- Oil pulling is an ancient oral practice that involves swishing oil in the mouth to improve oral hygiene.
- It may help reduce bacteria, freshen breath, and support gum health.
- While some users report whiter teeth, scientific evidence for its whitening effect is limited.
Teeth are calcified structures in the mouth primarily made of enamel, dentin, and pulp, playing vital roles in chewing, speech, and facial structure. Oil pulling is an ancient oral health practice rooted in Ayurvedic medicine, where oil is swished in the mouth for several minutes to supposedly detoxify and cleanse. It has gained significant popularity in modern wellness culture, often touted for its antibacterial properties and potential teeth-whitening effects. While traditional claims are strong, scientific evidence presents a more nuanced view. A study published in the Journal of Dentistry revealed that oil-based oral care products may support re-mineralization and stain removal, although more clinical research is required to confirm whitening claims. Additionally, systematic reviews on natural oral health remedies such as oil pulling emphasize its antimicrobial benefits but note inconsistent outcomes regarding visible whitening. Lastly, a recent analysis points out that while many users report cleaner and fresher-feeling teeth, actual whitening may be limited to removing surface stains rather than altering tooth color.
What Is Oil Pulling?
Oil pulling is an ancient Ayurvedic oral cleansing technique known as “Kavala” or “Gandusha,” where oil is swished in the mouth to improve oral and systemic health. It is believed to originate from traditional Indian medicine over 3,000 years ago and is documented in classic Ayurvedic texts Ayurvedic Therapy Review – ScienceDirect. (1) The process is thought to work by “pulling” out toxins and bacteria from the oral cavity, enhancing dental hygiene and overall wellness Cochrane Overview on Herbal Caries Prevention – NIH and Historical Perspectives in Springer. (2) (3)
The most commonly used oils for oil pulling are sesame, sunflower, and coconut oil, each offering antimicrobial and anti-inflammatory properties. Sesame oil was traditionally favored in Ayurveda due to its therapeutic properties and ability to penetrate tissues Sesame Oil Oral Benefits – NIH. (4) Coconut oil is especially popular today for its lauric acid content, known to inhibit Streptococcus mutans Comparative Study on Coconut Oil – NIH. (5) Sunflower oil has also demonstrated potential in reducing oral microbial load Sunflower Oil for Oral Health – ScienceDirect. (6)
Typically, oil pulling is done by placing 1 tablespoon of oil in the mouth and swishing it for 10–20 minutes before spitting it out. It’s advised to do this in the morning on an empty stomach and rinse with warm water afterward Detailed Practice Guide – Springer. (7) Most experts recommend doing this daily or at least 3–4 times a week for noticeable results Clinical Frequency Review – Springer and RCT on Oral Health Outcomes – ScienceDirect. (8) (9)
Does Oil Pulling Whiten Teeth?
The claim that oil pulling whitens teeth is largely anecdotal, with limited scientific backing. While some studies suggest that coconut oil may help reduce surface stains and improve oral cleanliness ScienceDirect – Natural Remedies Review, clinical trials have not confirmed significant whitening comparable to conventional products Clinical Study Comparison – ScienceDirect. (1) (10) Therefore, oil pulling might improve brightness slightly but is not a substitute for professional whitening treatments Whitening Efficacy Review – Springer. (11)
Distinguish between actual whitening vs. appearance improvement
Criteria | Actual Whitening | Appearance Improvement |
Mechanism | Chemical oxidation of intrinsic stains inside enamel and dentin | Mechanical removal or masking of surface-level stains |
Primary Agents | Hydrogen peroxide, Carbamide peroxide | Whitening toothpastes, oil pulling, baking soda |
Targets | Intrinsic stains (deep within tooth structure) | Extrinsic stains (on the enamel surface) |
Results | Long-lasting or permanent lightening of natural tooth color | Temporary enhancement in brightness or gloss |
Duration of Effect | Weeks to months (with maintenance) | Short-term; depends on oral hygiene and habits |
Measurement Methods | Spectrophotometers, dental shade guides | Visual perception, before-and-after comparisons |
Examples | In-office bleaching, take-home whitening trays | Polishing, oil pulling, charcoal toothpaste |
Safety Concerns | May cause tooth sensitivity or gum irritation | Generally safe; abrasive agents may wear enamel if overused |
Need for Professional Supervision | Often requires or benefits from dentist supervision | Usually self-applied with little to no professional guidance |
Claimed Health Benefits of Oil Pulling
Oil pulling is often praised for more than just oral hygiene. Advocates claim it can reduce bacteria, freshen breath, improve gum health, and even support overall wellness through daily practice.
