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Submitted
1 March 2025
Accepted
7 April 2025
Published
30 September 2025
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Abstract

Background: Oil pulling (OP) is an ancient Ayurveda technique that has gained popularity as a contemporary non-pharmacological alternative to conventional mouthwashes. Previously traditionally performed for its supposed antibacterial and detox properties, OP involves swishing sesame, coconut, and sunflower oil in the mouth to remove toxins and promote oral health. Anecdotal benefits are claimed for plaque removal and gum condition, but scientific evidence is poor and inconsistent. The review critically examines the clinical, scientific, and historical evidence base of OP and contrasts its efficacy with conventional oral hygiene regimens. It examines its impact on oral microbiota, plaque development, halitosis, and gingival inflammation and assesses patient compliance and dentists’ knowledge of its utility and limitations. Methods: This narrative integration of literature combines the latest literature on OP mechanisms and oral health application. A search of PubMed, Web of Science, Scopus, and Google Scholar was conducted for studies published from 2010 to February 2025. Meta-analyses, systematic reviews, and randomized controlled trials that examined OP’s antibacterial effect, reduction in plaque, and halitosis control were considered. There was no systematic method or risk of bias assessment. Results: OP is shown to significantly reduce plaque, control halitosis, and improve gingival health but is less effective compared to chlorhexidine mouthwash. Coconut and sesame oils are antimicrobial and anti-inflammatory in nature, but OP does not contribute substantially to enamel remineralization or act as an alternative to fluoride therapy. Conclusion: OP must be viewed as an adjunct oral hygiene procedure and not as a substitute for brushing, flossing, and the use of fluoride. Additional trials are required to develop standardized protocols and clinical guidelines.
Keywords: Ayurveda, chlorhexidine, fluoride mouthwash, gingival inflammation, halitosis, oil pulling, oral hygiene, plaque control

Keywords

Oil Pulling

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Abdelkarim, N., & Youssif, E. (2025). Oil Pulling in Dentistry. A Review. Journal of Contemporary Dental Sciences, 2(3), 1–8. Retrieved from https://jcds.qu.edu.sa/index.php/JCDS/article/view/2378
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