Effect of chewing xylitol containing and herbal chewing gums on salivary mutans streptococcus count among school children

Chavan, Sangeeta; Lakashminarayan, Nagesh; Kemparaj, Umesh

doi:10.4103/2008-7802.157543

Cited by 7 publications

(9 citation statements)

References 35 publications

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“…17 Sugar-free gums have been used as a vehicle to administer various substances for therapeutic purposes, including calcium, bicarbonate, carbamide, chlorhexidine, fluorine, xylitol, and the CPP-ACP complex. [3][4][5][6][7] It has been demonstrated that some of these substances have protective properties for the oral cavity, such as xylitol in the control of tooth decay; however, there is concern over the lack of consensus on recommendations for use, which modifies the dosage and perhaps the preventive effect. 18 In this study, the comparison of Lactobacillus spp.…”

Section: Resultsmentioning

confidence: 99%

“…counts in both plaque and saliva, suggesting that their regular use (especially those sweetened with xylitol) may reduce the risk of dental caries -even in patients undergoing orthodontic treatment-, common among children, adolescents and young adults. 6 More recently, the CPP-ACP nanocomplex (casein phosphopeptide amorphous calciumphosphate) has been added to chewing gums. Morgan et al in 2008 have found that this component has an anti-cariogenic effect by decreasing bacterial plaque and can help re-mineralize the surface of white spot lesions in radiographic follow-ups.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial

Pabón

Arango

Delgado

et al. 2019

Rev Fac Odontol Univ Antioq

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Introduction: stability is one of the main goals of orthodontic treatment, and circumferential supracrestal fiberotomy is an alternative to prevent relapse in cases of tooth rotation, crowding and inclined teeth. However, there are no studies demonstrating the effectiveness of this treatment and its effects on the periodontal condition. The aim of this systematic review (SR) was to evaluate the effectiveness of circumferential supracrestal fiberotomy (CSF) as an adjuvant in the stability of orthodontic treatment during retention and its effects on the periodontal condition once it has been performed. Methods: the search for topic-related studies was conducted on the PubMed and EMBASE databases until October 2018. The studies were considered eligible if they covered the use of CSF during the retention period and reported the periodontal condition in a follow-up period longer than or equal to 1 year. For bias-risk assessment in the chosen studies, the Newcastle-Ottawa Scale was applied to observational studies, and the Cochrane Collaboration tool for Randomized Clinical Trials (RCTs) and Controlled Clinical Trials (CCTs). Results: the search strategy yielded 85 potential eligible articles, of which 5 were included in the SR. Four of the five studies reported a lower irregularity rate in patients who had CSF when compared toa control group. No changes in plaque index, gingival index, insertion levels, probe depth and keratinized gingiva amountwere reported. Conclusions: fiberotomy is an effective method to prevent relapse of previously rotated teeth and does not cause periodontal alterations. However, it is important to note that the studies’ methodological quality was low.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial

Pabón

Arango

Delgado

et al. 2019

Rev Fac Odontol Univ Antioq

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“…This Simple single blinded randomized control clinical study included 60 healthy children age between 6-12 years. The involved children were medically free, and don't have orthodontic appliances or periodontal lesions, and have no allergic response to any ingredients of the study products (xylitol -maltitol -mannitolsorbitol -mastic) (2,9,10) . This study was conducted on outpatients who attended the clinics of Pedodontics and Oral Health Department, Faculty of Dental Medicine (Boys, Cairo), Al-Azhar University.…”

Section: Methodsmentioning

confidence: 99%

“…During the study period, the involved children were asked to maintain normal dietary and oral hygiene habits and were instructed to refrain from using commercial chewing gum which is available in the market (9,10) . Each enrolled child in each group was asked to chewing gum for 3 days (3 times per day after meals) using a single gum piece for10 minutes each time.…”