1. Reduces Oral Bacterial Load
Oil pulling has been clinically shown to reduce oral bacterial load, particularly targeting Streptococcus mutans, a key contributor to dental caries. Virgin coconut oil significantly reduced bacterial and viral loads in periodontitis patients ScienceDirect Clinical Study. (12) Additional studies have demonstrated its antimicrobial action in disrupting biofilms PMC, improving oral hygiene scores Springer, and reducing plaque ScienceDirect, making it a useful adjunct in daily care NIH Review. (13) (14) (15) (1)
2. Improves Gingival Health
Oil pulling improves gingival health by reducing inflammation and plaque, which are closely linked to gum disease. A clinical study using virgin coconut oil showed marked improvement in gingival indices and inflammatory markers ScienceDirect Study. (12) Trials also found significant reductions in gingivitis PMC Controlled Trial, enhanced gum cleanliness Springer Clinical Review, and better oral microbiome balance Springer Pilot Study, supporting its use in holistic periodontal care NIH Meta-analysis. (7) (14) (13) (16)
3. Combats Bad Breath (Halitosis)
Oil pulling has shown effectiveness in reducing halitosis by targeting volatile sulfur compounds and oral anaerobes. A randomized trial comparing oil pulling and chlorhexidine found both equally effective in reducing oral malodor JCDR Clinical Trial. (17) Coconut oil was shown to improve oral hydration and reduce bad breath in chronic periodontitis patients ScienceDirect. (12) Additional studies confirm its antibacterial effects NIH, oral hygiene improvements Elsevier Review, and traditional validation in Ayurveda Springer Book Chapter. (14) (1) (3)
4. Prevents Plaque Formation
Oil pulling may help prevent plaque by disrupting bacterial adhesion and biofilm formation. A controlled trial demonstrated significantly lower plaque scores after 7 days of coconut oil pulling NIH Clinical Study. (14) Its mechanical action, along with lauric acid content, impairs bacterial colonization ScienceDirect Review. (6) Comparative studies with mouthwash support plaque reduction outcomes Elsevier Systematic Review, and pilot trials confirm its effectiveness in dental student populations ScienceDirect Clinical Trial. (1) (8) Herbal literature also reinforces its traditional use for plaque control Springer Herbal Compendium. (3)
5. Supports Overall Oral Detoxification
Oil pulling is believed to aid in oral and systemic detoxification by reducing oxidative stress, trapping lipid-soluble toxins, and enhancing salivary enzyme activity. Studies have linked it to reduced lipid peroxidation and microbial load Journal of Traditional and Complementary Medicine, and systemic detox pathways are supported by its antioxidant content NIH Article on Detox. (18) (1) Sesame and coconut oils used in oil pulling offer detoxifying phytochemicals JAIM Study, Springer Review on Sesame Oil, and Current Nutrition Reports. (19) (20) (9)
6. May Reduce Inflammation
Oil pulling may help reduce oral inflammation due to its antibacterial and antioxidant effects. Coconut oil contains lauric acid, which exhibits anti-inflammatory activity in gingival tissues Springer Clinical Trial. (21) Studies have shown decreased pro-inflammatory cytokines in patients using oil pulling NIH Meta-analysis, along with reduced plaque and gingival index scores ScienceDirect Oral Review. (14) (1) Additional trials show lowered inflammatory markers in periodontitis cases Springer Review and enhanced oral barrier protection NIH Study. (15) (13)
7. Preliminary Support for Tissue Healing
Oil pulling has shown early promise in aiding tissue healing through anti-inflammatory, antimicrobial, and regenerative effects. Studies report improved healing in surgical and periodontal contexts PMC Journal. (19) Coconut oil demonstrated enhanced wound repair in oral mucosa Springer. (22) Lauric acid’s role in fibroblast activity was documented ScienceDirect, and oil pulling has been linked to tissue regeneration in integrative therapies NIH Review and Ayurvedic literature ScienceDirect Review. (23) (18) (1)
8. Improves gum health
Oil pulling contributes to healthier gums by reducing plaque, inflammation, and microbial irritation—factors central to gingivitis and periodontal disease. Clinical trials show coconut oil reduces gingival bleeding and inflammation markers Springer Review. (13) Biofilm disruption from oil pulling helps maintain gum integrity ScienceDirect Study. (12) Antioxidants in sesame oil contribute to tissue resilience NIH Study, while anti-inflammatory fatty acids aid recovery PMC. (24) (25) Ayurveda also supports gum health benefits JAIM. (19)
How to Try Oil Pulling Safely
Trying oil pulling can be simple and effective when done correctly. Following safe practices helps you avoid risks and maximize benefits. Here’s how to incorporate it properly into your routine.
