Brushing and flossing are essential to maintain good oral hygiene, and many dentists recommend adding mouthwash to further promote oral health. Mouthwash has become a key element of the daily routine, but a common question remains: should you use mouthwash after brushing or before?
Timing is important: using mouthwash correctly can enhance its benefits, while improper use can reduce its effectiveness. However, many people are unsure whether it is really necessary, how often to use it, and what its benefits or limitations are.
In this article, we’ll answer those questions to help you understand the best way to incorporate mouthwash into your routine to maintain a healthy smile.
Why is it important to use mouthwash?
Mouthwash is a liquid designed to complement your daily oral hygiene routine by helping to eliminate bacteria, strengthen teeth, and freshen your breath. While it does not replace brushing or flossing, it serves as an additional layer of protection, reaching areas that are difficult to clean with a toothbrush. This extra coverage helps prevent cavities, maintain healthy gums, and reduce plaque buildup.
Think of mouthwash as a hand sanitizer: it doesn’t remove dirt like soap and water, but it effectively kills bacteria. Similarly, many mouthwashes contain active ingredients such as fluoride, chlorhexidine, and essential oils, which fight bacteria and help prevent gum disease. Some also contain alcohol to enhance their antibacterial effect, although it may cause dry mouth in some people.
Types of mouthwash
Mouthwash comes in different formulations, each designed to target specific oral health needs. Choosing the right type can help protect your teeth, freshen your breath, and support overall oral hygiene.
1. Therapeutic mouthwash (Improves oral health): Designed to reduce plaque, kill bacteria, and prevent gum disease. These mouthwashes contain active ingredients such as fluoride, Chlorhexidine, and essential oils. Common types of therapeutic mouthwash are:
–Fluoride mouthwash: strengthens enamel and provides extra protection against cavities, making it ideal for those prone to tooth decay.
–Whitening mouthwash: helps reduce surface stains and maintain bright teeth, especially after professional whitening treatments.
–Mouthwash for sensitivity: contains fluoride, potassium, or hydroxyapatite to remineralize enamel and relieve tooth sensitivity.
–Antiseptic mouthwash: Often contains chlorhexidine, which treats gingivitis, reduces infection risks, and promotes healing after oral surgery.
2. Cosmetic mouthwash (primarily for fresh breath): Cosmetic mouthwashes contain ingredients such as mint and eucalyptus; while they do not provide long-term oral health benefits but are useful for refreshing breath and enhancing taste.
There are both alcohol-based and alcohol-free mouthwashes, each designed for different needs. Alcohol-based mouthwashes have strong antibacterial properties, helping to kill germs and reduce plaque, but they may cause dry mouth in some people. Alcohol-free mouthwashes offer a gentler alternative for those with sensitive teeth or dry mouth, protecting without the drying effects of alcohol.
The right mouthwash depends on your needs. For cavity protection, choose a fluoride rinse. For gum health, an antiseptic mouthwash works best. If you struggle with dry mouth, opt for an alcohol-free formula. Also, you can make your own mouthwash at home.
Benefits of using mouthwash
Using the right mouthwash regularly can offer several benefits, such as:
● Fights bacteria and plaque: helps eliminate bacteria that contribute to bad breath, cavities, and gum disease.
● Strengthens enamel: Fluoride-based mouthwashes help prevent enamel demineralization and protect against tooth decay.
● Freshens breath: instantly neutralizes bad odors, leaving a clean and refreshing feeling.
● Reduces gum inflammation: Some mouthwashes contain ingredients that soothe gingivitis and prevent infections.
● Reaches difficult areas: Liquid rinses can access the tight spaces between teeth and below the gumline where a toothbrush or floss may struggle.
However, using mouthwash incorrectly can lead to issues such as:
● Dry mouth: Alcohol-based mouthwashes may reduce saliva production, leading to discomfort.
● Oral irritation: Some ingredients may cause sensitivity or irritation in people with delicate gums.
● False sense of cleanliness: Swishing mouthwash alone doesn’t remove plaque, it should always be used alongside brushing and flossing.
How to use mouthwash correctly?
