Oil Pulling

Ayurvedic practice of swishing oil in the mouth for 15-20 minutes to improve oral hygiene and reduce harmful bacteria

6 min read
C Evidence
Time to Benefit 1-2 weeks for noticeable oral health improvements
Cost $5-15/month (just coconut or sesame oil)

Bottom Line

Evidence-Based Take:

Oil pulling has limited but promising evidence for oral health benefits - specifically reducing plaque and certain bacteria. The "detoxification" and systemic health claims are not supported by science.

What the Evidence Shows:

  • Reduces Streptococcus mutans (cavity-causing bacteria) - several small studies
  • May reduce plaque and gingivitis - comparable to chlorhexidine in some studies
  • Teeth whitening - anecdotal, no rigorous studies
  • Systemic detox claims - no scientific support

Honest Assessment:

Oil pulling appears to work as an adjunct oral hygiene practice through mechanical action and oil's antimicrobial properties. It's not magic, won't "pull toxins," and doesn't replace brushing/flossing. But it's low-risk and may provide modest oral health benefits.

Science

Mechanism:

Several proposed mechanisms for oral health benefits: - Mechanical action - Swishing dislodges debris and plaque - Saponification - Oil interacts with saliva to create soap-like cleansing - Lipophilic action - Oil attracts and binds lipid membranes of bacteria - Lauric acid (coconut oil) - Has antimicrobial properties

What It's NOT Doing:

  • Not "pulling toxins" through the tongue
  • Not detoxifying organs
  • Not curing systemic diseases
  • These traditional claims lack scientific basis

Traditional Origins:

  • Ayurvedic practice (kavala graha and gandusha)
  • Mentioned in Charaka Samhita (ancient Ayurvedic text)
  • Traditionally used sesame oil
  • Modern practitioners often prefer coconut oil

Research Summary:

  • Small studies show reduction in S. mutans counts
  • Plaque index reduction comparable to chlorhexidine mouthwash
  • Gingivitis improvement in some studies
  • All studies are small, short-term, and need replication

Supporting Studies

8 peer-reviewed studies

View all studies & compare research →

Practical Protocol

Basic Protocol:

  1. Use 1 tablespoon of oil (coconut or sesame)
  2. Swish gently in mouth for 15-20 minutes
  3. Do NOT swallow the oil
  4. Spit into trash (not sink - can clog pipes)
  5. Rinse mouth with warm water
  6. Brush teeth normally

Timing:

  • Best done first thing in morning, before eating/drinking
  • On empty stomach
  • Can do while showering or doing morning tasks

Oil Options:

OilPropertiesTaste
Coconut (refined)Antimicrobial lauric acid, neutralMild
Coconut (virgin)Same benefits, stronger flavorCoconut taste
SesameTraditional choice, antioxidantsNutty
SunflowerMilder optionVery mild

Duration Matters:

  • Minimum 5 minutes (some benefit)
  • Optimal 15-20 minutes (traditional recommendation)
  • Don't exceed 20 minutes (no additional benefit)

Frequency:

GoalFrequency
Maintenance3-4x per week
TherapeuticDaily
OccasionalAs desired

Tips:

  • Start with 5 minutes, build up
  • Don't swish too vigorously (jaw fatigue)
  • If you feel urge to swallow, spit and restart
  • Multitask - shower, get dressed, read

Risks & Side Effects

Safety Profile:

Oil pulling is very safe with minimal risks.