Choosing the right oil is crucial for safe and effective oil pulling. Cold-pressed coconut, sesame, and sunflower oils are preferred due to their antimicrobial and antioxidant properties ScienceDirect Review. (1) Coconut oil contains lauric acid, known for reducing harmful oral bacteria PMC Study. (14) Sesame oil also offers anti-inflammatory benefits and tissue compatibility NIH Trial. (26)
2. Do It on an Empty Stomach
Oil pulling is most effective when performed on an empty stomach, preferably in the morning. Traditional Ayurvedic practice recommends this timing to maximize detoxification benefits PMC Ayurveda Overview. (19) Swishing oil before eating helps remove bacterial accumulation from overnight oral stasis NIH Routine Practice Study. (24) This routine also enhances salivary enzyme activity, aiding oral and systemic health ScienceDirect Practice Guide. (1)
3. Use 1 Tablespoon of Oil
Experts recommend using approximately 1 tablespoon (10–15 ml) of oil for oil pulling. This dosage balances effectiveness and comfort during swishing ScienceDirect Review on Mouthwash Alternatives. (27) Ayurvedic protocols also support this volume using sesame or coconut oil NIH Traditional Guide. (18) Recent clinical studies validate this dose for both adults and adolescents Springer Clinical Oral Study. (7)
4. Swish Gently for 10–20 Minutes
It is recommended to swish the oil gently for 10 to 20 minutes to allow sufficient contact with oral tissues without straining jaw muscles. Clinical studies confirm 15 minutes is both effective and safe for reducing inflammation and bacteria Springer Clinical Trial. (21) Avoid vigorous swishing to prevent fatigue ScienceDirect Safety Note and allow natural emulsification NIH Practice Guide. (1) (24)
5. Spit It in a Trash Bin, Not Sink
To avoid clogged drains, spit used oil into a trash bin, not the sink. Coconut oil solidifies below 76°F, potentially blocking pipes. According to Healthline, this can cause plumbing issues. The ADA advises safe disposal. Additionally, Cleveland Clinic supports proper disposal to prevent home maintenance hazards.
6. Rinse Thoroughly with Warm Water
After oil pulling, rinsing thoroughly with warm water helps eliminate residual toxins and oil. Healthline suggests rinsing immediately post-pulling to maintain oral cleanliness. The American Dental Association recommends rinsing as part of overall hygiene. Additionally, NCBI research supports rinsing to prevent reabsorption of pulled-out bacteria. (28)
7. Brush Your Teeth Afterwards
Oil pulling can reduce harmful oral bacteria, but it’s essential to brush your teeth afterwards to remove residual oil and toxins. According to Healthline, brushing post-pulling enhances oral hygiene. The American Dental Association advises it should not replace traditional brushing. A NCBI study also highlights post-pulling brushing to prevent plaque buildup. (29)
8. Start with Shorter Durations
To avoid jaw fatigue or adverse reactions, start oil pulling with shorter durations, such as 5 minutes. Healthline recommends beginners gradually increase time. A NCBI clinical study showed effectiveness even with short sessions. (28) The ADA underscores moderation due to insufficient long-term data on prolonged oil swishing.
