XYLITOLXYLITOL

Presented by - RIYA GUPTA

CONTENTSCONTENTS• Causes of tooth decayCauses of tooth decay• Human diet and sugars Human diet and sugars • Xylitol: What? Where? How?Xylitol: What? Where? How?• IndicationsIndications• Contraindications.Contraindications.• How much xylitol?How much xylitol?• Can diabetic use xylitol ?Can diabetic use xylitol ?• How bacteria transmit from mother to child ?How bacteria transmit from mother to child ?• 5 efforts to keep the mouth healthy5 efforts to keep the mouth healthy• ConclusionConclusion

Cause of Dental CariesCause of Dental Caries

• Streptococcus mutans Streptococcus mutans ((S. mutans) S. mutans) bacteria is bacteria is the leading cause of tooth decay.the leading cause of tooth decay.

• Bacteria like Bacteria like S. mutans S. mutans feast on sugars and feast on sugars and starches found on teeth.starches found on teeth.

• Bacterial metabolism produceBacterial metabolism produceacids that “eat away” teeth acids that “eat away” teeth surfaces causing weak spots surfaces causing weak spots that can become cavities. that can become cavities.

Human Diet and Sugars Human Diet and Sugars responsible for dental cariesresponsible for dental caries

MONOSACCHRIDEMONOSACCHRIDE

XylitolSorbitolMannitolErythitol POLYSACCHRIDE

Lycasin-hydrogenatedStarch hydrolysate

DISACCHRIDEMaltitolisomalt

What is Xylitol?What is Xylitol?

• Naturally occurring sweetener in the same Naturally occurring sweetener in the same class as sorbitol, maltitol, mannitol.class as sorbitol, maltitol, mannitol.

• Found in fibers of trees, fruits, Found in fibers of trees, fruits, and vegetables.and vegetables.

• The human body produces The human body produces several grams of xylitol a day.several grams of xylitol a day.

• Pure xylitol is a white crystalline

substance that looks and tastes like sugar .

• On food labels, xylitol is classified broadly as a carbohydrate and more narrowly as a polyol or sugar alcohol; however, xylitol is considered a “sugar-free” sweetener.

• Chemically xylitol differs from other sweeteners such as sorbitol, fructose and glucose because its molecule has five, instead of six, carbon atoms.

• It is much sweeter than sorbitol.• It contains about 40% fewer calories

than sugar.• xylitol's sweetening power is the same

as that of sucrose (table sugar).

How Xylitol WorksHow Xylitol Works• Cannot be fermented by plaque bacteria. Cannot be fermented by plaque bacteria.

– Microorganisms like Microorganisms like S. Mutans S. Mutans do not metabolize do not metabolize xylitol .xylitol .

• Inhibits growth and metabolism of Inhibits growth and metabolism of S. mutans S. mutans and reduces dental plaque.and reduces dental plaque.

• Thus reduces Thus reduces S. mutans S. mutans levels in plaque and levels in plaque and saliva .saliva .– Reduction in acid productionReduction in acid production– Reduction in dental cariesReduction in dental caries

Where Can You Find Xylitol?Where Can You Find Xylitol?

Xylitol paste

Xylitol chewing gum

How Much Xylitol?How Much Xylitol?

• Research suggests 5 to 10 grams of xylitol Research suggests 5 to 10 grams of xylitol per day for effectiveness.per day for effectiveness.

• Humans tolerate up to Humans tolerate up to approx. 45 grams/day .approx. 45 grams/day .

AdultsAdults: 6 to 12 g/ day: 6 to 12 g/ day

ChildrenChildren: 3 to 8 g /day: 3 to 8 g /day

INDICATIONS• Hydrated Mouth • Against Cavities • Diabetics • Smoking Cessation• Otitis media .• lung and nasopharyngeal

infections.

Contraindications• Mild luxative effect

•contraindicated in those who are hypersensitive to any component of a xylitol-containing product.

Can diabetics use xylitol ?

• Yes, because body dose not require insulin to metabolize xylitol.

• Low glycemic response than sucrose and glucose.

How the bacteriatransmited from mother to child

bacteria acquired by children from theirMother by salivary contact

This event takes place during time period when the child’s first tooth erupts(6to30 months)Because bacteria require tooth surface as a

habitat

Initial colonization takes place

consumption of xylitol in mother

Short term use- inhibit the growth of bacteria

Long term use- - permanent reduction - change in type of

bacteria in mother’s mouth.

Because of inhibition of growth and reduction in number of bacteria in mother’s mouth it is difficult for these bacteria to be successfully transmitted to their children

5 EFFORTS TO KEEP THE MOUTH HEALTHY

1.Use Xylitol toothpaste, mouthwash, and nasal spray upon waking up.

2.After breakfast use Xylitol gum, mints or candy.

3. After lunch use Xylitol gum, mints or candy.

4. After dinner use Xylitol gum, mints or candy.

5.Use Xylitol toothpaste, mouthwash, and nasal spray upon going to bed.

ConclusionConclusion

• Xylitol-fluoride toothpaste appears to Xylitol-fluoride toothpaste appears to enhance protection from dental caries.enhance protection from dental caries.

• It is feasible to integrate twice-daily tooth It is feasible to integrate twice-daily tooth brushing into the program.brushing into the program.

• Families need to be encouraged to use Families need to be encouraged to use xylitol at home.xylitol at home.