Xylitol candies in caries prevention: results of a field study in Estonian children.

  title={Xylitol candies in caries prevention: results of a field study in Estonian children.},
  author={P. Alanen and P. Isokangas and K. Gutmann},
  journal={Community dentistry and oral epidemiology},
  volume={28 3},
All field studies have unequivocally reported significant reductions in dental caries occurrence associated with the use of chewing gum containing xylitol. No other xylitol products besides chewing gum have so far been tested in field trials. A 5-year follow-up study with 2- or 3-year xylitol consumption periods began in Estonia in 1994 with 740 10-year-old children in 12 schools at baseline examinations. For the study, 3 clusters each including 3-5 schools were formed on the basis of baseline… Expand
Effect of Erythritol and Xylitol on Dental Caries Prevention in Children
Test the efficacy of long-term, daily intake of erythritol and xylitol candy, compared with sorbitol candy, on the development of enamel and dentin caries lesions in primary school children from southeastern Estonia found it to be significantly lower in the mixed dentition in the erystritol group than in thexylitol or control group. Expand
Field Trial on Caries Prevention with Xylitol Candies among Disabled School Students
Xylitol seemed to have a strong preventive and a clear remineralizing effect on caries among physically disabled school students in Kuwait. Expand
Effect of xylitol and xylitol-fluoride lozenges on approximal caries development in high-caries-risk children.
The results from this 2-year trial did not support a self-administered regimen of xylitol- orxylitol/fluoride-containing lozenges for the prevention of approximal caries in young adolescents with high caries risk. Expand
Dental plaque formation and salivary mutans streptococci in schoolchildren after use of xylitol-containing chewing gum.
The results suggest that chewing gum with xylitol or sorbitol/maltitol can reduce the amount of dental plaque and acid production in saliva in schoolchildren, but only thexylitol-containing gum may also interfere with the microbial composition. Expand
Long-Term Effect of Erythritol on Dental Caries Development during Childhood: A Posttreatment Survival Analysis
A caries-preventive effect of 3-year erythritol consumption as compared to sorbitol was established in children with mixed dentition and the effect persisted up to 3 years after the end of the intervention. Expand
No evidence of caries reduction found in a school xylitol and erythritol lozenge programme
  • B. Duane
  • Medicine
  • Evidence-Based Dentistry
  • 2011
The use of xylitol-maltitol or erythritol- maltitol lozenges within a cohort of low caries children either over nine months or 21 months were not effective in reducing dental caries in primary school children. Expand
Use of xylitol chewing gum in daycare centers: a follow‐up study in Savonlinna, Finland
The use of xylitol can therefore be recommended, especially if the personnel do not have the possibility to supervise the brushing, and oral health status in thexylitol group was a little bit better than in the control group. Expand
Caries preventive effects of xylitol-based candies and lozenges: a systematic review.
The findings of the analyzed studies suggest that the use of xylitol-based candies and lozenges could favor a reduction in caries increment, in general, their consumption did not seem to be effective on the proximal surfaces. Expand
The Effectiveness of Xylitol in a School-Based Cluster-Randomized Clinical Trial
Xylitol consumption did not have additional benefit beyond other preventive measures, and caries progression in the permanent teeth of both groups was minimal, suggesting that other simultaneous prevention modalities may have masked the possible beneficial effects of xylitol in this trial. Expand
Xylitol in preventing dental caries: A systematic review and meta-analyses
Xylitol was found to be an effective strategy as self-applied caries preventive agent when compared with all other carie preventive strategies; however, it was insignificant. Expand


Collaborative WHO xylitol field studies in Hungary. I. Three-year caries activity in institutionalized children.
It is concluded that dietary xylitol in solid sweets resulted in a lower increment of caries than obtained in the F and C groups (p less than 0.001, covariance analysis, with base-line prevalence, number of permanent teeth, and visible plaque index as covariants). Expand
Collaborative WHO xylitol field studies in Hungary. VII. Two-year caries incidence in 976 institutionalized children.
The xylitol regimen resulted in a lower increment of caries than measured in the F and C groups, with convariance analysis, with base-line prevalence, number of permanent teeth, and visible plaque index as covariants. Expand
Collaborative WHO xylitol field study in French Polynesia. I. Baseline prevalence and 32-month caries increment.
It is concluded that partial sugar substitution by xylitol is a useful tool in preventing caries and should be considered in addition to fluoridation and oral hygiene measures in public oral health programmes. Expand
Xylitol Chewing Gums and Caries Rates: A 40-month Cohort Study
It is suggested that systematic usage of polyol-based chewing gums reduces caries rates in young subjects, with xylitol gums being more effective than sorbitol gums. Expand
Long-term effect of xylitol chewing gum in the prevention of dental caries: a follow-up 5 years after termination of a prevention program.
About 65% of the original 258 children who participated in a caries prevention program involving the use of xylitol chewing gum were retrieved in 1989 for a follow-up study, and effects were explained by assuming that the X gum program had facilitated the establishment of a low-virulent bacterial flora on the surfaces of the teeth. Expand
Xylitol chewing gum in caries prevention: a field study in children.
As the prevalence of dental caries decreases in industrialized nations like the United States, it simultaneously increases in developing nations and Third World countries. The decrease in the West isExpand
Sugar substitutes, chewing gum and dental caries--a review
  • W. Edgar
  • Medicine
  • British Dental Journal
  • 1998
Both sorbitol and xylitol chewing gums are non-cariogenic in contrast to sugared gum, and exhibit beneficial anticaries properties through salivary stimulation, and both have similar beneficial effects in promoting enamel remineralisation in short-term in-situ experiments. Expand
The University of North Carolina Caries Risk Assessment study: further developments in caries risk prediction.
Clinical predictors such as prior DMFS, pit and fissure morphology, and predicted caries risk status were the major contributors to the models. Expand