9. Avoid If You Have Allergies or Swallowing Issues
Individuals with allergies to oils like coconut or sesame, or those with swallowing difficulties, should avoid oil pulling to prevent adverse effects. Healthline warns of allergic reactions or accidental aspiration. The ADA emphasizes caution for such conditions. An NCBI article also notes risks for those with swallowing dysfunctions. (19)
Who should avoid oil pulling?
While oil pulling is generally safe, it may not be suitable for everyone. Certain individuals should avoid it due to health conditions, allergies, or difficulty following the technique properly.
Oil pulling may pose risks for individuals with allergies to coconut, sesame, or sunflower oils. Allergic reactions, such as rashes or swelling, can occur when these oils are used orally Bayside Kids Dental. (30) Though some studies suggest benefits for oral health PMC Study, allergic individuals should seek alternatives Colgate Oral Health. (31) (32)
2. Those with Swallowing Difficulties
Individuals with dysphagia or difficulty swallowing face risks during oil pulling due to potential aspiration. Inhaling oil accidentally can lead to lipid pneumonia, a serious lung condition Dallas Dental Concierge. (33) Dentists caution against this practice for vulnerable groups Penn Dental Practice, despite some reported oral benefits PMC Research. (34) (35)
3. Children Under Age 5
Oil pulling is not recommended for children under five due to the risk of aspiration and gastrointestinal issues. Reports highlight cases of pneumonia and diarrhea in young children from accidental oil ingestion West Michigan Pediatric Dentistry. While oil pulling may aid oral hygiene PMC Research, safer alternatives like brushing and flossing are preferable Colgate Guide. (35) (32)
4. People with TMJ or Jaw Pain
Oil pulling involves prolonged swishing, which can strain jaw muscles, making it unsuitable for individuals with temporomandibular joint (TMJ) disorders. Experts warn that repetitive motion may worsen pain or trigger headaches Colgate Article. (32) Those with TMJ should prioritize gentler methods Penn Dental Practice despite some suggested benefits PMC Oral Health Study. (34) (35)
5. Those Prone to Gag Reflex
Oil pulling can trigger nausea or a gag reflex, particularly when using solid oils like coconut. This discomfort is common in texture-sensitive individuals CNN Report. Dentists caution that such reactions may deter consistent practice Dallas Dental, despite possible oral benefits noted in clinical trials PMC Oral Health Study. (33) (35)
6. People Expecting Quick Dental Solutions
Oil pulling is not a fast-acting dental remedy. Benefits, if any, may take weeks or even over a month to manifest EatingWell Research Summary. (36) It is a complementary, not primary, oral hygiene method PMC Review. (35) For immediate results, dental professionals advise conventional treatments Penn Dental Insight. (34)
Possible side effects of Oil Pulling
Though oil pulling is natural, it may cause side effects like nausea, dry mouth, jaw soreness, or rare complications if done incorrectly. Awareness helps ensure a safe and beneficial experience.
Prolonged swishing during oil pulling can strain facial muscles, potentially causing jaw pain or tension headaches. This is particularly problematic for individuals with TMJ or bruxism Colgate Oral Health. (32) Experts caution against excessive strain Penn Dental. (34) The American Dental Association also questions its benefit ADA Review, urging safer practices Dallas Dental. (37) (33)
2. Upset Stomach or Diarrhea
Accidental swallowing of oil during pulling can irritate the digestive system, leading to nausea, bloating, or diarrhea Colgate Guide. (32) This is a noted risk, especially among beginners or children West Michigan Pediatrics. (38) Some also experience stomach discomfort due to texture sensitivity CNN Health Report. (39) Caution is advised, particularly for sensitive individuals Dallas Dental Concierge. (33)
3. Aspiration Risk (Lipid Pneumonia)
Oil pulling carries a risk of aspiration, especially when swished improperly or by individuals with swallowing difficulties. Inhaling oil into the lungs can result in lipid pneumonia, a rare but serious condition Dallas Dental Concierge. (33) Pediatric cases have been reported West Michigan Pediatric Dentists. (38) Dental professionals issue warnings Penn Dental Practice, backed by ADA concerns MouthHealthy ADA. (37) (34)
4. Triggering of Gag Reflex
The texture and flavor of swishing oil—especially solidified coconut oil—can trigger a gag reflex or nausea in sensitive individuals CNN Health Report. (39) This discomfort may discourage consistent use Colgate Oral Care. (32) For some, it may provoke vomiting or coughing Dallas Dental Concierge, making it unsuitable for texture-sensitive people West Michigan Pediatric Dentists. (33) (38)
5. Not a Substitute for Brushing/Flossing
While oil pulling may support oral hygiene, it should never replace traditional methods. The American Dental Association clearly states it is not a substitute for brushing and flossing. Dental experts reinforce this view Colgate Oral Health, urging consistent hygiene routines Penn Dental Practice, supported by Medical News Today for comprehensive care. (32) (34) (40)
Alternatives for Teeth Whitening
If oil pulling isn’t your preferred choice, several effective alternatives exist for teeth whitening. From natural remedies to professional treatments, these options can help brighten your smile safely and efficiently.
