Oral irrigator: how to choose a hygiene device

From this article you will learn:

• what is an irrigator for and how to use it,
• irrigator – reviews, rating of the best models,
• irrigator – price for 2022.

The article was written by a dentist with more than 19 years of experience.

An oral irrigator is a device that generates a thin stream of water that, under pressure, rinses the interdental spaces from food debris and plaque. In addition, an oral irrigator can reduce the severity of gingivitis, wash out periodontal pockets in patients with periodontitis, and improve hygiene in the presence of bridges or braces on the teeth.

The first irrigator for teeth and gums was developed by an American dentist in 1962. These devices went into mass production thanks to the company, which still produces one of the best irrigators - the Oral-b OxyJet model. In different models of irrigators, the water jet can have different pressure (pressure), have a different number of pulsations (from 1200 to 2000 pulses per minute), and in some models it can also contain micro-bubbles of air. And below we will talk about how to choose an irrigator and what you need to look for.

Stationary and portable irrigators –

According to clinical studies, treatment with a pulsating jet of water (at 1200 pulsations per minute and a water jet pressure of about 490 kPa) leads to the removal of 99.9% of microbial plaque and food debris on the treated areas of the teeth. Accordingly, an important point here will be the technical characteristics of each specific device, on which reviews of the irrigator will depend. The minimum cost of the device starts from 3,000 rubles, and the most popular irrigators are Waterpik WP-100, Oral-b OxyJet, and Donfeel OR-830.

Manufacturers of irrigators position them as a higher quality and simpler alternative to dental floss. But in fact, no irrigator will clean your interdental spaces as much as can be done with proper and regular use of dental floss. The undeniable advantages of the irrigator will be appreciated primarily by patients with braces, bridges, implants, as well as inflammatory gum diseases. But for regular cleaning of interdental spaces, it is better to use dental floss, although at first it is difficult, and the correct technique is not developed immediately.

The operating principle of the irrigator in the video –

How to choose a dental irrigator:

Below we list the main points that it is advisable to pay attention to when choosing an oral irrigator. Particular attention should be paid to the features of the water jet being formed (the number of pulsations, the presence of microbubble technology), as well as to the pressure indicators of the water jet and the presence of smooth adjustments for changing it. In addition, a very important point is the possibility of repairs and the presence of a service center in your city.

Cleaning technology (features of water jet) –

1) The first important point is the presence of pulsations of the water jet. These pulsations are so short (in different models of irrigators this figure ranges from 1200 to 2000 micropulses per minute) that they are unnoticeable. Pulsations create micro-hydraulic shocks, which make it possible to more effectively remove food debris and soft microbial plaque (compared to a water jet without pulsations). There is no particular difference between the models of irrigators that perform 1200, 1400 or 1800 jet pulsations. Those. in this case, “more” does not mean “better.”

2) The second important point is the pressure of the water jet (measured in kPa), i.e. her pressure. The optimal indicator is 500-550 kPa, but there are also more powerful models of irrigators that produce water jet pressure even up to 870 kPa. This can hardly be called a competitive advantage, because... using such pressure is already quite painful for the gums. And patients, even with healthy gums, are unlikely to be comfortable using an irrigator with such a strong jet pressure.

3) The third important point is the ability to regulate the pressure of the water jet. Moreover, it is necessary to have a smooth adjustment, i.e. selection from at least 4-5 preset levels. Reviews of dental irrigators very much depend, among other things, on the availability of smooth adjustments to the water pressure. It is optimal that the minimum level corresponds to a pressure of about 70 kPa, because You will have to start using the irrigator with a small pressure, gradually (from time to time) increasing it.

The fact is that the standard water jet pressure of 500 kPa will be quite painful if you are just starting to use the irrigator. At the same time, lower water pressure will also allow the irrigator to be used not only by adults, but also by children, as well as people with sore gums. But strong pressure can, on the contrary, only increase bleeding of the gums. In addition, the presence of levels with low pressure of the water jet (and with a special nasal nozzle) will allow the irrigator to be used for rinsing the nasal passages with a weak saline solution, for example, in patients with rhinitis or sinusitis.

4) The fourth important point is the presence of microbubble technology. This is an advanced technology developed by , but lesser-known companies have now begun to use it. This technology allows mixing of water flow and air bubbles, i.e. air aeration occurs (air content in water reaches 5%). As a result, the water stream will contain a large number of microbubbles, which will allow us to achieve two important things.

Firstly, when microbubbles explode, they also create microhydraulic shocks, which contribute to even more effective removal of food debris and plaque. And secondly, air microbubbles saturate the water with oxygen, which has a bactericidal effect on pathogenic microflora. This is especially important for patients with gum disease, such as gingivitis or periodontitis.

