How to Choose a Lice Comb (2024)

Life can get pretty hectic when your child has lice, so the last thing you need is a lice comb that doesn’t work.

Electric, plastic, and metal head lice combs exist. Electric combs for lice come in a number of different designs but at present none of them are well-studied. Doctors don’t currently recommend them over non-electric kinds.

Regardless of which type you choose, be prepared to use it to comb through all of your child’s hair for weeks in a row in order to remove as many of the pests as possible.

Do Electric Lice Combs Work?

Electric lice combs have been on the market since the early 2000s — but there still isn’t a version out today that can compete with fine-toothed metal and plastic lice combs.

In fact, the Children’s Hospital of Wisconsin doesn’t recommend “wasting your money” on an electronic lice comb. There isn’t a single peer-reviewed study that can verify any of the claims that the sellers make about their effectiveness.

For example, there’s one kind of electronic lice comb that’s designed to make a humming sound as it moves through your hair. It produces a small electrical zap whenever it detects a louse between its teeth. This effectively kills the insect. Then you need to clean the comb off before it’ll resume its humming search.

Experts dislike this comb for a number of reasons. Due to safety concerns, it can only be used on dry hair. Lice can — and will — run away faster in dry hair while wet hair slows them down.

Also, the comb stops working whenever anything becomes caught between its teeth. So you’re constantly stopping to clean random scalp debris off of the brush.

With a design like this, experts don’t need many studies to know that traditional combs are simply more efficient at controlling head lice.

Which Kind of Lice Comb is Best?

To decide on the best comb for you, ask yourself if you’re willing to spend a little extra money to buy one. Some combs, usuallymade of plastic. come for free with lice kits and medications while others are sold separately.

Also decide if you want the comb mostly for adult lice, their eggs (called nits), or both.

All combs have a common design feature of small teeth with very little space between them. In general, the more fine-toothed the comb, the more effective it is. A tooth spacing of around 0.2 to 0.3 inches can remove adult lice but tends to miss nits. Combs with teeth closer to 0.09 inches are best for removing both adults and nits.

One study compared two plastic lice combs to two metal lice combs and found that. while all worked to remove lice, the metal comb with finest teeth was the best at removing all of the developmental stages.

When to Use a Lice Comb

Lice combs are one of the most effective strategies for eliminating your child's head lice.

They can be especially helpful if your child’s school has a no-nit policy, where students aren't allowed back if any nits are present. Lice eggs are small, hard to see, and sticky. Luckily, combs are an easy way to remove lice eggs.

In the long term, they’re even more reliable as a global solution than any particular medication. This is because lice are more likely to become resistant to a chemical medicine than they are to a physical comb.

Combs can be both the main treatment option or, more commonly, used alongside medication. Either way, you need to start treatment with your comb as soon as you realize that your child has lice. Start the exact same day, if possible.

After beginning treatment, continue combing at least once a day while you still see live lice. Then continue to comb your child’s hair every three to four days for at least three weeks after you see your last live louse. This is because nits can take up to two weeks to hatch.

How to Use a Lice Comb

There are a number of steps to using a lice comb. Be careful to do it the right way so your child can be lice-free as fast as possible.

The steps you should follow are:

  • First, wet all of your child’s hair and comb conditioner through it with a regular brush. The water slows down the lice and the conditioner makes the hair easier to comb.
  • Then sit your child down where you can easily see and reach their head. Combing underneath a bright light is best.
  • Separate their hair into a number of small sections.
  • Begin combing through these sections one at a time.
  • Clean the comb out with a tissue or toilet paper after every few brushes so you can inspect it for live lice and nits.
  • Pay special attention to areas close to the scalp, behind their ears, and near the nape of their neck. The bugs tend to gather in these regions.

What Are You Looking For?

When you comb, you’re more likely to find adult lice than nits.

The adults have dark brown bodies that are easier to see against the scalp. They move around quickly and are about the size of a sesame seed. They can’t jump but will crawl all over the hair and scalp.

The nits can be yellow, brown, or tan and are much smaller than the adults. Nits are usually found within a few inches above the scalp. They look like they’ve been glued to the strand of hair. The eggs become clear when the lice hatch.

While you comb, keep in mind that you’re likely to find things in your child’s hair besides lice, like:

  • Dandruff
  • Dirt
  • Sand
  • Lint

Make sure that you don’t mistake any of these things for lice or nits.

When Should You See a Doctor?

Although lice are more of a nuisance than a serious medical concern, infestations can become serious in some children. Too much scratching can lead to painful openings and infections. In this case, you should talk to your doctor or see a dermatologist right away.

Your doctor can also give you recommendations or prescriptions if traditional over-the-counter medications aren’t working.