1. Hydrogen Peroxide + Baking Soda Paste
This is a commonly recommended at-home remedy. Hydrogen peroxide acts as a mild bleach, while baking soda is a gentle abrasive. When combined (2 parts hydrogen peroxide to 1 part baking soda), the paste can effectively reduce surface stains from coffee, wine, or tobacco. However, overuse can erode enamel and irritate gums, so it should be used no more than 2–3 times per week.
2. Tray-Based Whitening Systems
These involve custom or semi-custom plastic trays filled with carbamide peroxide gel. Worn for a few hours daily or overnight, they penetrate enamel and break down stains. Clinical studies show visible lightening in a few days, often improving teeth by 1–2 shades. Professional versions are more effective than over-the-counter kits, as dentists use higher peroxide concentrations and better-fitted trays.
3. Professional Whitening with Peroxides (e.g., Opalescence™)
This in-office treatment uses hydrogen peroxide or carbamide peroxide in higher concentrations under dentist supervision. It is considered safe and fast-acting, often producing results in a single session. Some systems include desensitizing agents to reduce tooth sensitivity. The American Dental Association (ADA) considers these among the most effective and controlled whitening options.
4. Whitening Toothpaste with Mild Abrasives
These toothpastes contain micro-abrasive agents like silica or hydrated aluminum oxide that polish teeth and remove surface stains. Some formulations also include low levels of hydrogen peroxide. While they don’t change the intrinsic color of teeth, they help maintain whiteness and are a good complement to other methods. Safe for daily use if approved by the ADA.
5. Avoiding Staining Foods & Smoking
A critical but often overlooked strategy is stain prevention. Foods like coffee, red wine, soy sauce, and berries, as well as habits like smoking, cause extrinsic stains. Rinsing with water after consumption or using a straw for beverages can help reduce contact with enamel. Maintaining a stain-free diet prolongs the effects of any whitening method.
6. Oil Pulling with Coconut or Sesame Oil
This ancient Ayurvedic practice involves swishing a tablespoon of oil in the mouth for 10–20 minutes. It’s claimed to remove toxins and reduce plaque. Some users report brighter teeth, possibly due to reduced bacterial film. However, clinical evidence for whitening is limited, and it is not a substitute for brushing or professional whitening.
7. Whitening Strips
These are thin, flexible plastic strips coated with peroxide-based gel. They’re applied to the teeth for 20–30 minutes daily over 1–2 weeks. They penetrate the enamel and bleach intrinsic stains. Effective for mild discoloration, but can cause temporary tooth sensitivity or gum irritation if misused. ADA-accepted strips are safer and more reliable.
8. LED-Enhanced Whitening Kits
These home kits pair a peroxide gel with a light-emitting diode (LED) tray. The LED light is claimed to accelerate the whitening reaction, although evidence is mixed. Some clinical studies show slight enhancement, while others attribute the results to peroxide alone. Good for people seeking convenience with moderate whitening needs.
Conclusion
Oil pulling is an ancient practice that continues to gain attention for its potential oral health benefits. While it may help reduce harmful bacteria, improve gum health, and freshen breath, its effectiveness in whitening teeth remains largely anecdotal with limited scientific backing. It may remove surface stains over time, but it’s not a substitute for professional whitening treatments. Oil pulling can be a safe and natural addition to your oral hygiene routine when practiced correctly. However, it’s important to manage expectations and consult with a dental professional if you’re seeking noticeable teeth whitening or have specific oral health concerns.