Xylitol-containing products for preventing dental caries in children and adults

Riley, Philip; Moore, Deborah; Ahmed, Farooq; Sharif, Mohammad Owaise; Worthington, Helen V

doi:10.1002/14651858.cd010743.pub2

Cited by 109 publications

(102 citation statements)

References 83 publications

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“…In studies conducted by Zhan et al [25], daily cleaning with a xylitol wipe over 1 year lead to reducing caries in children by 14% compared to using non-xylitol wipes [8]. Localized treatment with xylitol after brushing teeth as an addition to daily hygienic habits in children over 6 months brings a reduction in the amount of SM and, at the age of 7, lessened caries frequency [26].…”

Section: Discussionmentioning

confidence: 99%

“…According to the AAPD, it is recommended to use 3-8 g of xylitol per day only in syrup form in children below 4 years of age, above that age -3-8 g per day in chewing gum, lozenges, candies and snacks, in both cases divided into at least 2 doses [1]. The findings indicate that applying xylitol syrup in the amount of 8 g daily compared to 2.67 g decreases the incidence of caries by 58% in children [8]. It has been proved that administering about 10 g of xylitol per day provides the greatest benefit [1].…”

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confidence: 99%

“…Excessive intake (more than 25-40 g per day) may induce loose stool or diarrhea. Other adverse reactions are oral ulcers, cramps, meteorisms and constipation [8]. Symptoms from the gastrointestinal tract are usually observed at the beginning of using the sweetener, and they may be minimized by gradual increase of the daily dose.…”

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confidence: 99%

“…In the USA, xylitol is included in many public and private dental prophylactic programs based on recommendations according to guidelines, both for adults and children (AAPD 2014/15; ADA 2011) [1,14]. However, in many European countries its application is not always embodied in guidelines concerning caries prevention [8]. It is denoted that more precise studies are necessary to clarify whether it is xylitol that is significant in caries prevention or the alteration of habits (lessened sucrose intake or its complete substitution with a sweetener) and the act of chewing stimulating the salivary flow [15].…”

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confidence: 99%

“…The impact of additives to products containing xylitol on the development of oral microbiota is also worth noting. Regrettably, the results of the majority of the available research are evaluated to be of low and very low quality and accordingly, it is difficult to assess whether xylitol-containing products are an efficient means in caries prevention in children, youth and adults [8].…”

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confidence: 99%

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Xylitol Content in Dental Care and Food Products Available on the Polish Market and Their Significance in Caries Prevention

Turska‐Szybka¹,

Pasternok²,

Olczak‐Kowalczyk³

2016

Dent. Med. Probl.

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Sugar alcohols (or polyols), natural organic compounds, may be used in order to replace sucrose. There are many sugar alcohols administered in dental care and food products, such as maltitol, lactitol, sorbitol, mannitol, erythritol and xylitol.Xylitol (E 967) is a five-carbon sugar alcohol of crystalline structure and sweetness similar to sucrose and has the same relative sweetness, which is 1, and provides less energy compared to sucrose (2.4 kcal vs 4 kcal). It occurs naturally in certain fruits, such as plums, raspberries and strawberries, and in birch trees; it is also developed in the digestive reactions of the human body in the amount of 15 g/day. It can be industrially produced using products rich in xylans, such as corncobs and birch wood. Xylitol obtained in the reduction reaction of xylose in the presence of catalytic converters is used in the food and cosmetic industry as an ingredient of chewing gum, lozenges, sprays, mouth rinses, gels, toothpastes, wipes, candies and AbstractCaries pertains to most of the Polish community and is associated with a high intake of sucrose and monosaccharides. Their non-cariogenic analogue is xylitol -equally sweet as sucrose, but not metabolized by the majority of bacteria existing in the oral cavity. The aim of this paper is to evaluate the content of xylitol in dental care and food products available on the Polish market and their significance in caries prevention. The products were selected based on the literature, informational leaflets and information from manufacturers. The toothpastes and gels taken into consideration contain up to 25% xylitol, mouth rinses -25%, dental care sprays -35%, chewing gum -66-67% and candies -96%. A large number of dental care and food products recommended in caries prevention contain xylitol in diverse concentrations. If caries-producing sugars are replaced with non-cariogenic sugar alcohols, the frequency of caries may be diminished. On one hand, xylitol, as an acknowledged anti-carious agent, is included in many caries-prevention programs, in precise concentrations and regularly used, on the other hand -there is a lack of EBM (Evidence-Based Medicine) data indicating the effectiveness of xylitol, apart from those pertaining to fluoride toothpastes with the addition of xylitol. It is emphasized that more detailed trials are necessary to answer the question whether it is xylitol that is relevant in caries prevention or the alteration of habits -lessened sucrose intake or its complete substitution with a sweetener and the act of chewing, which stimulates salivation (Dent. Med. Probl. 2016, 53, 4, 542-550).

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Xylitol Content in Dental Care and Food Products Available on the Polish Market and Their Significance in Caries Prevention

Turska‐Szybka¹,

Pasternok²,

Olczak‐Kowalczyk³

2016

Dent. Med. Probl.

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Dental filling materials for managing carious lesions in the primary dentition

Weldon

Yengopal

Siegfried

et al. 2016

Cochrane Database of Systematic Reviews

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Introduction: Atraumatic restorative treatment (ART) has been in use for the last couple of years. The survival rate of multi-surface restorations using this method has generally been very low for any given follow-up period. Most commonly quoted as the causes for the low survival rate included early restoration loss, poor choice of the cavity to be restored, operator factors, material factors and patient related factors, among other factors. Speculation has been that the premature loss may not actually denote failure to preserve the carious dental element, and that probably, the fluoride leach from the glass ionomer cement used with the technique, might be helping elongate the survival of the restored tooth. The question is whether, therefore, it is important to only look at the survival of the ART restoration or to also consider the survival of the tooth with premature restoration loss. Objective: To determine the current general survival rates of multi-surface ART restorations in the primary dentition, while simultaneously considering any consequences of the premature loss of these restorations in the primary dentition. The data for the study was obtained through Pubmed/Medline search for publications on multi-surface ART restorations from 2000 to 2011. Only publications on ART in the primary dentition were included and analyzed for survival rate, premature loss of restoration and effect of such loss. Conclusion: While the survival rates of multi-surface ART restorations in the review studies were low, the restorations appeared to provide some beneficial effects to the retention-longevity of the restored tooth even after the premature loss of restorations.

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