5) The fifth feature is the presence of different modes. Most irrigators have only 1 operating mode in the form of a pulsating monojet, but some models have additional modes. For example, in the Oral-b OxyJet irrigator, in addition to the standard mode, there is also a “turbo flow” mode. When you select the “turbo flow” mode, the built-in mini-turbine in the nozzle is activated, which begins to spin at a speed of 8000 rpm. As a result, a spiral-shaped jet stream is formed, which is optimal for gum massage.

Conclusions: we hope that now it is clearer to you which is the best oral irrigator to choose. Of course, there should be a jet pulsation of at least 1200 pulses per minute, as well as smooth adjustments of the jet pressure - from 70 kPa (some models even from 35 kPa) to approximately 500-650 kPa. Well, the presence of microbubble technology is very desirable. Below we will tell you what else you should pay attention to if you decide to buy an irrigator for your teeth and oral cavity.

Types of attachments for irrigators –

Some irrigators have universal nozzles, others have whole sets of nozzles for all kinds of cases. In addition to universal ones, there are attachments for cleaning the tongue, for washing periodontal pockets, attachments for cleaning orthodontic structures (braces), attachments for cleaning artificial crowns and bridges, and attachments for cleaning implants.

Also, some models have special nasal nozzles that allow you to rinse the nasal cavity with an irrigator, which is sometimes necessary in the treatment of rhinitis (including allergic origin) and sinusitis. Most manufacturers produce attachments that have different color indicators. This is very convenient, because... Each family member will have a nozzle of its own color, and will never confuse it with other people's nozzles.

Examples of nozzles –

Availability of a service center in your city –

Those who want to buy an oral irrigator online may encounter a lack of a service center. For example, service stations are only available in the largest cities, and to replace a defective irrigator you will need to send it by mail at your own expense. But this option is only possible during the warranty period.

Possibility of service after the warranty period expires –

Reviews of oral irrigators are often negative precisely because many cheap models are not repairable. It’s not scary if a defect is discovered during the warranty period (in this case, the broken device is simply replaced with a new one), and in this case you will only have to spend money on postage costs to send the faulty irrigator to the seller.

But if the irrigator breaks down after the warranty period has expired, then the non-repairable model can be immediately thrown away, because the service will simply refuse to repair you. You should pay close attention to this point, because... Power surges and too hard water (both of which are the norm for Russia) can affect the operation of the device.

Dentist advice

Before you start using the device, you need to consult a dentist who will help you choose the optimal fluid supply mode, frequency of use, and solution composition. Compliance with all operating rules is the key to safe use of the irrigator. Rules for using the irrigator:

• Cleaning should begin with a gentle regime, gradually increasing power over 7-10 days.
• It is not recommended to use the device earlier than 24 hours after installing any orthodontic structures in the oral cavity.
• The liquid stream should be directed towards the teeth at a right angle.
• It is permissible to use an irrigator for children from 6-7 years of age, always under adult supervision. A high-pressure jet of water entering a child's windpipe can cause tracheal spasm and asphyxia.
• Long-term use of aseptic solutions can disrupt the normal microflora of the oral cavity and cause dysbacteriosis.
• The device can be used for gingivitis and periodontitis only during remission.
• The duration of the procedure is 5-10 minutes.

Oral irrigator: price 2022, rating

Below we will present you with an analysis of irrigators from several manufacturers, which we consider the best on the market. Of course, these include Waterpik, Oral-b, Panasonic, Donfeel and some others. By the way, it is worth noting that in recent years the price of irrigators has remained virtually unchanged, or even become lower. For example, 4-5 years ago the Oral-b OxyJet irrigator cost about 10,000 rubles, but now you can buy it on sale, starting from 5,500 rubles.

We would also like to draw your attention to the fact that a huge number of inexpensive irrigators of absolutely unknown brands are now sold on the Internet, the main problem with which is the following - 1) the water pressure does not correspond to the declared one, 2) the use of low-quality o-rings made of cheap silicone leads to rapid disabling the device. Below we will first tell you about high-quality stationary irrigators - after which we will move on to portable models.

How to clean the waterpik after use

After each use of the irrigator to clean your teeth, you must pour out the remaining liquid from the reservoir so that bacteria and germs do not accumulate there. After cleaning, you need to unplug the device, remove the nozzle and pour the remaining liquid from the reservoir. Next, you need to thoroughly rinse and dry the irrigator; the nozzle should be washed with soap and water and wiped thoroughly with a napkin. It is better to rinse the irrigator under warm water, as hot water can damage the body of the device.

Irrigator Waterpik (Waterpik) –

Waterpick irrigators are developed (USA) and it is one of the most famous brands of irrigators in the world. However, the assembly of the devices is carried out in China. The manufacturer offers a fairly wide range of stationary models, but they all have similar characteristics. The characteristic of the water jet is a monojet with 1400 pulsations per minute, the water pressure is adjustable from 70 to 550-690 kPa (depending on the model). Unfortunately, microbubble technology is not used in Waterpik irrigators.

