Polyol chewing gums and caries rates in primary dentition: a 24-month cohort study.

  title={Polyol chewing gums and caries rates in primary dentition: a 24-month cohort study.},
  author={K. M{\"a}kinen and P. Hujoel and C. Bennett and K. Isotupa and P. M{\"a}kinen and P. Allen},
  journal={Caries research},
  volume={30 6},
The effect of 2-year chewing-gum use on the caries rates of primary teeth was studied in a combined school and home program in a sample of 510 initially 6-year-old subjects with high caries experience, low availability of fluoride, and difficult access to dental care. The gum, formed into either sticks or pellets, comprised either xylitol, sorbitol, or mixtures thereof. The gum was chewed for 5 min under supervision five times a day during the school year, and for variable times during… Expand
The Optimum Time to Initiate Habitual Xylitol Gum-chewing for Obtaining Long-term Caries Prevention
It is concluded that for long-term caries-preventive effects to be maximized, habitual xylitol gum-chewing should be started at least one year before permanent teeth erupt. Expand
Physical, chemical, and histologic changes in dentin caries lesions of primary teeth induced by regular use of polyol chewing gums.
It is suggested that regular use of polyol chewing gums may induce changes in dentin caries lesions, which in histologic and physiochemical studies show typical characteristics of rehardening and mineralization. Expand
Effects of Mouth Rinses with Xylitol and Fluoride on Dental Plaque and Saliva
Three daily mouth rinses with fluoride and xylitol, separately or in combination, did not affect the salivary flow rate or micro–biota, dental plaque accumulation, gingivitis development, or the acidogenic potential of plaque. Expand
The impact of polyol-containing chewing gums on dental caries: a systematic review of original randomized controlled trials and observational studies.
Research evidence supports using polyol-containing chewing gum as part of normal oral hygiene to prevent dental caries, and research gaps exist, particularly on optimal dosing and relative polyol efficacy. Expand
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum in Dental Caries
There is tentative evidence that chewing SFG reduces caries increment in comparison to nonchewing controls, and there is a considerable degree of variability in the effect. Expand
Compliance in a school-based caries clinical trial of a sugar-free chewing gum.
This research highlights the importance of dedicated compliance trial personnel in an adequate ratio to trial subjects, inclusion in protocols of direct methods of measuring compliance, piloting of compliance data collection tools and self-report paper diaries having questionable feasibility as a Compliance data collection tool. Expand
Sugar Alcohols, Caries Incidence, and Remineralization of Caries Lesions: A Literature Review
  • K. Mäkinen
  • Medicine
  • International journal of dentistry
  • 2010
Based on known molecular parameters of simple dietary alditols, it is conceivable to predict that their efficacy in caries prevention will follow the homologous series, that is, that the number of OH-groups present in the alditol molecule will determine the efficacy as follows: erythritol ≥ xylitol > sorbitol. Expand
Evaluation of xylitol use and bitewing radiographs among school-aged children in a low-caries level population
The conducted systematic review revealed that caries-preventive effect of xylitol was well shown in highcaries level populations, and bothxylitol and erythritol decreased the adherence of polysaccharide-producing oral streptococci. Expand
The use of sorbitol- and xylitol-sweetened chewing gum in caries control.
  • B. Burt
  • Medicine
  • Journal of the American Dental Association
  • 2006
The evidence is strong enough to support the regular use of xylitol-sweetened gum as a way to prevent caries, and it can be promoted as a public-health preventive measure. Expand
Caries prevention in high-risk preschool children in the United States
F fluoride varnish applications may offer an efficient, non-surgical treatment for decay in children, and the prevention program with xylitol may provide an additional method to be used in situations where other prevention methods are difficult to implement. Expand