Comparison Aqua-Jet LD-A8 vs Waterpik WP-100 E2 Ultra

The number of working nozzles that are standardly supplied with the device. Nowadays, options are quite common with both one and two or three nozzles in the kit; and in the most extensive sets, this number can be four or five or even more.

In many sets, several nozzles may have different purposes. For instance, an irrigator, in addition to its standard nozzle, might include orthodontic and periodontal nozzles. However, it's important to note that models with the same number of accessories in the kit can have different specific specializations. So, when making a choice, it's wise to consider not just the quantity but also the types of nozzles available. Additionally, there's an option where several identical interchangeable heads come with one handle. This configuration is particularly common in toothbrushes. It enables multiple individuals, such as family members, to use a single device, and such a set is usually more cost-effective than purchasing individual toothbrushes for each person.

Types of nozzles supplied as standard with the device.

The availability of nozzle types largely depends on the device's intended purpose (as discussed in the "Type" section). Toothbrushes typically offer standard round and oval-shaped nozzles, as well as options for sensitive teeth (also available in both round and oval shapes), and combined devices that may have multiple functions. In contrast, irrigators can come with various nozzles, including conventional ones, those designed for cleaning gum pockets (periodontal), and even nozzles for nasal irrigation. Devices intended for use with braces, implants and tongue cleaning are primarily found in irrigators, although they may also be compatible with some toothbrushes.

Here is a more detailed description of each of these options:

— Oval standard. Oval-shaped toothbrush heads are designed for standard cleaning intensity and are not specifically intended for sensitive teeth. The performance of these nozzles depends on the cleaning technology they employ (as explained below). For instance, models using reciprocating sweeping patt...erns offer more intensive treatment compared to similar round heads with reciprocating technology. However, this type of cleaning is less gentle and requires precision even for individuals with healthy teeth and gums. In the case of sonic and ultrasonic brushes, there is no significant difference, and oval-shaped heads are widely used because they cover a larger surface area, allowing for quicker toothbrushing. Occasionally, you may come across oval nozzles with a reciprocating-rotating mechanism, which, in terms of shape and application, are closer to round heads.

— Round standard. Round toothbrush heads are designed for standard cleaning and are not specifically intended for sensitive teeth. They are primarily used in models featuring reciprocating cleaning technology (as explained below). In comparison to their closest alternative, oval-shaped reciprocating-sweeping heads (as described earlier), round nozzles offer a gentler cleaning action and better access to hard-to-reach areas. They may not perform as well in cleaning open spaces, but this is typically not a critical issue. However, in "sonic" brushes, round heads are quite rare. In such cases, round heads do not offer significant advantages over oval ones, and their coverage area is noticeably smaller, which can reduce their overall effectiveness.

— Oval for sensitive teeth. A variation of the oval heads described above, optimized for the cleaning of sensitive teeth and gums (including inflammation in the oral cavity). Such devices are distinguished primarily by softer bristles than in standard nozzles; in addition, other design features may be provided to ensure the most delicate and gentle impact.

— Round for sensitive teeth. Round heads specially designed for sensitive teeth and gums. For round nozzles in general, see above; and the main difference of this variety is a softer bristle, which allows you to achieve the necessary accuracy and care during processing. In addition, the design may provide other solutions that eliminate discomfort when used with sensitive teeth or inflamed gums.

— Combined. A head that combines round and elongated (like an oval) sections. Allows you to combine the advantages of both options to some extent. Note that such heads are rarely used as regular ones, in most cases they are produced as interchangeable accessories.

— Standard for an irrigator. Classic irrigator heads designed mainly for cleaning healthy teeth and gums. The working part of such a head has the form of a nozzle of small diameter, and almost all modern irrigators and flossing systems are equipped with similar devices (see "Type"). Often, several standard heads are supplied in the kit at once — this allows several users to use one device at once without worrying about hygiene.