The flagship model is the Waterpik WP-100 EU Ultra irrigator, the price of which will be about 6,500 rubles. The most expensive model “Waterpik WP-660 EU Ultra Professional” will cost about 8,000 rubles (this model is distinguished by the presence of a second “gum massage” mode, as well as a wider selection of water pressure levels). The model that has the minimum cost is “Waterpik WP-70 EU Classic” from 4,500 rubles, which has fewer nozzles included + only 5 levels of water pressure adjustment.

Examples of Waterpik irrigators and attachments for them -

Let me summarize the pros and cons of Waterpik - 1) these are high-quality devices whose water pressure corresponds to the declared one, 2) a 2-year guarantee, which also confirms the reliability of these devices, 3) a very wide range of attachments for all cases - including periodontal ones for the care of gum pockets, attachment for braces, attachment for bridges, etc.

Disadvantages - the lack of microbubble technology, as well as the lack of a network of service centers in Russia (i.e. if a breakdown occurs during the warranty period, you will have to send the irrigator to Moscow at your own expense, and after some time they will simply send you a new device) . If the breakdown occurs after the expiration of the warranty period, then service is not possible and you will only have to throw away your device, because Apart from replacing attachments and batteries, the devices cannot be repaired.

Balms for irrigator

The use of special balms for the irrigator can enhance the effect of the procedure, as their components have antibacterial and anti-inflammatory properties. The choice of liquid depends on your goals. Some liquids help strengthen enamel, others are effective against inflammatory gum diseases, and others have a complex effect. On our website you can buy liquids for irrigators from the companies Waterdent, Donfeel, Professor Persin, Albadent, Asepta, ROCS and Iriks. It is profitable to buy sets of several bottles.

How to choose a liquid for an irrigator

When choosing a liquid for an irrigator, you should take into account its composition and purpose. You should not pour hard running water into the irrigator - it may contain impurities harmful to the enamel, and it can also lead to damage to the device over time. Depending on the active substances, solutions will help solve different problems. They come in 4 types.

• Strengthening enamel
  - with fluoride.
• Therapeutic and prophylactic
  - with antiseptics and plant extracts.
• For fresh breath
  - with mint, menthol or eucalyptus.
• For the treatment of periodontal disease
  - with bioantioxidants and anti-caries additives.

Allergy sufferers are advised to choose hypoallergenic balms.

Irrigator Oral-B (Braun~Oral-B) –

Oral-b is the world leader in electric toothbrushes and irrigators, and it was the company that developed the microbubble technology we discussed above. The Oral-b company produces only 1 model - the Oral-b Professional Care OxyJet MD20 irrigator. This irrigator has 2 operating modes: “monoflow” and “turboflow” (in both modes, the water jet has 1200 pulsations per minute, and the water pressure is adjustable from 150 to 600 kPa).

The “turbo flow” mode is distinguished by the fact that in this mode, a turbine built inside the nozzle (rotating at a speed of 8000 rpm) is activated in the nozzle, which creates spiral-shaped turbulence in the liquid flow. This mode is especially suitable for gum massage (24stoma.ru). Plus, in both modes, microbubble technology is active, which allows you to better clean teeth, bridges and braces from plaque and food debris, and also, thanks to the saturation of water with oxygen, have a bactericidal effect on pathogenic microflora in case of gum disease.

Irrigator Oral Bee and attachments for it -

Additional advantages are a 2-year warranty, a wide network of service centers, as well as the possibility of service even after the warranty period has expired. To summarize, this is a high-quality, reliable device that will serve you for many years. Cons - the kit includes only universal attachments, which are sufficient in all cases except one. For example, the Oral-b OxyJet irrigator is perfect for cleaning between teeth, in the presence of braces or bridges, as well as in cases of gingivitis or mild periodontitis.

But, if you have moderate or severe periodontitis (i.e., if you have deep periodontal pockets), then it would be optimal to use a special periodontal tip with a narrow spout. This tip can be lightly inserted into the upper part of the periodontal pocket, which makes rinsing deep periodontal pockets more effective. Irrigators have such attachments, for example, Waterpick and Donfil.

Review of the best models

WaterPik WP-100 Ultra E2

Has adjustable power, 10 operating modes. Creates 1200 pulsations per minute. Powered by mains power. Tank volume - 600 ml. Reliable, durable, easy to use. Has spare parts. The cord is long enough to connect to any outlet. Cleans well, massages gums, has 7 attachments:

• standard;
• for cleaning the tongue;
• brush;
• periodontal;
• orthodontic;
• for implants and crowns.

Among the shortcomings, the lack of a spray mode makes itself felt. The device does not charge contactlessly and does not turn off automatically. The water supply button on the handle periodically gets stuck. Made from low quality plastic.

«

WaterPik WP-450 Cordless Plus

Portable functional device, suitable for travel and home. The battery charge lasts a long time. It has high power (up to 1450 pulsations per minute), and a function for adjusting water pressure. A 210 ml reservoir lasts for 45 seconds. You can use water or medicinal solutions. There are two operating modes and 4 nozzles.

