The Dangers of Coconut Oil Pulling

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I’ve been oil pulling with coconut oil for years. I read about oil pulling benefits a long time ago and how it may reverse tooth decay and help remineralize and whiten teeth.  I’ve definitely noticed less plaque and better dental health since starting! Recently, I came across some articles online that questioned oil pulling and whether it could be dangerous.

Here’s what I’ve learned about oil pulling and its pros and cons for overall health.

What is Coconut Oil Pulling?

Oil pulling is an ancient practice that comes to us from Ayurvedic medicine, the traditional medicine of India. It’s long been used to promote oral hygiene and overall wellness by eliminating harmful bacteria and reducing plaque buildup.

The process involves swishing a tablespoon of oil for 5 to 20 minutes on an empty stomach and then spitting it out. The term “oil pulling” comes from the pulling and pushing of oil through the teeth, creating a washing machine sort of action. Oil pulling works by helping to break down plaque while cleaning the teeth.

The traditional Indian oral hygiene routine typically uses sesame oil. However, any type of oil can work, as long as it’s a cold-pressed edible oil. Olive oil, sunflower oil, and coconut oil are all popular choices. Coconut oil likely tastes the best!

Coconut oil may also be the most effective. It has a high “saponification index,” which means it can react with saliva to form a type of soap. The natural suds help reduce plaque and clean the teeth.

Benefits of Oil Pulling

Why do people practice coconut oil pulling? Oil pulling has many oral health benefits. Some of these include less plaque, reducing the severity of gingivitis, and less tooth decay. It can even lead to whiter teeth and potentially solve halitosis (bad breath).

The ability of oil pulling to reduce plaque may improve gum health, helping people avoid gum disease. In a 2009 study, oil pulling helped improve plaque-induced gingivitis. That’s really important because gingivitis can develop into periodontitis, a more severe gum disease that can lead to tooth and bone loss.

Oil pulling may also be your ticket to solving chronic bad breath. A study of 60 hostel students compared oil pulling to the prescription mouthwash chlorhexidine. The oil pulling was as effective at reducing bad breath as the prescription.

Coconut oil may be better than other oils for supporting dental hygiene due to its lauric acid. Lauric acid is an antimicrobial compound that kills harmful bacteria linked with tooth decay, like Streptococcus mutans.

What Do Dentists Say?

 The American Dental Association (ADA) doesn’t recommend oil pulling due to limited scientific evidence showing it improves dental health. They say oil pulling may help remove debris from the teeth, which is great. But they believe oil pulling benefits are anecdotal or come from studies with limitations. 

On the other hand, some studies do show promise. For example, some studies show oil pulling can help manage gingivitis and bad breath. The scientific evidence is adding up over time— it’s just not there just yet. 

Critics of the ADA point out that their controversial recommendations for fluoride treatments and mercury fillings aren’t exactly supporting patient health. But as scientific studies on oil pulling accumulate, its efficacy may gain wide acceptance.

Coconut Oil Pulling Side Effects 

While generally considered safe, there are some potential side effects of oil pulling with coconut oil. Thankfully, coconut oil pulling dangers are rarely serious.

Upset Stomach

Coconut oil’s taste and texture may make some people feel nauseated. Sometimes, that’s because they accidentally swallowed some. However, starting with too much oil can also cause nausea if it overwhelms the system. To avoid nausea, start with only 1 teaspoon and gradually work up to a tablespoon. Begin with 5 to 10 minutes rather than 15 to 20.

Jaw Soreness

Prolonged swishing (10 to 20 minutes) can cause fatigue or soreness in the jaw muscles, especially for those who grind their teeth or have TMJ issues. Again, start with 5 to 10 minutes of swishing rather than 15 to 20, and avoid clenching your teeth or swishing too vigorously. Over time, your jaw muscles will become stronger and you’ll build endurance.

Allergic Reactions

While uncommon, some people may be allergic to coconut oil. Symptoms may include irritation, itching, or swelling in the mouth, tongue, or throat. Some people may also develop skin reactions like rashes or hives around the mouth. 

Stop oil pulling immediately if you experience any allergy symptoms. Rinse your mouth with water and seek medical attention. Use an oil like sesame or sunflower if you’re allergic to coconut.

Lipoid (Lipid) Pneumonia

Accidentally inhaling the oil while swishing could irritate the lungs or lead to an infection, like lipoid (or lipid) pneumonia. This is rare but possible if the oil is inhaled rather than spit out. Even if it were to happen, 40% of those with lipoid pneumonia have mild or no symptoms. It’s only if the oil is especially high in bacteria that it becomes dangerous.

To avoid this risk, sit upright while oil pulling to reduce the risk of inhaling the oil and only use a small amount at a time. Swish gently and then spit out. Lipid pneumonia from oil pulling is rare but can occur with improper technique. Swishing too vigorously can increase the risk of lipoid pneumonia, so take it easy.

It’s also important to note that oil pulling is not a substitute for dental care if you have an infection or periodontal disease (aka periodontitis). It’s also critical to continue good oral habits like brushing, flossing, and going to your regular dental check-ups. So, don’t throw out your toothbrush! 

My Thoughts on Coconut Oil Pulling Dangers

Conditions like lipoid pneumonia are extremely rare when oil pulling is done properly. Coconut oil pulling is a safe oral care practice. But it needs to complement the regular use of high-quality (fluoride-free) toothpaste and mouthwash. However, those with coconut allergies or oral health issues should consult their dental provider before trying it.

Want to start coconut oil pulling? Here’s a good brand to use. You can also add some of this healthy mouth blend for extra oral health benefits.

Have you used coconut oil for oil pulling? Do you think it’s dangerous, and have you had any adverse effects? Share with us below!

