Everyday Materials

PFAS in Dental Floss: Unraveling the “Forever Chemical” Risk

Discover how PFAS 'forever chemicals' are used in some gliding dental flosses and the serious health risks associated with these persistent compounds, including cancer and immune disruption. Learn how to choose safer, PFAS-free alternatives.

Note from the Editor: At Everyday Materials, our goal is to help you navigate the science of your home. We only recommend “Better Alternatives” that we’ve researched extensively and would feel safe using in our own kitchens and lives. If you purchase through one of our links, we may earn a small commission from Amazon at no extra cost to you. This helps us keep the lights on and the research coming. Thank you for trusting us.
Avoid Research-Weighted Household Verdict

PFAS (per- and polyfluoroalkyl substances) are a class of 'forever chemicals' known for their persistence in the environment and human body, and their links to severe health problems including cancer, thyroid disease, immune suppression, and reproductive issues. Certain types of dental floss, particularly those marketed for 'gliding' smoothly, can be treated with PTFE (a type of PFAS) to enhance slipperiness. This direct oral exposure offers a route for PFAS ingestion, contributing to overall body burden. Given the significant and well-documented risks, opting for PFAS-free dental floss is a crucial step towards reducing exposure.

The Slide to Smoothness: How PFAS Make Floss Glide

PFAS, or per- and polyfluoroalkyl substances, are a family of over 12,000 synthetic chemicals renowned for their exceptional resistance to water, oil, and stains. These properties make them incredibly useful in a wide range of industrial and consumer products, including non-stick cookware, water-repellent clothing, and even some personal care items. In the context of dental floss, PFAS are sometimes used to create a slick, low-friction surface that allows the floss to glide easily between teeth.

Specifically, polytetrafluoroethylene (PTFE), a type of PFAS known commercially as Teflon, is a material sometimes incorporated into 'gliding' or 'shred-resistant' dental floss. The concern arises because, during regular flossing, microscopic particles of these PFAS-coated threads can potentially detach and be ingested or absorbed through the gums, introducing these persistent chemicals directly into the body.

Oral Health, Overall Health: The PFAS Connection

The scientific community has established strong links between PFAS exposure and a growing list of serious health problems. These 'forever chemicals' do not break down in the environment or the human body, leading to their accumulation over time, known as bioaccumulation. Even low levels of exposure can contribute to this body burden, with potentially significant consequences.

Cancer

Studies have linked certain PFAS compounds, particularly PFOA, to an increased risk of kidney and testicular cancer.

Immune System Dysfunction

PFAS can suppress the immune system, reducing vaccine effectiveness and increasing susceptibility to infections.

Thyroid Disease

Exposure is associated with thyroid hormone disruption, which can impact metabolism, growth, and development.

Reproductive & Developmental Issues

PFAS are linked to decreased fertility, preeclampsia, and developmental effects in children, including lower birth weight and delayed puberty.

Cholesterol Levels

Elevated blood cholesterol levels have also been observed in populations with higher PFAS exposure.

Direct Exposure Warning: Flossing with PFAS-treated products provides a direct route for these “forever chemicals” to enter your body through oral absorption and ingestion. Even small, repeated exposures contribute to your body's total PFAS burden.

A 2019 study published in the Journal of Exposure Science & Environmental Epidemiology specifically found elevated levels of certain PFAS in women who used a particular brand of dental floss that contained the chemicals. This reinforces the idea that dental floss can be a direct source of PFAS exposure, adding to the cumulative burden from other sources like contaminated water, food packaging, and non-stick cookware.

Floss Safely: PFAS-Free Alternatives

Given the significant health concerns associated with PFAS, choosing PFAS-free dental floss is a straightforward and impactful way to reduce your daily exposure to these persistent chemicals. Fortunately, many excellent alternatives are available on the market.

When shopping for floss, look for products specifically labeled 'PFAS-free,' 'PTFE-free,' or 'Teflon-free.' Common PFAS-free options include floss made from natural silk, nylon, or polyester that is unwaxed or coated with natural waxes (like beeswax or candelilla wax) rather than synthetic fluoropolymers. Biodegradable and compostable silk flosses are also excellent choices for both health and environmental reasons. Consider brands that prioritize transparency in their ingredients and commit to avoiding 'forever chemicals' in their manufacturing processes. Your oral hygiene routine doesn't need to come with a chemical cost.

Better Alternatives

PTFE-Free Floss
Desert Essence Tea Tree Oil Dental Floss

Waxed dental floss infused with natural tea tree oil for effective cleaning without PFAS.

PTFE-free, vegan, natural wax coating, helps fight bacteria
Thicker than gliding floss, may shred for some users
View on Amazon
Natural Silk Floss
Georganics Dental Floss, Spearmint (Silk)

Compostable silk dental floss coated with candelilla wax, zero waste.

100% biodegradable silk, PFAS-free, plastic-free packaging, natural wax
Higher cost, may require adjusting technique due to texture
View on Amazon
Nylon Floss (PTFE-free)
RADIUS Vegan Sponge Floss

Expands to clean more surface area, made from nylon with plant-based waxes, PTFE-free.

Soft, spongy texture for effective cleaning, PTFE-free, vegan wax
Can be thicker, some users find it shreds easily
View on Amazon
Silk Floss (Biodegradable)
Woobamboo! Natural Eco-Friendly Dental Floss (Biodegradable)

Biodegradable silk floss with natural beeswax and mint flavor, in a refillable dispenser.

Biodegradable, natural ingredients, refillable dispenser, pleasant flavor
Silk can be delicate, may break if used aggressively
View on Amazon

Sources

  1. Environmental Working Group (EWG): Dental Floss — https://www.ewg.org/news-insights/news-release/2019/01/toxic-pfas-chemicals-dental-floss
  2. National Institute of Environmental Health Sciences (NIEHS): PFAS — https://www.niehs.nih.gov/health/topics/agents/pfas/index.cfm
  3. Food and Drug Administration (FDA): PFAS (Per- and Polyfluoroalkyl Substances) — https://www.fda.gov/food/environmental-contaminants-food/pfas-per-and-polyfluoroalkyl-substances
  4. Boronow, K. E., et al. (2019). 'Serum Biomarkers of Exposure to Perfluoroalkyl Substances in Relation to Dental Floss Use.' Journal of Exposure Science & Environmental Epidemiology, 29(1), 126–132. — https://www.nature.com/articles/s41370-018-0109-y

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