If all else fails, completely shaving your child’s head is a guaranteed way to get rid of lice.

How to Choose a Lice Comb (2024)

FAQs

Is it better to comb lice out of wet or dry hair? ›

Detection combing can be carried out on dry or wet hair. Dry combing takes less time, but wet combing is more accurate because washing with conditioner stops head lice from moving. To use the wet detection method: wash the hair with ordinary shampoo.

What should I look for when combing for lice? ›

Start at the scalp and work outward to the end of the section of hair. You should see lice and eggs building up on the comb teeth. Wipe off the comb after each combing. Once you comb out a piece of hair, use tissues to remove all lice and eggs from the comb before you put it back in the hair.

What kind of comb do you use for lice? ›

A plastic comb with metal smooth fine-toothed needles is typically used for removing head lice and their eggs from the hair. The fine, smooth needles make it easy to comb through the hair, especially for those with finer hair.

Why are nits not coming out with combs? ›

If your child's hair is too hard to comb – too fine or long or thick or curly to get a comb through over and over again – you're going to have a hard time getting the lice out using a comb.

How to get dead nits out of hair? ›

Vinegar helps loosen the "glue" that holds the nits to the hair. Separate and comb small sections of hair at a time. It might be helpful to use hairclips to pin up sections of hair as you check your child's head. Use a nit comb to remove the nits.

How to get lice eggs out of comb? ›

If nits or lice are found while combing, remove them from the comb by rinsing the comb in a bowl of soapy water and wiping the comb dry with a paper towel or facial tissue before using again. For people with short hair, sectioning the hair may not be possible.

Can you get rid of nits just by combing? ›

Wet combing

You can buy a special fine-toothed comb (detection comb) online or from pharmacies to remove head lice and nits. There may be instructions on the pack, but usually you: wash hair with ordinary shampoo. apply lots of conditioner (any conditioner will do)

Can you see nits on a lice comb? ›

After applying lots of conditioner, comb the hair out in very small sections, and look for lice or nits on the comb. You can wipe the comb onto a tissue or paper towel where it will be easier to see them.

How do you pick lice out of your hair? ›

Wet combing.

Simply wet the hair and use a fine-tooth comb to remove active lice and their eggs. You'll need to do this every week for at least 3 weeks.

Which head lice comb is best? ›

Combs with teeth closer to 0.09 inches are best for removing both adults and nits. One study compared two plastic lice combs to two metal lice combs and found that. while all worked to remove lice, the metal comb with finest teeth was the best at removing all of the developmental stages.

Should I comb my hair everyday if I have lice? ›

Continue to comb through the hair with the lice comb once a day. Doing this for two to three weeks helps to ensure that you get rid of the lice.

What kills lice immediately? ›

Washing, soaking, or drying items at a temperature greater than 130°F can kill both head lice and nits. Dry cleaning also kills head lice and nits.

How do I make sure my lice are gone for good? ›

19 Aug How Can I Be Sure Lice Are Gone?
  1. Look for clusters of nits (lice eggs) Head lice usually lay nits at the nape of the neck or behind the ears in clusters. ...
  2. Look for live lice (Nymphs and Adults) ...
  3. Check your surroundings. ...
  4. Use a professional lice service.

Do lice killing combs work? ›

A lice comb can help you detect lice and remove both the lice and their nits (eggs). When you find lice, prompt treatment is key to removing them and preventing them from spreading to others. While it is time consuming, using a lice comb is one of the best options.

Is it better to check for lice on wet or dry hair? ›

Lice checks can be carried out in both wet and dry hair but we recommend wetting hair and using conditioner. Photo: Norwegian Institute of Public Health. Use a fine-toothed lice comb (most commonly used method in Norway (8, 9)). Comb systematically and thoroughly through all the hair, from scalp to hair tip.

Can you get rid of nits by dry combing? ›

Anon. Treating head lice. With the hair wet and full of conditioner, it is difficult to see whether any lice or nits have been removed. However, dry combing, which is easier to do, allows success of louse removal to be seen and has been successful in ten out of ten separate infestations.

Does hair drying help with lice? ›

One method that people have attempted to use is a blow dryer or hair straightener, thinking the heat would dry up and kill any lice. This idea is heading in the right direction, and while desiccation can be used to kill lice, it's important to note that a regular hair dryer or straightener will not treat lice.

How to get rid of lice super fast? ›

Smothering agents: There are several common home products that may kill lice by depriving them of air and smothering them. These products include petroleum jelly (Vaseline), olive oil, butter, or mayonnaise. Any of these products may be applied to the scalp and hair, covered with a shower cap, and left on overnight.

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