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IDDSI Level 4 · Puréed

Kem Bơ (Avocado Ice Cream)

Kem bơ — silky Vietnamese avocado ice cream, spoonable and smooth.

Kem Bơ (Avocado Ice Cream) — puréed texture, IDDSI Level 4
J
Jaw Surgery Diet
Texture graded against the IDDSI framework. Not individually reviewed by a clinician — how this site works
6g
Protein
340
kcal
26g
Carbs
26g
Fat
6g
Fibre
3
Servings

Ingredients

  • 2 ripe avocados
  • 150 ml coconut milk
  • 120 ml sweetened condensed milk
  • 1 tsp lime juice
  • Pinch of salt

Makes 3 servings · 10 min + freeze · Vietnamese

Method

  1. Blend avocado, coconut milk, condensed milk, lime and salt until completely smooth.
  2. Pass through a fine sieve so it is uniform with no fibres.
  3. Freeze in a shallow container, stirring every 30 minutes, until softly set.
  4. Let it soften a few minutes before serving so it is smooth and spoonable.
Texture note — IDDSI Level 4

Smooth Level 4 when softened. Serve semi-melted — never with hard frozen chunks or seeds.

Why this works at IDDSI Level 4

Level 4 is puréed: smooth, cohesive, and it holds its shape on a spoon without separating into liquid. It does not require any chewing, which makes it the workhorse level after most jaw surgery — it carries far more calories and protein per spoonful than anything thinner. Sieving matters here; skins, fibres and seeds are what break the texture grade.

At 3 servings this recipe delivers 6g of protein and 340 kcal per serving in about 10 min + freeze — worth knowing because protein intake, not calories alone, is what limits soft-tissue healing when chewing is restricted. Move up a stage on your surgeon's or speech-language pathologist's timeline rather than by how you feel on a given day: texture that is too advanced is the most common cause of pain, wound irritation and choking risk in the first weeks.

See all puréed-stage recipes →

See it made, or buy it nearby

Texture is hard to judge from written steps alone. Watching someone make it is often the quickest way to see how smooth “smooth” actually needs to be — and on the days cooking is too much, finding somewhere nearby that already makes it is a reasonable substitute.

Watch this recipe Find this dish near me

What makes this easier

High-power blender and fine-mesh sieve. The recovery kit explains why each one earns its place, and what to look for when buying.

More puréed-stage recipes

Miso Salmon Purée IDDSI 4 · Puréed Miso Salmon Purée Japanese · 25 min Blendable salmon, silken tofu & dashi — top-tier protein. 26.9g protein286 kcal ▶ 📍
Medical disclaimer. Jaw Surgery Diet is patient education, not medical advice, and it does not create a doctor–patient relationship. Texture stages here follow the IDDSI framework, but the right stage for you is the one your own surgeon, speech-language pathologist or dietitian has set. If you are unsure whether a texture is safe for you — or if you cough, choke or feel food catching when you swallow — stop and contact your care team.