# Is bread allowed on IDDSI Level 6?

Canonical: [https://followyourswallow.com/answers/is-bread-allowed-on-iddsi-level-6](https://followyourswallow.com/answers/is-bread-allowed-on-iddsi-level-6)

## Direct answer

No. The IDDSI Framework allows no regular dry bread, sandwiches, or toast of any kind at Level 6 Soft & Bite-Sized. Bread can form a sticky, doughy lump that is hard to control in the mouth. For bread at this level, IDDSI points to its Level 5 Minced & Moist sandwich recipe, served with a filling that meets Level 6. Ask your SLP before serving any bread.

## Details

Level 6 needs tender, moist pieces no larger than 1.5 cm for adults that squash flat under fork pressure. Fresh bread compresses and springs back instead of squashing, so it does not behave like a Level 6 food.

IDDSI's 2026 update to its detailed definitions (version 2.2) removed “pre-gelled soaked bread” from the Level 5 and Level 6 examples. If you were taught a soaked-bread method before, check with your SLP whether it still applies to your plan.

The rule relaxes at Level 7 Easy to Chew, where IDDSI says bread, sandwiches, and toast that can be cut or broken apart with the side of a fork or spoon can be provided at the clinician's discretion.


## Sources

- [Complete IDDSI Framework Detailed Definitions, version 2.2 (2026)](https://www.iddsi.org/images/Publications-Resources/DetailedDefnTestMethods/English/V2-2DetailedDefinitionsEnglish30Jul2026pdf.pdf)
- [IDDSI Level 6 Soft & Bite-Sized adult handout](https://www.iddsi.org/images/Publications-Resources/PatientHandouts/English/Adults/6_soft_bite_sized_adult_consumer_handout_30jan2019.pdf)


Sources checked: 2026-09-24

Clinical review: SLP review in progress

## Safety

Use only the food and drink levels prescribed by the person's qualified clinician. Test the actual serving before it is eaten or drunk.