Potential Issues:

  • Jaw fatigue (if swishing too vigorously)
  • Upset stomach (if swallowed)
  • Lipoid pneumonia (extremely rare, from aspiration)
  • Diarrhea (if large amounts swallowed)

Important Warnings:

  • Do NOT swallow the oil (contains bacteria)
  • Do NOT spit in sink (clogs pipes over time)
  • Do NOT use as replacement for brushing/flossing
  • Do NOT expect it to cure diseases

Contraindications:

  • Very young children (swallowing risk)
  • Those who cannot spit reliably
  • Allergies to specific oils

Risk Level: Very low

Who It's For

Most Likely to Benefit:

  • Those interested in natural oral care
  • People with gingivitis or gum issues
  • Those seeking adjunct to regular oral hygiene
  • Bad breath concerns
  • Ayurveda/traditional medicine enthusiasts

Might Consider:

  • Anyone curious about traditional practices
  • Those with sensitive gums (gentler than harsh mouthwash)
  • People wanting chemical-free oral care options

Skip If:

  • Expecting systemic health miracles
  • Unwilling to commit 15-20 minutes
  • Looking for replacement for dental care
  • Have nut allergies (check oil source)

How to Track Results

What to Track:

  • Gum health (bleeding, sensitivity)
  • Breath freshness
  • Plaque buildup (dentist feedback)
  • Teeth appearance
  • Consistency of practice

Simple Log:

DateDurationOil UsedNotes

Dental Visits:

  • Ask dentist about plaque/gingivitis at checkups
  • Compare before/after starting practice
  • Objective feedback is most valuable

Top Products

Coconut Oil (Most Popular):

Sesame Oil (Traditional):

Specialty Oil Pulling Products:

What to Look For:

  • Organic, unrefined for maximum benefit
  • Cold-pressed preferred
  • No additives

Cost Breakdown

Monthly Costs:

Oil TypeMonthly Cost
Refined coconut oil$5-8
Virgin coconut oil$8-15
Sesame oil$8-12
Specialty pulling oils$15-25

Cost-Effectiveness:

Extremely affordable. A jar of coconut oil lasts 1-2 months of daily use. Cheaper than most mouthwashes.

Value Assessment:

At $5-15/month for a traditional oral hygiene practice, it's very affordable to try. The main investment is time (15-20 min/day).

Podcasts

Discussed in Podcasts

23 curated moments from top health podcasts. Click any timestamp to play.

Lauric acid in coconut oil is the most effective saturated fatty acid at killing oral pathogens

Coconut oil is the richest known source of lauric acid, which makes up nearly 50% of its composition. Both lauric acid and its metabolite monolaurin kill harmful bacteria, fungi, and viruses. It is particularly effective against Streptococcus mutans, a leading cause of tooth decay.

"Lauric acid is a medium-chain fatty acid that makes up almost 50% of coconut oil. In fact, this oil is the richest source of lauric acid known to human beings. Your body breaks lauric acid down into a compound called monolaurin. Both lauric acid and monolaurin can kill harmful bacteria, fungi, and viruses in the body."

Coconut oil pulling reduced plaque by 68% and gingivitis by 56% in 30 days

A study of 60 participants with plaque-induced gum disease found that coconut oil pulling significantly decreased both plaque and gingivitis. Plaque reduction was noticeable after just 7 days, and by day 30, plaque scores dropped 68% and gingivitis scores dropped 56%.

"After 30 days, the average plaque score decreased by 68% and the average gingivitis score decreased by 56%. This is a major decrease in both plaque and gum inflammation."

How to oil pull — tablespoon of coconut oil, swish 15-20 minutes, spit and brush

The episode walks through the oil pulling protocol step by step: put a tablespoon of coconut oil in your mouth, swish for 15-20 minutes pushing it between teeth, spit into trash to avoid clogging pipes, then brush teeth. Best done first thing in the morning before eating or drinking.

"The fatty acids in the oil attract and trap bacteria, so each time you oil pull, you're potentially removing harmful bacteria and plaque from your mouth. Oh, and it's best to do this right away in the morning before you or drink anything."

Oil pulling originates from the Charaka Samhita — but the ancient version used ghee, not coconut oil

Sydney McElroy reads from the original Ayurvedic text, which describes oil gargling with ghee to strengthen jaws and voice, prevent dryness of throat and tooth cavities, and make teeth firm-rooted. The practice was part of a broader daily hygiene routine including tooth brushing and tongue scraping.