Cons: insufficient number of attachments, does not turn off automatically. There is a tendency for the charge to weaken and the contacts to oxidize. A small reservoir slows down the cleaning process as it must be refilled several times.

Donfeel OR-820D compact

The small size allows you to take it on the go. Space saving is also ensured by the existing compartment for replaceable attachments. The pressure can be adjusted. A thin stream, enriched with oxygen in the form of microscopic bubbles, easily penetrates into the interdental spaces. The set includes 4 nozzles.

Among the shortcomings, it is worth noting the lack of automatic shutdown, bracket and contactless charging. There is also no all-round rotation of the attachments. Inconvenience may arise due to the short length of the power cord and hose.

WaterPik WP-300 Traveler

The stationary irrigator is small in size and takes up little space. Equipped with a universal adapter, which allows you to connect it to different types of sockets. Compared to other models from this manufacturer, the WaterPik WP-300 Traveler is silent. Has four nozzles. Creates 1200 pulsations per minute. Tank volume 450 ml.

Cons: insufficient number of attachments, does not turn off automatically, attachments do not rotate 360 ​​degrees.

VES VIP-004

Portable, compared to other travel models, it is equipped with a spacious tank (600 ml). The set of 7 360 degree rotating attachments includes 3 standard and 4 special ones. Powered by mains or batteries.

Among the disadvantages, it is worth noting the unreliable system for temporarily blocking the flow of water; low pressure cannot be obtained, and with high pressure, the liquid is quickly consumed.

Which irrigator model is better to choose?

Everyone chooses the right model for themselves, taking into account their lifestyle:

• WaterPik WP-450 Cordless Plus and WaterPik WP-100 Ultra E2 - will provide high-quality hygiene at home.
• VES VIP-004 - easy to use.
• WaterPik WP-300 Traveler is a universal option for travel and home.
• Donfeel OR-820D compact - ideal for travel.

Irrigator Donfeel (Donfil) –

The Russian company Donfeel produces a wide range of irrigators, and we note that they are of fairly high quality, reasonable price and good functionality. The flagship model, the Donfeel OR-800 irrigator, generates a stream of water with pulsations from 1250 to 1700 per minute, and the water pressure is adjustable from 0 to 680 kPa. This device is also distinguished by the presence of 2 operating modes (standard + gum massage), 10 levels of water pressure adjustment, and the kit includes 5 nozzles.

Moreover, this device can also be used to rinse the nose (together with a special nasal tray and a weak saline solution). The warranty is 1 year, and the cost is only about 3800 rubles. This device has only 1 minus - the lack of microbubble technology. But this technology is implemented in another model - the Donfeel OR-840 AIR irrigator. This is an inexpensive and good irrigator at a price of about 3,400 rubles, and what distinguishes it from the flagship model is that it has only 1 standard operating mode, as well as only 5 levels of water pressure adjustment.

Donfeel irrigator models –

Sets of attachments for Donfeel irrigators –

To summarize, Donfil irrigators have been produced for more than 13 years, and during this time they have shown their reliability. In addition, the manufacturer has a wide network of service centers throughout Russia, and provides service even after the warranty period has expired. It is also necessary to say about the wide range of attachments, among which there are standard, periodontal, for cleaning braces, for cleaning the tongue, for implants, as well as special nasal attachments (for rinsing the nose for sinusitis and rhinitis).

Rules for caring for the device

The irrigator, like all electrical appliances, requires special care. The device should be washed as follows: firstly, do not under any circumstances immerse the entire irrigator in water, especially when it is turned on - it may short out (which is deadly!), and its parts may rust. Secondly, do not use unboiled water to clean the device, only filtered and, preferably, warm water. Otherwise, scale will form inside the mechanism, which will lead to its breakdown. In order to thoroughly clean the irrigator, you need to fill it exactly halfway with warm water, empty the reservoir after a couple of minutes, rinse the device and nozzles for the irrigator, and then wipe all components dry. Particularly advanced manufacturers produce devices together with a UV sanitizer designed to disinfect replaceable attachments. The ultraviolet radiation on which it works destroys microbes accumulated on the tips and thus prevents the development of dental diseases. As for the storage conditions of the irrigator, it should be kept in a dry place. Touching the appliance plug with wet hands is strictly prohibited.

In principle, the irrigator should not be cleaned too often, except for those cases when you pour special decoctions into its tank. Particles of herbs from the infusion remain inside the device and may damage its operation.