– Orthodontic (for braces). Specialized heads for removing plaque and dirt in hard-to-reach places under braces and other orthodontic structures. For this purpose, you can use a standard head, however, such devices more effectively cope with such tasks. Most often they come with irrigators and flossing systems, but they are also found in toothbrushes.

– Periodontal (cleaning pockets). Gum pocket cleaning heads are designed for cleaning the areas where the gums make contact with the teeth, known as "gingival pockets." These devices feature thin heads made from soft materials to provide gentle and precise cleaning. They are particularly effective for individuals with inflamed gums and certain other oral conditions, but they can also be beneficial for users with entirely healthy gums.

— For implants. Heads designed for cleaning implants, crowns, bridges, and similar dental structures serve a similar purpose as braces heads, focusing on effectively cleaning hard-to-reach areas. These heads may be included with toothbrushes, although they are more commonly found in the accessory sets of irrigators.

— Tongue cleaning. Special heads designed for cleaning the tongue and inner surface of the cheeks help maintain overall oral hygiene and combat bad breath by removing foreign plaque. In irrigators, these nozzles typically feature a spatula-like shape that scrapes away plaque, which is then washed away by a stream of water. Toothbrushes designed for tongue cleaning use a head with a specialized surface that replaces traditional bristles with low-height solid protrusions, typically less than a millimeter in height. These protrusions effectively clean the tongue, primarily focusing on this area.

— Nasal cleaning. An irrigator equipped with a head for nose washing serves multiple purposes, including the treatment of conditions like a runny nose or sinusitis, as well as general nasal hygiene and prevention. The head for this purpose includes a unique "plug" that securely seals one nostril to prevent liquid from flowing back. The nose washing procedure is typically performed with the head in a sideways position. Water or saline solution is gently introduced into one nostril, which is positioned higher, and flows out through the other nostril. The head is then turned to the opposite side, and the process is repeated. It's important to note that while this procedure is generally safe, there are specific contraindications, so consulting with an ear, nose, and throat (ENT) doctor before using an irrigator in this capacity is advisable.

Apart from the mentioned nozzles, modern toothbrushes and irrigators may come with various other types of attachments. Toothbrushes might include attachments for tartar removal, flossing heads with ultra-thin bristles that mimic dental floss, or specialized gum massage heads. Irrigators may offer specialized nozzles for intensive or gentle treatment, multi-jet nozzles and more.

Models of replacement heads supplied with the device.

This information is valuable for assessing the capabilities of a specific model and for sourcing additional, spare, or replacement nozzles, particularly for toothbrushes and dental centers that naturally use such devices (as indicated in "Type"). Firstly, it's advisable to replace the heads in these devices every 3-6 months, similar to regular toothbrushes. Secondly, if each user purchases their own nozzle while sharing a single handle, it's a cost-effective alternative to buying a separate brush for each individual, although it may be less convenient. Regardless, knowing the model of the interchangeable nozzle will save you time and effort when searching for compatible accessories.

The number of power modes provided in the device. For flossing systems (see "Type"), this paragraph takes into account the characteristics of the irrigator; data on the toothbrush (if they differ) are indicated in the note.

It's important to distinguish between the number of power settings and the number of operating modes, as these are distinct parameters. Refer to the "Operating modes" section for details on the various modes. In this context, we emphasize that power adjustment, if available, may not be accessible in all modes. For example, in an irrigator offering two modes of operation—continuous jet and pulsation—power adjustment might only be available in the continuous jet mode.

Having multiple power settings enhances the versatility of the device. Even if a device technically offers only one operating mode, the ability to adjust the intensity of the treatment allows users to tailor the device for various tasks. For instance, in many toothbrushes, the traditional 2D brushing mode at its lowest power setting effectively serves as a gentle treatment option. However, it's worth noting that the capability to adjust power levels can somewhat increase the device's cost.

