How to make a bicarbonate mouthwash

How to Make a Bicarbonate Mouthwash

Mix 1 teaspoon of table salt and three-quarter teaspoon of bicarbonate of soda (baking soda) into 500 ml of water to create an effective sodium bicarbonate mouthwash. 1

Standard Preparation Formula

The most widely recommended formulation in clinical guidelines is:

• 1 teaspoon of table salt 1
• Three-quarter teaspoon of bicarbonate of soda (baking soda) 1
• 500 ml of water 1

This creates a Sodium Chloride Mouthwash Compound BP that contains bicarbonate and is used four times daily (10 ml per rinse). 1

Alternative Simplified Formulation

For patients who prefer a bicarbonate-only solution without salt:

• Three-quarter teaspoon of bicarbonate of soda 1
• 500 ml of water 1

This bland rinse using sodium bicarbonate is specifically recommended by NCCN guidelines for mucositis management. 1

Preparation Instructions

• Use freshly prepared solution daily - make a new batch each day for optimal effectiveness 2, 3
• Mix thoroughly until the bicarbonate and salt are completely dissolved in the water 1
• Store at room temperature and discard any unused portion after 24 hours 2

Usage Guidelines

• Rinse with 10 ml of solution four times daily (QDS) 1
• Swish vigorously in the mouth for optimal cleansing of oral receptors and debris removal 1, 3
• Spit out after rinsing - do not swallow 1
• Use after meals and before bedtime for maximum benefit 1

Clinical Context and Benefits

The bicarbonate mouthwash works by:

• Raising salivary pH to create a less acidic oral environment 2, 3
• Cleansing taste bud receptors which can improve taste changes and reduce nausea 3
• Reducing bacterial colonization, particularly Viridans Streptococci and Moraxella species 2
• Providing a bland, non-irritating rinse that is well-tolerated in inflamed or damaged oral mucosa 1

Important Caveats

• Sodium bicarbonate is preferred over saline alone in patients receiving targeted cancer therapies due to concerns about microbial burden 1
• Plain water can be substituted for general oral hygiene in patients not on targeted therapy, as it promotes better adherence 1
• This is a supportive measure - it does not replace proper oral hygiene with soft toothbrush and appropriate dental care 1
• Avoid commercial mouthwashes with alcohol as these can dry and irritate the oral mucosa 1