Multifunctional irrigator OR 820M Donfeel with nasal attachment

Irrigator Panasonic EW1611 –

Another great device with microbubble technology is the Panasonic EW1611 irrigator.
In addition to a water jet with a pulsation of 1900 pulses per minute and a pressure of up to 646 kPa, this device implements ultrasonic technology for creating microbubbles. The device also has 10 water jet pressure modes. The set includes 2 universal attachments. The warranty is 2 years. It should be noted the high cost of the device - from 9,500 rubles, but you will immediately notice a completely different quality of cleaning (especially in comparison with cheaper devices below). Ultrasonic irrigator Panasonic EW1611 –

This particular model of irrigator was purchased by the author of the article in February 2022 (for his 65-year-old mother) - photo above. You could see a video of the Panasonic EW1611 irrigator in operation (slow motion) at the beginning of this article. I can only leave positive reviews for this oral irrigator, because... According to my mother, he copes with his function perfectly, and the “patient” was very pleased with his work. In addition, during 8 months of use there were no technical problems.

How to properly care for dental implants

You can increase the lifespan of titanium roots by thoroughly cleaning your mouth and visiting the dentist. Equally important is giving up bad habits.

Maintaining oral hygiene is the prevention of complications after implantation.

The time the body gets used to a foreign body is often accompanied by a weakening of the immune system, so you need to follow all the doctor’s recommendations. Requirements for caring for implants can be reduced to two basic rules:

• High-quality cleaning of the oral cavity . Implant installation sites are very vulnerable to a number of dental diseases. Particular care should be taken to clean the area where the denture connects to the gum.
• Preventive examinations by a specialist . Visiting the dentist should be done at least twice a year. Sanitation of the oral cavity allows early detection of tissue inflammation and structural displacement.

A few more models outside the rating -

Below we will present several more models of irrigators that you can find in online stores. They are generally good too, some even have a 2-year warranty, but they do not have modern micro-bubble technology, which significantly increases the cleaning power of a regular pulsating stream of water.

a) Irrigator B.Well wi-922 / wi-933 –

You can also see B.Well irrigators on sale. Among the stationary models of this company are 1) the B.Well wi-922 irrigator, as well as the B.Well wi-933 irrigator. The water jet of these models has a pulsation from 1250 to 1800 per minute, the pressure of the water jet is adjustable from 207 to 862 kPa. Their cost is 3500 and 4700 rubles, respectively. They differ in that the second model can work not only from the network, but also from the built-in battery, and it is also distinguished by an 800 ml water tank (all other irrigators have a 600 ml tank). Another couple of advantages are a 2-year warranty and a wide range of attachments. They don't have microbubble technology.

Irrigators B.Well wi-922/ wi-933 –

b) Irrigator Revyline RL-100 –

The Revyline RL 100 irrigator has similar characteristics to the B.Well WI-922 irrigator. The pulsation frequency of the water jet is from 1200 to 1700 per minute, and the level of liquid pressure can be adjusted from 210 to 870 kPa (10 operating modes). 2-year warranty, and a wide range of attachments, including standard, periodontal, for cleaning implants, bridges and braces, as well as tongue cleaning. There is no microbubble technology.

Irrigator Revyline RL-100 –

c) Irrigator Aquajet LD-A8 (Aquajet) –

Another option is the Aquajet irrigator - model Aquajet LD-A8. The pulsation frequency of the water jet is 1200 per minute; it can be noted that the range of liquid pressure levels is not very good - from 290 to 810 kPa. Three options for nozzles, one of which has a thin flexible tip (this can be convenient for safely rinsing periodontal pockets). It should be noted that the device is quite bulky. There is no microbubble technology. Cost from 3500 rubles, warranty – 1 year.

Types of irrigators

Types of irrigators differ from each other in technical characteristics, design, and operating principles. Stationary models are placed in the bathroom and operate from the mains. They are equipped with a large capacity for liquid and have a powerful engine that creates a high level of pressure. The device is usually used by the whole family, so it comes with many attachments.

Stationary irrigators for teeth: results

In our opinion, if the high price does not bother you, the best option would be the Panasonic EW1611 irrigator. It is in this irrigator that the most modern microbubble technology (ultrasonic) is implemented, which, together with pulsations and optimal pressure of the water jet, ensures the highest quality cleaning of the teeth and oral cavity. More affordable options with microbubble technology would be the Oral-b OxyJet and Donfeel OR-840 AIR devices.

And we would recommend that almost all patients make a choice between these devices. Moreover, the choice between them must take into account some points. For example, if you need an irrigator, including for rinsing the nose, or you have deep periodontal pockets, the “Donfeel OR-840 AIR” will be optimal (since it has both a nasal and a specialized periodontal nozzle for rinsing pockets) . But if you have gingivitis or just initial periodontitis, then the universal nozzles of the Panasonic and Oral-b irrigators will be enough.

As for Waterpick irrigators, these are high-quality devices, but with a number of disadvantages. They are not cheap, there is no network of service centers across Russia, and post-warranty service is not provided at all. In addition, if you want super-high-quality cleaning of your teeth from plaque and food debris, and also if you have gingivitis or periodontitis, you need an irrigator with microbubble technology (ultrasonic).