Sources
  1. Shanbhag V. K. (2016). Oil pulling for maintaining oral hygiene – A review. Journal of traditional and complementary medicine, 7(1), 106–109. 
  2. Asokan, S., et al.(2008). Effect of oil pulling on Streptococcus mutans count in plaque and saliva using Dentocult SM Strip mutans test: a randomized, controlled, triple-blind study. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 26(1), 12–17. 
  3. Sood, P., Devi M, A., Narang, R., V, S., & Makkar, D. K. (2014). Comparative efficacy of oil pulling and chlorhexidine on oral malodor: a randomized controlled trial. Journal of clinical and diagnostic research: JCDR, 8(11), ZC18–ZC21. 
  4. Nagilla, J., et al.  (2017). Comparative Evaluation of Antiplaque Efficacy of Coconut Oil Pulling and a Placebo, Among Dental College Students: A Randomized Controlled Trial. Journal of clinical and diagnostic research: JCDR, 11(9), ZC08–ZC11.
  5. Herdiyati, Y., et al. (2021). Potential Fatty Acid as Antibacterial Agent Against Oral Bacteria of Streptococcus mutans and Streptococcus sanguinis from Basil (Ocimum americanum): In vitro and In silico Studies. Current drug discovery technologies, 18(4), 532–541. 
  6. Forssten, S. D., Björklund, M., & Ouwehand, A. C. (2010). Streptococcus mutans, caries and simulation models. Nutrients, 2(3), 290–298. 
  7. American Dental Association. (2023). Oil Pulling. Mouthhealthy.org.
  8. Mythri H. Oil pulling: A traditional method on the edge of evidence. Dental Hypotheses. 2017;8(3):57.
  9. ?Peedikayil, F. C., Sreenivasan, P., & Narayanan, A. (2015). Effect of coconut oil in plaque related gingivitis – A preliminary report. Nigerian medical journal: journal of the Nigeria Medical Association, 56(2), 143–147. 
  10. Kuroyama, M., et al. (2015). Exogenous lipoid pneumonia caused by repeated sesame oil pulling: a report of two cases. BMC pulmonary medicine, 15, 135.
  11. Yeung, S. et al. (2021). Exogenous lipoid pneumonia associated with oil-based oral and nasal products. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne, 193(40), E1568–E1571. 

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Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. barbaraoneill.online is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

10 responses to “The Dangers of Coconut Oil Pulling”

  1. KarlaSue Avatar

    Started way back when when you were a blog?
    Works for me.
    I really appreciate this excellent article and sound research that you’ve done for me!!

  2. Sheila Avatar

    I have tried coconut oil pulling. I love it! I feel more alert/ awake after doing so, first thing after waking up. I also noticed less biting of the side of my mouth. Which is something that I believe, comes with aging. Perhaps it’s due to the stimulation/ exercising of the cheek muscles while pulling. Definitely noticed lightning of teeth, less plaque, freshened breath. I get nauseated when pulling with olive oil. Olive oil has a thicker consistency.
    SB

  3. Joe Avatar

    Are you really surprised that the ADA discourages oil pulling? The reason is because there is nothing to patent or sell. The chance that you may spend less at your dentist office is another strong incentive for them to try to spread fear about the practice.

    Doesn’t surprise me at all.

  4. Mechelle Avatar

    I have been oil pulling for a couple years now . I use coconut. I do not use a whole tbsp.. Its too much. but I love it and my check up that I just had at a brand new office both the hygienist and doctor said wow you teeth are really clean.. my check up was only about 4 months but I was so happy to hear that and the hygienist didn’t have to do much to my teeth. yay me !! I will continue using coconut oil .

  5. Penny Reece Avatar
    Penny Reece

    Approximately 10 years ago, I was sick from October until March every year. Congestion, etc and catching everything that came around-strep, flu, etc. Doctor always prescribed antibiotics, antihistamines, steroids. After a bad bout that kept me down on Christmas Day, I stared researching, and Oil pulling came up. I tried it first with Sesame Oil (strong flavor), sunflower oil, then coconut oil. I have used coconut oil consistently ever since. I stopped being sick for six months out of the year, my teeth are healthier, and I really believe in it. There is a gag factor in the beginning, but just do it for a few minutes and work up. I can truly say it worked for me. Harder to convert others in my family?.

  6. Karen Ann Harrington Avatar
    Karen Ann Harrington

    Yes, I have been oil pulling for at least 10 years, plus. I was having chronic sinus infections i felt bacteria on my mouth was causing them. No more sinus infections. My last dental exam after waiting ten years, I had no cavities and very little plaque. Does it work, I think so.

  7. Lois Gilman Avatar
    Lois Gilman

    Regarding oil pulling with coconut oil, it is highly recommended to discard the the used oil from your mouth into a garbage disposal receptacle and not into the sink as it could cause
    plumbing problems. Coconut oil hardens and will easily do that within the plumbing system of your home particularly in cold weather. Word of caution!

  8. Wislawa Avatar

    Hey Katie,

    I’ve been incorporating oil pulling into my daily routine for the past year and have noticed significant improvements in my oral health. My teeth feel cleaner, and my dentist has commented on the reduction of plaque during my check-ups.

    I started with just 5 minutes a day using organic coconut oil and gradually increased to 15 minutes as I became more comfortable with the practice. To make it more enjoyable, I added a drop of peppermint essential oil, which leaves a refreshing aftertaste.

    I appreciate your balanced perspective on the potential side effects and the importance of not replacing traditional oral hygiene practices with oil pulling. It’s crucial to use this method as a supplement to regular brushing and flossing, not a substitute.

    Thank you for shedding light on this topic and providing valuable insights!

    Best regards,
    Wislawa

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