What IDDSI Level Is Bread?

In general, bread is considered: IDDSI Level 7 Regular

This means it is a normal, everyday food that requires:

• effective chewing

• good oral motor functions

• the ability to form and safely swallow a bolus

For individuals with dysphagia, these skills may be reduced, which can increase the risk of choking.

Why Bread Can Be Challenging in Dysphagia?

Although bread may seem soft, it can be difficult to manage safely for some individuals.

Bread can:

• form a sticky, dense bolus

• be difficult to chew and clear

• increase the risk of airway obstruction

Because of this, bread is often not suitable for individuals requiring texture modified diets.

Why Bread Is Considered a High Choking Risk?

Bread Is Considered a High Choking Risk food. It is fibrous and difficult to break down into small pieces. People usually swallow the piece of bread before it is thoroughly broken down into very small pieces. Please see this article for more details of why is bread considered high choking risk: https://www.iddsi.org/images/AroundTheWorld/UnitedStates/Implementation/iddsi-s-focus-on-safety-with-mixed-consistency-foods-bread.pdf

However… it is important for us to remember that bread is a common staple food in many cultures and is widely included in our meals. It can be an important source of energy and is often a familiar and preferred food for many individuals.

For individuals with dysphagia, bread may present challenges during swallowing. If there is any uncertainty, it is important to consult with a speech pathologist for appropriate guidance.