The fact is that bursting air bubbles create micro-hydraulic shocks, which significantly increase the cleansing properties of a pulsating water jet (not only on the surface of the tooth crown or in the interdental spaces, but also in periodontal gum pockets). And moreover, the presence of bubbles leads to the saturation of water with oxygen, which has a bactericidal effect on the microflora of the gum pockets, which is very important for patients with gingivitis and periodontitis.

Benefits of an irrigator

The benefit of the irrigator is better cleaning of the oral mucosa, surface of the teeth, interdental spaces, as well as orthopedic structures. And the absence of a biological substrate for the proliferation of bacteria and the rotting of food debris is the prevention of the development of dental diseases. Medical studies have found that a three-second treatment with pulsating water using an oral irrigator removes up to 99.9% of bioplaque on teeth.

Oral irrigator features:

• Significantly reduces the risk of developing caries.
• Promotes rapid healing of gums through micromassage.
• Disinfects and refreshes the oral cavity with antiseptic solutions.
• Cleans gum pockets and prevents the development of periodontal disease.
• Treats the oral mucosa with medicinal solutions for stomatitis
• Prevents the deposition of pigment on the surface of tooth enamel when smoking, drinking strong coffee, tea, red wine.
• Removes plaque from the mucous membrane of the tongue and gums, which reduces bacterial contamination of the oral cavity.
• Prevents destruction of the enamel coating of teeth when installing braces, braces and other orthopedic devices.
• To reduce trauma to soft tissues due to bleeding and loosening of the gums, replace the toothbrush.

Portable irrigators for travel –

If you want to save space in the bathroom or be able to take a irrigator with you on a trip, portable models of irrigators are suitable for you, but keep in mind that high-quality portable models are much more expensive than stationary ones. Cheap portable irrigators most often have 1) the water jet pressure does not correspond to the declared one, 2) poor tightness, 3) low service life and non-repairability, 4) lack of microbubble technology.

Another feature that you should pay special attention to is that their water tank is only 140 to 200 ml (for stationary ones, most often 600 ml). This means that you will have to refill the water tank many times during one procedure. You can see how this is done in the photo below. We definitely recognize the Panasonic EW1511 and EW1411 irrigators as the best portable devices.

Portable models of irrigators –

1) Panasonic irrigators –

These irrigators have the richest functionality, microbubble technology (ultrasonic cleaning), as well as a high degree of reliability. The most advanced model is the Panasonic EW1511 irrigator. Main characteristics: water jet pressure from 195 to 647 kPa (5 adjustable power levels), jet pulsation 1600 per minute, 200 ml reservoir - enough for 60 seconds of continuous use (in the highest water pressure mode), 2 nozzles included, 2 guarantee of the year. Cost from 9000 rubles.

Irrigator Panasonic EW1411 – maximum water pressure 590 kPa, 1400 water pulses per minute. The most basic difference between this irrigator is the presence of 4 operating modes - 1) pulse mode with a jet pressure of 590 kPa, 2) continuous jet mode without pulses with a pressure of 590 kPa, 3) “normal” air mode - with a pressure of 390 kPa, pulsed water supply and air microbubbles, 4) soft air mode - with a pressure of 200 kPa, pulsed water supply and air microbubbles. Cost from 8000 rubles.

2) Irrigators Oral-B Aquacare Pro-Expert 4/6 –

Above, we spoke quite highly of the Oral-B stationary irrigator - the Oral-b OxyJet model, and indeed it is an excellent oral irrigator. Portable irrigators of this or “Oral-B Aquacare Pro-Expert 6” are also available with microbubble technology and pulsed water supply (1400 pulses per minute). But we cannot recommend them for purchase, and the point here is the rather low water pressure! Moreover, the water pressure becomes higher if you use this irrigator with the lid slightly open to fill the water tank, which is really not very convenient.

Of course, this indicates an engineering error (when the pump operates, something close to a “vacuum” is created in the water tank), and therefore the pump pumps water slowly. Those. In order for the water pump to pump at a level of 500-600 kPa, there must be a small technical hole in the upper part of the tank to draw in a volume of air equal to the volume of water used. In general, all this indicates an engineering mistake by the manufacturer. And you’d better turn your attention to portable irrigators from other companies, or purchase its stationary version.

3) Irrigator “CS Medica AquaPulsar CS-3 Air+”

Another device with microbubble technology is the CS Medica AquaPulsar CS-3 Air+ portable irrigator. Characteristics: maximum jet pressure 590 kPa, pulse frequency 2000 per minute, tank volume 130 ml. The set includes 4 attachments, including standard, periodontal, for braces and for sensitive gums. In principle, this is a very interesting irrigator at a price of about 3,500 rubles, and in its functionality (operating modes) it is somewhat reminiscent of Panasonic.

So, this irrigator has 3 operating modes: 1) Intensive mode - with a jet pressure of 590 kPa, pulsed water supply, without microbubbles, 2) NORMAL Air mode - with a jet pressure of 390 kPa, pulsed water supply and air microbubbles, 3) SOFT mode Air – with a pressure of 200 kPa, pulsed water supply and air microbubbles.

