anti-cariogenic properties of xylitol dr. shahzadi tayyaba hashmi dnt 353
TRANSCRIPT
ANTI-CARIOGENIC PROPERTIES OF
XYLITOL
Dr. Shahzadi Tayyaba Hashmi
DNT 353
XYLITOL
BACKGROUND: Xylitol is a sweet crystalline carbohydrate that has been
known to science for nearly 100 years The name relates to the word ‘ xylose ’ (wood sugar)
from which xylitol was first made Later studies showed that xylitol occurs freely in fruits
and other plants The theoretical calorie value of xylitol is the same as
with carbohydrates ( 4 kcal/g) Clinical studies carried out during the past 25 years
indicate that, xylitol can improve caries prevention
BACKGROUND:
Xylitol is a naturally occurring sweetener which is essentially not fermentable by the caries- inductive oral micro flora
When tested as a sucrose replacer, or even as a small dietary addition, systematic xylitol use leads to impressive reductions in caries incidence
Xylitol is compatible and complementary with all current oral hygiene recommendations
ANTI-CARIOGENIC PROPERTIES OF XYLITOL
Due to the increase of sugar consumption, sugar substitutes are essential in caries prevention programs
Xylitol has good sweetening qualities and caries protective properties
Its consumption does not promote low pH in dental plaque probably by enhancing salivary flow and buffer capacity
It inhibits adhesion, growth and metabolism of oral microorganisms. Suppresses ms even with sucrose intake
It allows remineralization of initial enamel lesions When it is incorporated to chewing-gum, its action is
increased due to the stimulation of salivary secretion In association with fluoride, a synergic action is observed
PREVENTION OF DENTAL CARIES
Xylitol does not support the growth of cariogenic Streptococcus mutans (“caries bacteria”) due to S. mutans' inability to metabolize Xylitol
Both after short- and long-term use, xylitol significantly reduces the amount of mutans streptococci in plaque and saliva
The growth of lactobacilli is reduced during long-term use of xylitol chewing gums Xylitol shows effects which promote tooth
remineralization
Xylitol beneficially affects oral plaque properties and oral flora, i.e. makes plaque less cariogenic, for instance in the following ways
•Xylitol is not transformed to harmful acids in dental plaque•When consumed after eating fermentable food components (sugar, starch...), Xylitol actively prevents acid production in dental plaque (enamel dissolves when the pH decreases below 5.7)•Regular xylitol consumption reduces amount of plaque, making it easier to brush off