Mouthwash is a great addition to your oral hygiene routine, but using it properly is key to maximizing its benefits while avoiding unwanted side effects. It’s important to remember that mouthwash does not replace brushing or flossing—instead, it serves as an extra tool to enhance cleanliness and protect your teeth and gums.
Should you use mouthwash after brushing or before?
Many people wonder about the right order: mouthwash before or after brushing. The truth is, both methods offer benefits; the best choice depends on your personal preference, the type of mouthwash you use, and any specific instructions from your dentist or the manufacturer.
● After brushing (most recommended): Using mouthwash after brushing helps remove lingering particles, reinforces the effects of fluoride from toothpaste, and provides an extra layer of protection. It also leaves a lasting fresh breath.
● Before brushing: Some people prefer to rinse before brushing to loosen plaque and food particles, making them easier to remove. This is similar to using a primer before painting—it prepares your mouth for a more effective clean. If you use mouthwash before brushing, avoid rinsing with water afterward to preserve its active ingredients.
Expert tip: If your toothpaste contains fluoride, wait at least 30 minutes before using mouthwash. Rinsing immediately after brushing may wash away the fluoride, reducing its protective effects.
When is the best time to use mouthwash?
● Morning routine: A great way to start the day with fresh breath and an extra layer of protection against bacteria.
● Before bed: Rinsing at night helps reduce bacterial buildup while you sleep. Since saliva production decreases at night, bacteria can multiply more easily, making mouthwash an extra safeguard.
● After eating (when brushing isn’t possible): If you don’t have access to a toothbrush, a quick rinse can help remove food particles and neutralize acids that contribute to tooth decay.
How often should you use mouthwash?
● Limit to twice a day: Using mouthwash too frequently can lead to gum irritation, dry mouth, or an imbalance in natural oral bacteria. In some cases, overuse may cause tooth sensitivity or discoloration.
● Avoid right before eating: Food can reintroduce bacteria, making the rinse less effective.
● Skip it if you have open sores or sensitivity: Alcohol-based mouthwashes may cause discomfort. Opt for a gentler, alcohol-free alternative if needed.
Mouthwash is a great tool for oral health when used correctly and in moderation. Whether you prefer to use it before or after brushing, in the morning or at night, or after meals, its effectiveness depends on how and when you use it.
Step-by-step guide to using mouthwash
Using mouthwash may seem straightforward, but following the right technique ensures maximum effectiveness. Whether you use mouthwash after brushing or before doesn’t matter as much as using it correctly and consistently. The key is to incorporate it into your routine in a way that enhances your oral hygiene.
Here’s a simple guide to help you get the most out of your rinse.
1. Measure the right amount: Pour 10 to 15 ml (about one capful) into a cup. Some brands recommend 20 ml (4 teaspoons), so check the instructions on the label. Do not dilute unless directed.
2. Swish thoroughly: Empty the cup into your mouth and swish for 30 seconds to 1 minute. Make sure it reaches all areas, including between your teeth and along the gumline.
3. Do not swallow: Mouthwash is meant to be spit out after use. While swallowing a small amount is generally harmless, it’s best to avoid ingestion.
4. Avoid rinsing with water afterward: This prevents washing away the active ingredients, allowing them to keep working for longer.
5. Wait at least 30 minutes before eating or drinking: This helps maintain the protective effects on your teeth and gums.
Tips for making mouthwash part of your routine
● Use it as a supplement, not a substitute: Mouthwash enhances oral hygiene but does not replace brushing or flossing.
● Choose the right type for your needs: There are mouthwashes designed for cavities, sensitivity, gingivitis, or bad breath. If unsure, consult your dentist.
● Avoid alcohol-based mouthwashes if you have dry mouth: Alcohol can reduce saliva production, leading to further dryness. Opt for an alcohol-free formula instead.
● Be cautious with long-term use of chlorhexidine mouthwash: While effective for infections and gum disease, prolonged use can stain teeth and disrupt the natural balance of oral bacteria.
● Not recommended for children under 5: If your child is older, choose a kid-friendly mouthwash and teach them to spit it out properly.
