2018
DOI: 10.3889/oamjms.2018.336
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Sugar Substitutes: Mechanism, Availability, Current Use and Safety Concerns-An Update

Abstract: BACKGROUND:Dental caries has continued to be the major oral disease in the past, as well as the present scenario. Cariogenic sugars in the presence of specific bacteria Streptococcus mutans over a period have been attributed as the major etiologic agent for dental caries. The association between sugar consumption and dental caries has been well documented.AIM:Hence, the dental profession shares an interest in the search for safe, palatable sugar substitutes.METHODS:Therefore, the use of a suitable sugar substi… Show more

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Cited by 36 publications
(20 citation statements)
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“…Their usage occurs commonly in soft drinks labeled as "light" or "diet," typically containing artificial sweeteners with varying mouth feel. The United States, through the U.S. Food and Drug Administration, recognizes six intensely-sweet sugar, which they indicated safe for use (Gupta, 2018). Such include acesulfame potassium, Aspartame, stevia saccharin, Sucralose, and Neotame.…”
Section: Figure 1: Classification Of Sweetenersmentioning
confidence: 99%
“…Their usage occurs commonly in soft drinks labeled as "light" or "diet," typically containing artificial sweeteners with varying mouth feel. The United States, through the U.S. Food and Drug Administration, recognizes six intensely-sweet sugar, which they indicated safe for use (Gupta, 2018). Such include acesulfame potassium, Aspartame, stevia saccharin, Sucralose, and Neotame.…”
Section: Figure 1: Classification Of Sweetenersmentioning
confidence: 99%
“…Sugar alcohols (also referred to as polyols) are characterized by a lower calorie content (2 to 4 kcal/g) ( 44 ) than sucrose ( Table 1 ) ( 45 ). Low amounts of polyols are naturally present in vegetables, mushrooms and fruits (melon, peach, apple, pear, apricot), but also in oat ( 50 , 51 ). They include hydrogenated mono-, di-, oligo-, and polysaccharides ( 45 ) and are mainly used in “sugar-free” products, sweets, and chewing gums ( 52 ).…”
Section: Low-calorie Sweeteners (Polyols or Sugar Alcohols)mentioning
confidence: 99%
“…One factor is that dietary sucrose metabolized into lactic acid by Streptococcus mutans may exceed the neutralizing capacity of salivary bicarbonate, lowering plaque pH, which in turn drops [PO 4 3– ] and [OH – ] below levels needed to sustain mineralization and remineralization. [ 26 27 ]…”
Section: P Recipitation Of I Onic mentioning
confidence: 99%