene visit. The hygienist sees the real spaces, not the picture on the box.

How to use it

  1. Rinse the brush with water.
  2. Insert it parallel to the gum, not with a vertical sawing motion.
  3. Make a few short in-and-out passes.
  4. Move to the next space. Back teeth often need a bent handle.

Replace the brush when the bristles splay or the wire bends. Do not keep the same wet brush for weeks. It loses shape fast.

Common mistakes

  • forcing it through a gap that will not accept it;
  • using it instead of fluoride toothpaste;
  • cleaning only the front teeth;
  • storing a dirty brush in a closed wet cup.

Floss is better in very tight contacts. A water flosser helps as an extra step. It does not replace mechanical cleaning of the tooth sides. If the gum swells or you see pus after using a brush, stop and book a dentist. That is not a sizing tweak.

Clean between teeth once a day, ideally in the evening before fluoride toothpaste, so the fluoride sits on cleaner enamel.

Educational material. Sources: ADA/MouthHealthy, NHS, Cochrane on interdental cleaning. AIoraly does not diagnose or fit brush sizes remotely.

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