Menu

Press Release

Dental Flossing and Other Behaviors Linked With Higher Levels of PFAS in the Body

A new study from the Silent Spring Institute and PHI's Child Health and Development Studies suggests certain types of consumer behaviors, including flossing with Oral-B Glide dental floss, contribute to elevated levels in the body of toxic PFAS chemicals. PFAS are water- and grease-proof substances that have been linked with numerous health problems. The findings provide new insight into how these chemicals end up in people’s bodies and how consumers can limit their exposures by modifying their behavior.

For Media Inquires Contact:

Brandie Campbell

Email: bcampbell@phi.org
Cell: 510.285.5548

First study to show association between Oral-B Glide dental floss and higher exposures

A new study suggests certain types of consumer behaviors, including flossing with Oral-B Glide dental floss, contribute to elevated levels in the body of toxic PFAS chemicals. PFAS are water- and grease-proof substances that have been linked with numerous health problems. The findings provide new insight into how these chemicals end up in people’s bodies and how consumers can limit their exposures by modifying their behavior.

The study, led by Silent Spring Institute in collaboration with the Public Health Institute in Berkeley, CA, appears online January 8 in the Journal of Exposure Science & Environmental Epidemiology (JESEE), and is part of a special issue dedicated to PFAS (per- and polyfluoroalkyl substances).

PFAS are used in a range of consumer products, including fast food packaging, non-stick pans, waterproof clothing, and stain-resistant carpets. People can be exposed to the substances directly through the products they use and the food they eat. They can also be exposed through indoor air and dust and contaminated drinking water.

Scientists are concerned about widespread exposure to PFAS in the population because the chemicals have been linked with health effects including kidney and testicular cancer, thyroid disease, high cholesterol, low birth weight, decreased fertility, and effects on the immune system.

In the new study, researchers measured 11 different PFAS chemicals in blood samples taken from 178 middle-aged women enrolled in the Public Health Institute’s Child Health and Development Studies, a multigenerational study of the impact of environmental chemicals and other factors on disease.

To understand how people’s behavior influences their exposure to PFAS, the researchers then compared the blood measurements with results from interviews in which they asked the women about nine behaviors that could lead to higher exposures. Half of the women in the analysis were non-Hispanic white and half were African American.

Women who flossed with Oral-B Glide tended to have higher levels of a type of PFAS called PFHxS (perfluorohexanesulfonic acid) in their body compared with those who didn’t. To further understand the connection, the researchers tested 18 dental flosses (including 3 Glide products) for the presence of fluorine—a marker of PFAS—using a technique called particle-induced gamma-ray emission (PIGE) spectroscopy. All three Glide products tested positive for fluorine, consistent with previous reports that Glide is manufactured using Teflon-like compounds. In addition, two store brand flosses with “compare to Oral-B Glide” labelling and one floss describing itself as a “single strand Teflon fiber” tested positive for fluorine.

“This is the first study to show that using dental floss containing PFAS is associated with a higher body burden of these toxic chemicals,” says lead author Katie Boronow, a staff scientist at Silent Spring. “The good news is, based on our findings, consumers can choose flosses that don’t contain PFAS.”

Other behaviors that were associated with higher PFAS levels included having stain-resistant carpet or furniture and living in a city served by a PFAS-contaminated drinking water supply. Additionally, among African American women, those who frequently ate prepared food in coated cardboard containers, such as French fries or takeout, had elevated blood levels of four PFAS chemicals compared to women who rarely ate such food. The researchers did not see the same relationship with prepared food among non-Hispanic whites.

Overall, non-Hispanic whites tended to have higher levels of two PFAS chemicals, PFOA (perfluorooctanoic acid) and PFHxS, compared with African Americans. The researchers could not explain the differences, suggesting that there are other behaviors they didn’t measure that contribute to PFAS exposure.

“Overall, this study strengthens the evidence that consumer products are an important source of PFAS exposure,” says Boronow. “Restricting these chemicals from products should be a priority to reduce levels in people’s bodies.”


Reference: K.E. Boronow, J.G. Brody, L.A. Schaider, G.F. Peaslee, L. Havas, B.A. Cohn. 2019. “Serum concentrations of PFASs and exposure-related behaviors in African American and non-Hispanic white women.” Journal of Exposure Science & Environmental Epidemiology. DOI: 10.1038/s41370-018-0109-y


More Updates

Work With Us

You change the world. We do the rest. Explore fiscal sponsorship at PHI.

Bring Your Work to PHI

Support Us

Together, we can accelerate our response to public health’s most critical issues.

Donate

Find Employment

Begin your career at the Public Health Institute.

See Jobs

Mural and kids' paintings hanging on a fence at a playground

Close

New Public Health Primer: Engaging Community Development for Health Equity

How can the public health and community development sectors to work together to advance health and racial equity? A new primer from PHI’s Build Healthy Places Network and partners provides a roadmap for forging upstream partnerships, with recommendations, strategies and lessons-learned from national, state and local leaders.

Explore the primer

Continue to PHI.org