The pressure of the water supplied by the irrigator (see "Type") to the operating nozzle. Usually, this pressure can be adjusted within a certain range, since different situations and purposes require different processing intensity. The wider this range, the more versatile the device.

The lower limit of the pressure range in modern irrigators is around 30 kPa; similar values are set for procedures for sensitive teeth, for certain gum diseases and in other cases where the most gentle treatment is required. 400 – 500 kPa is considered an average level, and 600 – 650 kPa is considered high, such indicators allow for deep cleaning (see "Functions"). And higher values are rare, and they are used mainly when cleaning the tongue. However, it is best to consult with a dentist before purchasing an irrigator and choose a model for working pressure based on the recommendations received.

Modes of operation supported by the device.

Toothbrushes nowadays offer a wide range of modes beyond the traditional daily cleaning (often referred to as "2D" mode). You can find toothbrushes with options like the advanced 3D mode, as well as programs for gentle and deep cleaning, polishing, whitening, gum massage and tongue cleaning. On the other hand, irrigators typically offer different modes in addition to the standard continuous water jet. These additional modes often include pulsation and spray options.

Here is a detailed description of the most popular options found in brushes:

— Daily cleaning (2D). The "2D" mode of operation in toothbrushes closely resembles the traditional manual toothbrush experience. In this mode, the bristles of the brush move in a single plane, and the exact movement pattern may vary depending on the cleaning technology used. The intensity of brushing is typically medium to high, making it suitable for individuals with relatively healthy and not overly sensitive teeth. The recommended daily brushing time is 2 minutes, with 30 seconds allocated to each quadrant of the mouth. These corresponding settings are usually available in the timer function, if the toothbrush is equipped...with one. While "2D" brushing is somewhat less effective than "3D" (as mentioned below), it's a feature that can even be found in more affordable toothbrush models.

— Daily cleaning (3D). This feature, available in brushes with reciprocating-rotating and reciprocating-sweeping technology, involves bristle pulsation in addition to the standard cleaning motion. The pulsating movement, which goes deep into the brush head and back, enables cleaning in three dimensions simultaneously. This greatly enhances efficiency compared to the 2D cleaning mentioned earlier. These bristles not only address the outer tooth surfaces but also reach the sides and interdental spaces to some extent (though it's not a complete replacement for dental floss). However, it's worth noting that this advanced functionality typically comes at a higher cost.

— Gentle cleaning. The gentle treatment program, typically used for sensitive teeth and gums prone to bleeding, is common in brushes with reciprocating-rotating and reciprocating-brushing technologies. In these brushes, the gentle mode often involves reducing the nozzle's rotation or vibration speed. In sonic and ultrasonic models, gentler treatment is achieved by reducing vibration intensity. Regardless of the technology, this mode aims to minimize discomfort during brushing and the risk of gum damage, even when using standard nozzles. For the gentlest effect, it's advisable to use this function with a nozzle designed for sensitive teeth.

— Deep cleaning. Most often, this name means cleaning with a standard intensity, but an increased duration — for example, 3 minutes instead of the usual 2 minutes (45 seconds for each quadrant of the mouth instead of the traditional 30 seconds). This mode allows you to effectively clean your teeth and remove dirt, for which normal daily brushing is not enough.

— Polishing. A mode for treating relatively clean teeth that do not require a full-length cleaning. Usually, polishing is carried out at a reduced frequency of vibrations (rotations) and takes noticeably less time than conventional processing (for example, 1 minute instead of the traditional 2 minutes).

— Whitening. A special mode for whitening tooth enamel and removing stains, especially from the front teeth, is often an extended version of the regular brushing mode. For example, in a whitening mode, the brush might operate normally for 2 minutes and then switch to increased intensity for 30 seconds. Specific details about this mode, including any contraindications (especially for individuals with sensitive teeth or gum issues), should be checked separately.