Conclusions: In general, the choice of portable irrigators with ultrasonic (microbubble) technology is limited to just a few manufacturers. Most other manufacturers produce portable irrigators with only regular pulse water supply, which is certainly not optimal. It’s better not to buy portable devices that are cheap in terms of functionality, such as the Xiaomi Soocas W3 irrigator, although on the other hand, even such models are still better than nothing at all.

Total: which irrigator is better to choose?

The choice of irrigator depends on your lifestyle, the nature of your dental problems and the number of future users.

Stationary or portable

If you need the device on business trips and trips, choose a portable, travel irrigator. Pay attention to the volume of the tank, the presence of a carrying case and the battery capacity. When choosing a portable irrigator, check whether it has a battery charge indicator. If it is not there, a sudden discharge of the device may be an unpleasant surprise.

If it is possible to install a stationary device at home, choose it, it will last longer. When purchasing, pay attention to the length of the network cable - it should allow you to place the device in a convenient place. The advantages of a stationary irrigator include high power, a spacious tank, and a large selection of nozzles.

Recommendations

• If you need an irrigator for braces
  , dentures or crowns, choose an irrigator with a special attachment included.
• If you are buying a irrigator for a large family
  , choose models with a large tank and the required number of nozzles.
• If the irrigator will be used by children or people with gum disease
  , the operating mode should be more gentle. The lower the minimum power of the device, the more comfortable they will be. Also in this case, smooth power control is important.

Indications for the use of irrigators –

Above, we tried to explain in detail which is the best irrigator for teeth, as well as what characteristics you need to look at first. But for which groups of patients are irrigators absolutely necessary? On the oral irrigator - reviews from patients and dentists say that these devices are necessary:

• If you don't use dental floss, dental floss is designed to clean the spaces between your teeth, where food particles first remain after eating.
  Using only one toothbrush does not allow you to completely remove food debris and plaque from the interdental spaces, and that is why caries most often develops on the side surfaces of the teeth. Normally, dental floss should be used after every meal. Additionally, flossing requires skill and can be challenging at first. An irrigator is essentially a replacement for dental floss, but it should be recognized that dental floss is certainly better at removing food debris and plaque from the interdental spaces. Therefore, if you don't have braces, bridges or gum disease, then a waterpik is a slightly less lazy alternative to regular dental floss.

• Inflammation of the gums - inflammatory diseases of the gums (gingivitis, periodontitis) are always associated with insufficient oral hygiene, as a result of which pathogenic plaque bacteria lead to the development of inflammation in the gums. An irrigator in addition to a toothbrush will certainly improve the removal of plaque and food debris, which will have a beneficial effect on the condition of your gums.
  And if patients with gingivitis need irrigators to prevent the development of periodontitis, then for patients with periodontitis, purchasing an irrigator is already a vital necessity. With this disease, so-called periodontal pockets (periodontal pockets) are formed between the gums and the roots of the teeth, in which a large amount of infection is present. For such patients, it is very important to regularly rinse the periodontal pockets - and for this you can add a special “irrigator liquid” to the water (or use a slightly salted water solution).

  If for mild gingivitis or periodontitis, a regular universal attachment will be enough for you, then for more severe forms of periodontitis (the presence of deep periodontal pockets), it is advisable to use special periodontal attachments that have a thin elastic spout. The latter can already be carefully introduced into the upper part of the periodontal pocket, which will allow all the purulent contents to be washed out of it in a stream.

  Periodontal tip:

  Important: for such patients, irrigators are needed exclusively with microbubble technology, the presence of a pulsating water jet, and an additional soft operating mode (when the pressure of the water jet is only about 200 kPa). Those. The interdental spaces themselves are washed with a universal nozzle - at a standard pressure of 500-700 kPa, and targeted rinsing of each periodontal pocket - using a periodontal nozzle and a soft operating mode.

• For patients with braces, the presence of non-removable orthodontic structures such as braces seriously complicates hygiene, and the use of dental floss in this case turns into a complete nightmare. An irrigator is vital for such patients, and it must also have microbubble technology and a water jet pressure of at least 550-600 kPa.

• In the presence of bridge-like prostheses, the supports of the bridge are ordinary artificial crowns that are fixed on the ground teeth. But the intermediate part of the bridge, which replaces missing teeth, has a rinsing space from the inside (this is where food debris accumulates and tartar forms). An irrigator is better than a toothbrush for cleaning bridges from the inside.

• Prevention of caries in children and adults - the use of an irrigator in children can begin from the age of 8, but under the supervision of adults. This is very important because... Children of this age cannot yet be taught to use dental floss. At first, this can be done in the form of a game (you tell me - I tell you) so that the child is not afraid of this procedure. It is very good to use the irrigator for all adult patients - especially pregnant and lactating women, who very often experience gingivitis during pregnancy.

