This Dental Hygienist Went Viral For Sharing The Surprising Reason You Need To Smell Your Floss

Keeping up with all your recommended dental care can be pretty tricky. Juggling busy schedules, jumping through insurance hoops, and even dental anxiety can hold us back from spending time in the dentist's office. So it's not too surprising that this 24-year-old dental hygienist has been going viral for sharing a (kinda gross) tip that can help clue you in to a little-known sign of gum disease.

Dentist with a tablet interacts with a patient seated in a dental chair, discussing treatment options
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Kyrsten Sprouse (@kyrsten.sprouse) is a dental hygienist in Oregon who's been working in the dental field for three years. On her TikTok, she recently shared a video talking about a certain telltale smell she's noticed while flossing her patients, and it quickly went viral, racking up nearly 2 million views.

Kyrsten talking in her car

In the clip, she says, "It's so crazy when I've been cleaning people's teeth for a whole hour, and I don't smell periodontal disease, really, until the end, when I'm checking my work and I'm flossing and I can smell it really bad, even through my mask, my face shield, everything." She's careful to note in her caption that she's sharing this info to educate her audience, not to make people feel bad about themselves, writing, "I'm so used to it and not judging the patient AT ALL."

Girl smiling while a dentist and dental assistant use tools during a dental checkup
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Periodontal disease (aka gum disease) occurs when plaque isn't cleaned off the teeth by brushing or flossing. Bacteria live in the plaque build-up, and without proper dental hygiene, they can move into the gums, creating "pockets" and causing inflammation. Some symptoms of gum disease can include bleeding or swollen gums, the gumline receding away from the teeth, sensitivity, and changes in your bite alignment. And you should know that gum disease doesn't just affect your mouth; it has also been linked to heart conditions, diabetes, stroke, dementia, and even complications in pregnancy.

A woman is at the dentist's office, receiving a dental checkup from a dentist wearing gloves and using dental tools
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There are two main types of periodontal disease. You've probably heard of gingivitis before — this is a milder and reversible form of gum disease. Regular dental cleanings and good home care can reverse the course of gingivitis. Then there's periodontitis. This is a more serious form of gum disease that can't be fully reversed. However, proper treatment can slow down the progression of periodontitis.

Krysten explaining periodontal diseases, focusing on gingivitis and periodontitis, in a video. Text onscreen highlights differences and symptoms of both conditions

In her video, Kyrsten goes on to share a tip she often shares with patients who are interested in stepping up their dental hygiene. "I always tell my patients, like, if you want to be grossed out, but you want to feel encouraged to floss: when you're home all alone, no one else is around, floss your teeth and then smell the floss."

A woman is flossing her teeth in front of a bathroom mirror, smiling and concentrating on the task
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She continues, saying, "A lot of people get discouraged very easily in the dental chair. So I never, like, bring up the smell or anything like that, unless they mention it. But I do mention, you know that when you begin flossing, and you haven't had that habit, you're gonna have a lot of bleeding. Might smell a little funky, but once you have flossed regularly for a week or two, the bleeding will significantly, significantly reduce."

Kyrsten is sitting in a car, wearing a black top and touching her head with one hand. The text overlay jokes about the smell of periodontal disease when flossing

In the comments, some shared that they're all too familiar with the periodontal funk:

Comment reads: "I have periodontal disease and it makes me NOT want to floss bc the smell but ik I have to ?" with 1,667 likes and a heart icon
TikTok

And others admitted to indulging in this gross habit for no particular reason at all:

A social media exchange: "I always smell when I floss idk why" with 1165 likes. Kyristen responds with "me when I clean my bellybutton" and laughing emojis, with 791 likes
TikTok

Some people pointed out other things your dentist can tell about you just from smelling your breath:

A TikTok comment where a user recounts that their dentist suspected they were diabetic due to the sweet smell on their breath, but the user had partied the night before. Kyrsten responds that it may be life-saving
TikTok

And Kyrsten offered words of encouragement for commenters who joined the chat to talk about dental anxiety:

Comment exchange on social media. User shares experience crying at dental visits. Kyrsten, a creator, offers reassurance and support
TikTok

But mostly, people wanted to know, what exactly does periodontal disease smell like? Kyrsten told BuzzFeed, "It is a really hard smell to describe, but once you smell it, you will recognize it again easily. I would say that it smells like bacteria. Some people described it in the comments, but it is subjective, so some descriptive terms may resonate with some and not others." Dental professionals have dubbed the smell "perio breath."

Person flossing their teeth with dental floss with TikTok comments describing perio breath as smelling like petting zoo, sewer, moth balls, death, rotten meat, moldy cheese
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And she said that if you notice bleeding while brushing or flossing, that's a really common sign of gum disease and your sign to schedule a dentist appointment. "It is important to see your dental hygienist and dentist so they can review your x-rays, probing depths, and visualize the state of your gums. This allows them to properly diagnose and give oral home care instruction that is made specifically for you!!!"

An adult and a child brush their teeth together in a bathroom, smiling into a mirror. The child wears overalls and a long-sleeved shirt
Bogdan Malizkiy / Getty Images

Kyrsten also creates floss reviews on her TikTok. Since there are so many kinds of floss on the market these days, I had to pick her brain about her current favorite brands. "I am still on a journey of finding more flosses, but right now I loooove Burst Expanding Floss. It is black and shows you all the gunk that you’re getting out from between your teeth (kind of gross, but also weirdly satisfying). I also love Cocofloss, Dr.Tung’s, and Reach Pop Floss."

Person wearing a tank top using dental floss, focusing on hands

"These are all woven flosses, so they’re thicker and not coated in wax to help them slide around. I don’t have super tight teeth so woven flosses work amazing for me. They may not work for people who have super tight teeth and fillings that are in between the teeth!"

Alexanderford / Getty Images

By the way, if you happen to prefer using a waterflosser, Kyrsten shared her thoughts on those helpful home care tools. "I love waterflossers, specifically the brands Waterpik, Sonicare, and Burst. Waterflossers are best used with floss; they’re the perfect duo! The bristles of a toothbrush and floss only get 2-3 millimeters under the gum line, which is perfect for a 'healthy' patient because that’s how deep their pockets are, but for anyone with deeper pockets than that, they aren’t reaching the base of the sulcus [space between the tooth and gums] at home. This is when I specifically recommend the Waterpik because it can get 6mm below the gum line!"

Electric water flosser with various nozzles, toothbrushes, and toothpaste arranged on a bathroom counter next to a stone sink
Lazy_bear / Getty Images

She also shared what she would say to a potential patient who hasn't been to the dentist in a long time and is feeling anxious or embarrassed. "Firstly, I am proud of you for going in again or for the first time. My advice would be to shop around for dental offices, look at their reviews, and see if their office suits YOU. Secondly, if you have dental anxiety and you’re comfortable discussing that with others, tell the office or dental hygienist. There are things we can do during the appointment to try and make you more comfortable or even work together to come up with a treatment plan! I talk with a lot of other dental hygienists on my page, and we just want the best for you. We want you to walk away from your appointment more knowledgeable and confident."

Two people examine a dental X-ray displayed on a tablet with a stylus pointing at it
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Finally, Kyrsten shared a reminder that social media advice can't compare to personalized recommendations at your dental office. "Your usual providers have reviewed your medical and dental history, so they know of any genetic predisposition, conditions, and modifying factors that are specific to you; they have seen your x-rays, and they have physically been in your mouth! If you are interested in something you see on the internet, ask your dental hygienist or dentist if that would be a good option for you."