"Oil gargle. It provides strength in jaws and voice, development of face, maximum taste and relish in food. One does not suffer from dryness of throat, lip cracking, tooth cavities, pain in teeth, oversensitivity of teeth on taking sour taste."

Studies show oil pulling reduces bacteria, but research quality is poor — small samples and biased authors

Sydney reviews the scientific literature and finds some studies showing reduced bacterial colony counts after oil pulling, but notes major limitations including very small sample sizes of 10-20 people, studies only on adolescents with poor baseline hygiene, and strong researcher bias in favor of oil pulling.

"A lot of the studies that I looked at are very small, have an end of like 10 or 20, so 10 or 20 people that were checking. So 10 people used oil pulling, 10 people use mouthwash, what's the difference. That's tough to be statistically significant and really see differences at that level, that's really hard."

Bottom line — probably a decent mouthwash alternative if you already brush and floss

Sydney's takeaway is that oil pulling is probably better than nothing and could serve as a natural mouthwash alternative, but adding it to an already good brushing and flossing routine likely adds nothing. She finds no evidence for systemic health claims and notes a small risk of lipoid pneumonia from aspirating oil during long swishing sessions.

"And they're written that way. I mean, you can there's a lot of subjective, you know, information in them. There's a lot of we don't write flowery in science. We don't say things like now this is proven to be a viable alternative to chemicals and things like that i mean we don't use that kind of that's the kind of thing you see in commercials so if you're reading that in a study i'd raise an eyebrow it does sound like though that like if you maybe were somebody who are who's already brushing and flossing and didn't like like the super stringent or astringent uh mouthwashes that are that are that do feel very chemically uh that this is a pretty decent natural alternative i think that that's a fair thing to say. A lot of people have have made the point at the end of all of you know kind of their synthesis of the data that I have done I would arrive at the same conclusion which is that it's probably better than nothing and if you're already blush brushing and flossing it probably can't hurt. You know if you want to add it to your routine or replace your mouth washing routine. I don't know a lot of people who are that good that they brush floss and use mouthwash every day. So if you're already at that level, I don't think replacing it with oil is going to hurt you. No, your game is already elevated. Don't let us sit here and tell you how to clean your mouth because you are a professional. Exactly. But I will say this. all those other claims, you know, HIV and PMS and heart disease and all that crap that they say that it's going to fix. I didn't find anything to support that. There's a lot of theorizing in these studies that, hey, if we reduce the bacteria in your mouth, it restores your oral health and that this is part of your whole healthy balance. And so holistically, it's going to affect the rest of your body. So everything else gets better."

Oil pulling with castor oil 3 times per week — more effective than toothpaste at removing bacteria

Chalene Johnson describes her oil pulling practice using castor oil about three times per week, swishing for one to five minutes. She notes the research shows oil pulling is more effective than toothpaste at removing bacteria and helps with gingivitis, though she still brushes afterward for the minty clean feeling.

"Oil pulling is basically you're just putting castor oil in your mouth and swishing it back and forth for anywhere from one to five minutes."

Oil pulling breaks down plaque and bacteria that enter your bloodstream through the gums

Dr. Cabral explains that while oil pulling may not pull toxins from the bloodstream as commonly claimed, it does break down plaque and bacteria in the mouth. These substances can enter the bloodstream through gum capillaries and contribute to heart disease.

"Your bloodstream, your capillaries are right there in all of your gums, in your teeth. And any bacteria, any plaque can actually be absorbed right into your bloodstream. And that's why it said flossing every day, removing plaque, making sure there's no buildup of tartar and plaque in the mouth, on the teeth, has led to less issues of heart disease."

Why sesame oil beats coconut oil — the Ayurvedic tradition chose it for a reason

Cabral explains that traditional Ayurvedic medicine uses sesame oil rather than coconut oil for oil pulling, despite coconut being abundant in southern India where Ayurveda originated. Sesame oil contains copper and has strong antimicrobial properties as a polyunsaturated fatty acid.