• If you have implants - if you have one or more single implants, and even more so - a long-term fixed bridge prosthesis (also supported by implants), then an irrigator is also vital for you. It will allow you to improve the removal of plaque in the cervical part of the implant, and prevent the development of such an inflammatory complication as peri-implantitis.

To summarize: under normal conditions (in the absence of braces, gingivitis and periodontitis, bridges, implants), and also if you regularly floss and brush your teeth after every meal, you do not need an irrigator. But if you don't floss, a waterpik is an important addition to your oral hygiene routine, even if you don't have braces, bridges, gum disease, etc.

Why do you need an irrigator?

1. For the prevention of caries. The irrigator helps get rid of plaque on the teeth and tongue. It also cleans hard-to-reach areas such as molars, wisdom teeth, interdental spaces and orthodontic appliances.
2. For the prevention and treatment of gum diseases. The irrigator improves blood circulation and accelerates regeneration processes. This helps strengthen the gums and reduce bleeding.
3. For the care of implants, crowns, bridges, braces and other structures. The irrigator washes them and the cavities underneath them.
4. To eliminate the cause of bad breath - bacterial plaque.
5. For the prevention of gingivitis. The disease can occur in pregnant and lactating women due to deterioration of blood supply to the mucous membranes.

There are no contraindications to using the irrigator.

How to use the irrigator:

You can find out how to use the irrigator correctly in the following informational videos. For patients with gum disease, it is recommended to add a special irrigator liquid (for example, Donfeel with herbal extracts and fluoride) to the water reservoir.

→ What are ultrasonic toothbrushes

Contraindications to using an irrigator

There are literally no such contraindications. There are some restrictions on the use of this device.

Limitations of using the irrigator:

• Children under six years of age;
• Excessively developed gag reflex;
• Diseases of the oral cavity during exacerbation;
• Postoperative conditions;
• A history of serious neurological and cardiovascular diseases;
• increased sensitivity of teeth and bleeding gums.

Oral irrigator: reviews from dentists

Irrigator - reviews of use in patients suffering from bleeding and inflammation of the gums, in patients with bridges and braces, are only positive, but provided that you do not build unreasonable expectations. For example, many patients believe that an irrigator can replace not only the use of dental floss, but even regular brushing of teeth with a brush and paste. It is not true. The irrigator will not be able to completely clean the dental spaces of food debris, especially if we are talking about fibrous food stuck between the teeth.

The irrigator is very helpful in rinsing hard-to-reach areas of the mouth and cleaning crowns and braces. In case of inflammation of the gums, an irrigator is generally an indispensable tool, because... allows you to rinse periodontal and periodontal pockets at home, just as your dentist would do it. An oral irrigator is an excellent tool as part of a complex therapy for gum inflammation. However, we must remember that the basis for the treatment of gingivitis, periodontitis, and bleeding is the removal of dental plaque by the dentist and anti-inflammatory therapy.

The irrigator allows you to quickly cope with inflammation and prevent new cases of inflammation and bleeding. As a dentist, I want to once again draw your attention to the fact that the irrigator is not an independent hygiene product, but an excellent addition to dental floss and a toothbrush. For information on how to properly brush your teeth, read the article: “Prevention of dental and gum diseases.” We hope that our article: Oral irrigator reviews was useful for you!

Sources:

1. Dental education of the author of the article, 2. Based on personal experience as a periodontist, 3. American Academy of Periodontology (USA), 4. https://oralb.com/, 5. https://www.realself.com /.

Misconceptions

❌ An irrigator can replace a toothbrush

Using a toothbrush is essential for quality oral care. An irrigator is an additional hygiene product; it can replace dental floss, but not a brush with toothpaste.

❌ It is enough to use the irrigator a couple of times a week

The irrigator should be used every time after brushing your teeth, that is, in the morning and in the evening.

❌ You definitely need to use balms for irrigators

You can use an irrigator with regular warm water. It must be filtered or boiled. Irrigator balms help fight some diseases, but their use is not necessary.

❌ You can pour herbal decoctions and regular rinses into the irrigator

Only water and special balms can be poured into the irrigator. Mouthwashes foam heavily in the reservoir, and herbal infusions leave a sediment. All this can quickly break the device.

❌ The fluid supply hose must be long

The hose should not be too long, as you will still have to bend over the sink when using the irrigator. There is no point in using the device while standing.

❌The more power levels the irrigator has, the better it is

Modern irrigators have smooth power adjustment, and the number of divisions on the toggle switch is quite arbitrary.

Microbubble irrigator: main features

Microbubble devices also work based on pulses delivered by the device. The difference between these two devices is that a microbubble-type irrigator supplies water along with air bubbles. When they collide with teeth, they cause micro-explosions, which provoke the separation of plaque, which is much more effective than conventional water hammer. Such devices are considered the most modern. They cost a little more, but they suit almost everyone. They are recommended even for hypersensitive gums and enamel.