What to Do If You Can’t Get Floss Between Teeth

The inability to slide floss between teeth, whether due to shredding, snapping, or being blocked, is a common barrier to proper oral hygiene. Interdental cleaning removes plaque and debris from nearly 40% of the tooth surface that a toothbrush cannot reach. This daily cleaning is necessary for preventing the formation of hardened plaque (tartar) and reducing the risk of gum disease and cavities. When floss resists passing the contact point, it signals a need to adjust technique, tools, or seek professional assistance.

Techniques and Tools for Tight Spaces

If standard nylon floss is difficult to use, switching products can provide an immediate solution for tight contact points. Monofilament floss, often made of Polytetrafluoroethylene (PTFE), is effective because its smooth, single-strand construction resists shredding and glides easily through closely spaced teeth. Waxed floss is also a good option; the coating allows it to slip more smoothly past tight spots compared to unwaxed varieties, which are more prone to fraying and breaking.

The technique used to pass the floss through the contact point is important; forcing the floss straight down can cause it to snap or injure the gum tissue. Instead, a gentle, controlled side-to-side or “sawing” motion can help work the floss through the tightest area without excessive force. Once the contact is cleared, wrap the floss into a C-shape around the tooth and slide it gently below the gum line to scrape the surface.

If string floss proves consistently difficult, alternative cleaning tools offer a mechanical bypass. Floss picks provide a pre-tensioned section of floss on a handle, which is easier to maneuver, especially in the back of the mouth. A water flosser uses a pressurized stream of water to remove debris between teeth and below the gum line. This device is useful for individuals with very tight spaces or limited dexterity.

Dental Reasons for Flossing Difficulty

Persistent difficulty in flossing often points to an underlying structural reason. One common cause is the buildup of calculus (tartar), which is plaque that has mineralized and hardened onto the tooth surface. This hardened deposit can physically bridge the gap between teeth, making it impossible for the floss to pass through or causing it to snag and tear.

Dental restorations can also create physical obstructions. A poorly contoured filling or a crown with an imperfect margin can leave an “overhang” or a rough edge that catches and shreds the floss. These rough surfaces, which can also be caused by tooth decay or a chip, prevent the floss from sliding smoothly.

In some cases, difficulty results from natural tooth anatomy, such as crowding or misalignment. Tightly packed or overlapping teeth create narrow or inaccessible contact points, which are challenging for any type of floss. When floss consistently gets stuck in the same location, it indicates one of these issues is present and requires more than a change in home care products.

Addressing Persistent Blockages Professionally

When a change in tool or technique does not resolve the blockage, a professional dental evaluation is necessary. If the problem is due to calculus, the dental hygienist will perform scaling to remove the hardened deposits from the tooth surfaces and below the gum line. This process eliminates the physical obstruction and restores the smooth surface needed for effective home flossing.

If a dental restoration is the source of the snagging, a dentist can address the issue by polishing the rough edges of a filling or smoothing an overhang. If the contour is significantly flawed or the restoration is failing, the dentist may recommend replacing the filling or crown entirely to eliminate the defect trapping the floss.

For difficulty caused by significant tooth crowding or misalignment, a long-term solution may involve an orthodontic assessment. While minor crowding can be managed with specialized floss, severe cases may require orthodontic treatment to physically reposition the teeth and create adequate space for daily cleaning. Addressing these underlying issues ensures that all tooth surfaces, including tight contact points, remain accessible for cleaning and long-term health maintenance.