Section: Methodsmentioning

confidence: 99%

Effect Of Three Types Of Chewing Gum On Oral Streptococcus Mutans And Lactobacilli Bacteria In School Children : A Controlled Clinical Study

eesa

Ismai²,

Abbas³

et al. 2022

Al-Azhar Journal of Dental Science

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Objectives: This study aimed to evaluate and compare the antibacterial effect of three types of chewing gum on oral streptococcus mutans and lactobacilli in school children, and the effect of them on dental debris accumulation. Subjects and Methods: A sample single blinded randomized control study included 60 healthy children age between 6-12 years with specific inclusion criteria. Three types of chewing gum were used in the present study; sugar-containing "chiclets", sugar-free "xylitol", and sugar-less "mastic". Saliva samples were collected in a sterile plain tube from participating children in the first day before taking chewing gum and then after taking chewing gum in a sterile plain tube for 3 successive days, after three days debris index was recorded. Results: There was a statistically significant reduction in S. mutans and lactobacilli count from baseline to the third day in the three studied groups. Through the intergroup comparison, there was also a statistically significant percentage of reduction of S. mutans and lactobacilli count at different time intervals, there was a statistically non-significant difference between the three studied groups according to debris index score. Conclusion: The use of sugar-free "xylitol" chewing gum has the higher significant effect on the reduction of S. mutans and lactobacilli count at different time intervals followed by sugar-less chewing gum "mastic" when compared to sugar-containing "chiclets" chewing gum.

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“…This randomization procedure was carried out by assistant examiner and were decoded at the end of the study. Baseline unstimulated saliva was collected by instructing the subjects to let saliva collect in oral cavity without swallowing for at least 1 minute and then to expectorate in a sterile dispensing cup for 2 minutes ( 12 ). One pellet of chewing gum was given to subjects in both groups and they were asked to chew under supervision for a period of 15 minutes.…”

Section: Methodsmentioning

confidence: 99%

Comparative evaluation of Stevia and Xylitol chewing gum on salivary Streptococcus mutans count – A pilot study

Shinde

Winnier

2020

J Clin Exp Dent

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Background Stevia is a natural sweetener which is used as sugar substitute. It has been suggested that stevia may be anticariogenic. However, there is limited research in this regard. Hence, the present study was designed to assess reduction in S. mutans in stevia and xylitol chewing gums. The aim of this study is to evaluate the effectiveness of stevia and xylitol chewing gums on salivary Streptococcus mutans count. Material and Methods A randomized triple blinded clinical study with a crossover design included twenty healthy children aged 8-13 years with decayed, missing, and filled teeth (dmft)/DMFT index score ≥ 3. Before the test, unstimulated saliva was collected. Children divided into Group I and II were given Stevia and Xylitol chewing gums respectively. Saliva samples were then collected at 15 min (just after spitting) and after 1 h. The amount of S. mutans in saliva was evaluated using a selective media (TYCSB). The data were subjected to statistical analysis using statistical software IBM SPSS statistics 20.0 (IBM Corporation, Armonk, NY, USA) Results Reduction in S. mutans was seen from baseline to 1 hour in both groups in trial and crossover design though intergroup comparison was not statistically significant. There was reduction seen from baseline to 15 minutes and 15 minutes to 1 hour in xylitol and stevia group both in trial and crossover design which was statistically significant. Conclusions Stevia containing chewing gum is equally effective to Xylitol chewing gum in reducing salivary S. mutans counts. Key words: Stevia, Xylitol , S. mutans.

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Effect of chewing xylitol containing and herbal chewing gums on salivary mutans streptococcus count among school children

Cited by 7 publications

References 35 publications

Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial

Assessment of adherence to preventive treatment of plaque-induced oral diseases using sugar-free gums: a controlled clinical trial

Effect Of Three Types Of Chewing Gum On Oral Streptococcus Mutans And Lactobacilli Bacteria In School Children : A Controlled Clinical Study

Comparative evaluation of Stevia and Xylitol chewing gum on salivary Streptococcus mutans count – A pilot study

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