"They don't use coconut oil. And coconut oil is what's talked about so much today in modern day oil pulling. They use sesame oil. And that's because sesame oil is incredibly antimicrobial. It works fantastically well as a polyunsaturated fatty acid. It does not clog the pores. It is not a saturated fat. It contains copper, which again is antimicrobial. Sesame oil is what I recommend."

Simple protocol — swish sesame oil for 10-20 minutes and spit into the trash

Cabral summarizes the oil pulling protocol: use a couple teaspoons of sesame oil, swish vigorously for 10 to 20 minutes, spit into the trash, rinse with water, and then brush teeth if desired. He emphasizes it is a simple, safe practice with no downsides.

"Simple, use a couple teaspoons of oil, ideally sesame oil to start with. Swish it around vigorously in your mouth. After about 10 minutes to 20 minutes, do spit it out into the trash barrel, swish other water around in your mouth, and then you can be on your way."

Oral bacteria enter bloodstream and raise interleukin-12, driving heart disease and dementia

Dr. Jockers explains how Streptococcus mutans multiplies in the mouth and secretes toxins into the bloodstream, elevating inflammatory cytokine interleukin-12 that damages blood vessel linings and is correlated with heart disease, stroke, and dementia.

"One of the major oral bacteria is Streptococcus mutans, which when left unchecked will multiply in the mouth and secrete toxins into the body's bloodstream. These toxins increase the inflammatory associated cytokine innerleukin-12, which is a strong contributor to the development of chronic disease."

Oil pulling reaches deep pockets and root canals that brushing and flossing cannot

Oil pulling binds and traps microorganisms in areas around root canals and deep tooth pockets that are inaccessible to brushing and flossing. Jockers recommends half a teaspoon of coconut oil with one optional drop of antimicrobial essential oil, swished gently for 10-15 minutes.

"Root canals are a constant breeding ground for bacteria as they're essentially dead tissue that bacteria consistently feed upon. You can't brush or floss enough to get the infections out of the root canal, but 10 minutes of oil pulling, one or two times a day, can be extremely effective at minimizing infectious bacteria and their toxins in the root canal."

Who to Follow

Traditional Practice:

  • Ayurvedic medicine tradition (thousands of years)
  • Part of dinacharya (daily routine practices)
  • Mentioned in classical Ayurvedic texts

Modern Advocates:

  • Gwyneth Paltrow / Goop - Popularized in wellness community
  • Various natural health bloggers
  • Ayurvedic practitioners

Scientific Perspective:

  • Limited research interest from mainstream dentistry
  • Some researchers studying antimicrobial mechanisms
  • Not opposed by dental associations, just not endorsed

Honest Take:

Oil pulling gained mainstream attention through celebrity endorsement more than scientific validation. The research is promising but limited.

What People Say

Why It's Popular:

  • Simple, natural practice
  • No chemicals or additives
  • Connects to ancient tradition
  • Low barrier to try
  • Many anecdotal success stories

The Reality:

Thousands of people practice oil pulling daily and report benefits. Whether these exceed placebo or simply reflect better overall oral hygiene habits is unclear. It's a low-risk experiment.

Synergies & Conflicts

Morning Oral Health Routine:

  • Oil pulling first (before eating)
  • Tongue scraping
  • Brushing and flossing
  • Optional: Natural mouthwash

Ayurvedic Morning Stack:

Gum Health Stack:

  • Oil pulling
  • Soft brushing at gum line
  • Flossing
  • CoQ10 supplement (some evidence for gum health)

Holistic Oral Care:

  • Oil pulling (antimicrobial)
  • Xylitol products (cavity prevention)
  • Probiotics (oral microbiome)
  • Reduce sugar intake

Featured in Guides

Last updated: 2026-01-11