— Massage gums. Gum treatment can be offered either as a separate program or as an add-on to the regular brushing routine. In the latter case, it typically involves a standard 2-minute toothbrushing program followed by activating an additional mode. This function not only ensures effective cleaning but also contributes to gum strengthening. It can be beneficial for addressing issues like inflammation and bleeding gums, although consulting a dentist is advisable in such cases.

— Cleaning the tongue. A separate mode for tongue cleaning is available in many electric toothbrushes. Brushing the tongue with an electric toothbrush can often cause discomfort due to tickling, so this mode typically offers a brief cleaning session lasting about 20 seconds. If needed, you can perform multiple sessions. It's important to note that the presence of a tongue cleaning mode doesn't necessarily mean that a specialized nozzle for tongue cleaning is included in the kit (as discussed in the "Nozzles" section), although it's commonly included.

It should be noted that in some toothbrushes, the mode change is carried out due to “smart” nozzles: when such a nozzle is installed, the device recognizes it by the built-in chip and automatically switches to the appropriate programme.

In turn, in irrigators, the features of the main modes are as follows:

— Jet (monoflow). The classic, most popular working format: a constant jet with a constant pressure. Provides sufficient efficiency for most tasks for which irrigators are used, while being extremely simple to implement and can be provided even in the most inexpensive models.

— Pulsating. Water supply with variable pressure. This mode is especially effective for removing dirt from the interdental space, under braces and in other hard-to-reach places.

— Spray. In this mode, a mixture of water and air is fed through the nozzle, due to which, instead of the usual jet, a cloud of small droplets flying at high speed is obtained at the exit. This mode is great for massaging the gums and general cleaning of the mouth.

This parameter represents the highest pulsation frequency achievable by the device. It's specified for brushes that support pulsating cleaning technology (as explained above), as well as for irrigators equipped with a jet pulsation mode. In the case of flossing systems (as mentioned in the "Type" section), this section typically provides information about the irrigator's pulsation frequency, and details about the toothbrush's pulsation frequency (if applicable) are mentioned separately in a note to this paragraph.

The high frequency of pulsation (40 000/min and more) in toothbrushes provides high efficiency, allowing you to quickly and efficiently deal with dense plaque and even tartar. On the other hand, too intensive processing is also undesirable — for example, with high sensitivity of the teeth. All this is also true for irrigators — except that the operating frequencies in them are noticeably lower, such devices rarely produce more than 2K pulsations per minute.

In view of all this, it does not always make sense to chase the maximum frequency of pulsations — it is worth considering the individual characteristics of the user. And ideally, before choosing a brush or irrigator with pulsation, you should consult a dentist; this will not hurt even with healthy teeth, and even with problems with teeth or gums, it is highly recommended.

Possibility of mounting the device on the wall.

The design of the mount for these devices depends on the device type (as mentioned earlier) and how it's typically used. In the case of most toothbrushes, which are typically self-powered, they come with a wall-mounted stand that also functions as a charger. Some irrigators and dental centers follow a similar setup, but many of these devices are designed for stationary use and have a larger main unit to which a handle with a nozzle attaches. In such models, the wall mount is designed to accommodate the entire main unit.

Wall installation offers a significant advantage by saving shelf space, which is particularly beneficial in tight spaces. However, this installation method entails additional preparatory work, which can be somewhat challenging. Furthermore, not all wall mounts facilitate easy removal and installation of the device, making it less suitable for situations where you frequently need to take the toothbrush or irrigator with you on trips.

The volume of the reservoir for water (or treatment solution) provided in the design of the irrigator or flossing system (see "Type").

In general, the larger the tank, the less often you have to refill the device, but the larger, heavier and more expensive the whole structure is. Thus, in portable format irrigators, where the water tank is built right into the handle, the capacity is small — even in the largest models it usually does not exceed 400 ml, a larger tank would noticeably complicate use. However, even the smallest volumes in such cases are usually enough for at least one standard procedure. But stationary models, consisting of a handle and a separate main unit, can hold very significant volumes of water — up to 1.5 L or even more.