● Make it part of a complete oral care routine: Use mouthwash alongside brushing, flossing, and regular dental check-ups for optimal oral health.
Mouthwash is a useful addition to an oral hygiene routine, but it doesn’t replace brushing or flossing. Its purpose is to enhance daily cleaning by helping to reduce bacteria, strengthen teeth, and freshen breath. Whether you use mouthwash after brushing or before, the key is to use it correctly to maximize its benefits.
However, mouthwash alone doesn’t remove plaque or address the root cause of bad breath. To maintain a truly healthy mouth, it is essential to brush properly, floss regularly, and visit your dentist for check-ups.
Everyone has different oral health needs, so choosing the right mouthwash and using it correctly makes a difference. If you’re unsure which one is best for you, consult your dentist for guidance. With proper use, you can enjoy a healthier mouth and fresher breath every day.
Frequently Asked Questions
What happens if I swallow mouthwash?
Swallowing a small amount is usually harmless, but ingesting large quantities—especially mouthwashes with alcohol or fluoride—can cause stomach discomfort, nausea, or toxicity. If swallowed in large amounts, seek medical attention immediately.
Can I use mouthwash after wisdom tooth extraction or oral surgery?
It depends. Right after surgery, you should avoid using mouthwash for at least 24 hours to allow proper healing. After that, your dentist may recommend a gentle, alcohol-free, or antiseptic mouthwash to prevent infection and promote healing. Always follow your dentist’s instructions.
Is it safe to use mouthwash every day?
Yes, as long as it’s used correctly and in moderation. However, some medicated mouthwashes (like those with chlorhexidine) should only be used for short periods, as long-term use can stain teeth and alter oral bacteria balance.
Is it safe to use mouthwash while pregnant?
Yes, but choose an alcohol-free mouthwash to avoid unnecessary exposure. Pregnant women experience increased gum sensitivity, so using a gentle, fluoride-based mouthwash can help protect against cavities and gum disease. If you’re unsure, consult your dentist.
Does mouthwash affect taste?
Some mouthwashes—especially those containing chlorhexidine or strong antiseptics—can cause a temporary change in taste perception. This usually goes away after a few hours, but if it persists, try switching to a milder mouthwash.
Share
References
1. Academy Plus. (2024). When to use mouthwash – presenting two evidence-based consensuses. Academy Plus. https://academy-plus.co.uk/article/when-to-use-mouthwash-presenting-two-evidencebased-consensuses
2. McGrath, C., Clarkson, J., Glenny, A. M., Walsh, L. J., & Hua, F. (2023). Effectiveness of Mouthwashes in Managing Oral Diseases and Conditions: Do They Have a Role? International Dental Journal, 73 Suppl 2(Suppl 2), S69–S73. https://doi.org/10.1016/j.identj.2023.08.014
3. NHS. (2024, 23 May). How to keep your teeth clean. nhs.uk. https://www.nhs.uk/live-well/healthy-teeth-and-gums/how-to-keep-your-teeth-clean/
4.Takenaka, S., Sotozono, M., Ohkura, N., & Noiri, Y. (2022). Evidence on the Use of Mouthwash for the Control of Supragingival Biofilm and Its Potential Adverse Effects. Antibiotics (Basel, Switzerland), 11(6), 727. https://doi.org/10.3390/antibiotics11060727
5. Watson, K. (2019, 25 Nov). Everything You Need to Know About Using Mouthwash. Healthline. https://www.healthline.com/health/how-to-use-mouthwash
6. Watson, K. (2021, 4 Aug). Is Mouthwash Bad for Your Health? Healthline. https://www.healthline.com/health/dental-and-oral-health/is-mouthwash-bad-for-you
-
Dr. Yeidy Carolina Mesa [Author]
DDS Yeidy Carolina Mesa Passionate Dentist | Advocate for Accessible Oral Health Education Graduating from Universidad CES in 2022, I am a dedicated general dentist with a lifelong passion for helping others and making a meaningful impact in the world. My journey into dentistry began at the age of 7, inspired by my own experience with braces and overcoming a fear of the dentist. This personal journey shaped my mission to help patients conquer their own dental anxieties and embrace a healthier,...
View all posts