Waterpik^® water flossers have been clinically proven to improve the oral health of users with diabetes. 

The toothbrush is the most important tool for the mechanical control of oral biofilm; however, only 60% of the dental surface is cleaned with this method. The remaining 40% is in the interproximal area, which provides favourable conditions for the build-up of bacterial plaque, causing various diseases and disorders including caries, halitosis, gingivitis or peri-implant mucositis, amongst others. 

Water flossers are best at cleaning this area, removing both food residue and the oral biofilm that adheres between the teeth, and they also reach the subgingival areas. 

Oral irrigation is indicated in all patients as a complement to brushing, and Waterpik^® has been clinically proven to provide significant oral health benefits, particularly in the case of diabetic users, who are at higher risk for gum disease. 

Use of Waterpik^® water flossers has shown a reduction in gingival bleeding and inflammation in diabetics. Moreover, it is advisable for diabetics to use a specific mouthwash, such as VITIS^® gingival, to ensure good gum condition and to prevent complications. 

In diabetic patients having undergone treatment for periodontitis, low strength chlorhexidine (CHX) such as Perio·Aid^® CHX 0.05% may be indicated for daily gum control, or Perio·Aid^® CHX 0.12% as an adjuvant to periodontal or peri-implant treatment. 

Waterpik^® provides significant improvement in diabetic patients with respect to⁽¹⁾: 

• Gingival index (66.9%)
• Plaque reduction (64.8%)
• Bleeding on Probing (43.4%) 

Reduction of gingival bleeding in diabetic patients 44% more effective
Standard oral hygiene vs. Waterpik^® water flosser 

Reduction of gingival inflammation in diabetic patients 41% more effective
Standard oral hygiene vs. Waterpik^® water flosser