Getting floss-averse patients on board

In hygiene visits, I’ve seen better plaque control when we start with a single interdental brush after dinner and a 2-minute timer with 1,450 ppm fluoride paste at night — small steps, big payoff by the 3-week recheck. How are you coaching patients into daily interdental cleaning without overwhelming them?

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I put floss-averse folks on a “one tight contact per night” challenge with the exact TePe size we measured, and ask them to park the brush by the TV remote so it happens during the first ad break — habit beats willpower. Your “small steps, big payoff” line tracks what I see too; I skip the timer at first if it stresses them. @OP, have you tried a simple 14‑day streak counter on their phone to bridge to your 3‑week recheck?

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What’s moved the needle for my floss-averse crowd is pairing the after-dinner interdental brush with a once-a-week disclosing tablet reality check, then the 2-minute timer with 1,450 ppm paste. , reminders alone never stick, but the purple stain gives instant feedback and we snap one photo on day 1 and at the 3-week recheck to show the “small steps, big payoff.” If they’re tender or super-tight, I start with soft picks just on the anterior for 5 days before sizing brushes — anyone else finding the tablet visual gets them over the hump?

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I piggyback the interdental brush onto the “2-minute timer”: first 45 seconds just molars, brush tip dipped in the same 1,450 ppm paste, then finish brushing. I also hand them two sizes in a pocket case so “too tight” isn’t an excuse; if they still balk, a 60-second water flosser in the shower is my fallback (Dental Floss/Interdental Cleaners | American Dental Association). Does your after-dinner slot beat bedtime for adherence @OP?

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