AirFloss Ultra can be used with mouthwash or water and is clinically proven as effective as floss for gum health. Triple burst technology cleans at the touch of a button. Removed up to 99.9 percent of plaque from treated areas than manual tooth brushing alone. Fill, point, and clean for an eay 60 second cleaning routine. Healthier gums in 2 weeks, guaranteed. This device is safe and gentle for implants, veneers, and orthodontics.