1. XYLITOL PRODUCTS By: Anna Trask

2. What is xylitol? Why is xylitol good for teeth? History Products Gum Toothpaste Mouth Rinse Lozenges Floss Questions? Objectives:

3. What is it? Xylitol is a naturally occurring sweetener that can be found in fruits, vegetables and mushrooms. Xylitol is a substance similar in appearance and texture to sugar. It is produced commercially from birch and other hard wood trees.

4. Xylitol and Teeth  Xylitol is a five carbon sugar that cannot be metabolized by S. Mutans.  Inhibits the growth of S. Mutans, reducing caries susceptibility.  Xylitol enhances remineralization.  Xyltiol is non acidogenic and non cariogenic.

5. History  First discovered in 1891 by German chemist, Emil Fischer.  Rediscovered during World War II when Finland was suffering from a shortage of sucrose (sugar).  During this time Finland began using it as a sugar substitute. Emil Fischer

6. History (cont’d)  Xylitol was used as a sugar substitute in the diabetic diet.  1963: Xylitol is approved for use in the United States by the FDA.  The use of xylitol for dental purposes began in the 1970’s  1975: The first xylitol chewing gum was launched in Finland and the United States.

7. Xylitol Products  Gum  Toothpaste  Mouth Rinse  Lozenges  Floss Picks

8. Is xylitol found in all sugar free gum? QUESTION No, some are made with sorbitol or other sweeteners.

9. Gum  Trident – $1.49 – 18 pieces. (retail stores)  Spry – $2.80 – 30 pieces (online)  Peelu Xylitol - $1.79 – 12 pieces (online)  Many other brands are found online  Also some different brands can be purchased at health food such as Whole Foods.

10. Trident  Trident Sugarless, Trident Fusion flavors, & Stride.  Chewing gum after meals:  Reduce the formation of plaque acids  Reduce the amount of plaque  Reduce the population of S. Mutans in plaque.  Loosen plaque and S. Mutans binding to tooth surface.

11. Trident  Trident Sugarless Gum  Trident Stride Sugarless Gum  Both of these products are ADA accepted products (as of 8/2/10).

12. Spry Chewing Gum  Spry Xylitol Chewing Gum  Used a part of daily routine:  Help improve dental health  Reduce cavities  Decrease dental plaque acid production  Improve overall oral health

13. Peelu Xylitol  Peelu Xylitol Dental Chewing Gum  With use:  It’s healthy for gums and teeth  Doesn’t cause tooth decay  Sweet and cooling taste.

14. Toothpaste  Tom’s of Maine $4.50 – 6 oz (retail stores)  Squigle Enamel Saver $7.99 – 4 oz (online)  Other brands found online.

15. Tom’s of Maine  Tom’s of Maine Natural Fluoride Toothpaste, Tom’s of Maine Natural Baking Soda Toothpaste.  With regular brushing:  Prevents plaque and tartar buildup  Fights cavities  Fresh breath  Natural Ingredients

16. Tom’s of Maine  Tom’s of Maine Natural Fluoride Toothpaste  Tom’s of Maine Natural Baking Soda Toothpaste  Both of these products are ADA accepted products.

17. Squigle Enamel Saver  Squigle Enamel Saver is irritant free (no SLS).  36% of natural xylitol – far more than any other toothpaste  Inhibit growth of bacteria.  Prevents cavities  Prevents plaque  Also best toothpaste for canker sore suffers.

18. Mouth Rinse  Aim $5.99 – 16 oz (online)  Epic $7.75 – 16 oz (online)  Other brands can be bought online.

19. Aim  Aim Whitening Mouthwash  Use after brushing:  Reduce cavities  Alcohol free  Fresh breath  Sugar free (xylitol)

20. Epic  Xylitol mouth wash  Use morning and night  25% xylitol  Rinse away plaque and bacteria  No SLS  Sugar free

21. Dentiva $6.00 – 12 pieces Fight bacteria and freshen breath Sugar free and alcohol free Helps maintain a healthy pH in the mouth Different brands are found online. Lozenges

22. Xylifloss $3.95 – 1 flosser Floss coated with xylitol which: Fights plaque Reduces bacteria Fights bad breath naturally Fast, easy, and comfortable way to floss Other brands of floss found online. Floss

23. Xylitol Concentration in Saliva and Dental Plaque after Use of Various Xylitol-Containing Products (Holgerson, P., et al 2006).  To determine the amount of xylitol in saliva and plaque after use of chewing gum, sucking tablets, candy tablets, toothpaste, and rinse.  12 healthy children (6 boys, 6 girls mean age 11.5 years)  Unstimulated saliva was samples at 1,3,8,16, and 30 minutes after use.  Supragingival plaque was collected and pooled after 5,15, and 30 minutes.

24. Xylitol Concentration in Saliva and Dental Plaque after Use of Various Xylitol-Containing Products (Holgerson, P., et al 2006).  All xylitol containing products resulted in significantly increased levels immediately after intake and remained elevated for 8 – 16 minutes in the different groups.  The highest mean value in saliva was obtained immediately after use of chewing gum.  The lowest mean was demonstrated after using toothpaste.

25. Xylitol Concentration in Saliva and Dental Plaque after Use of Various Xylitol-Containing Products (Holgerson, P., et al 2006).  No significant differences were demonstrated between chewing gum, candy tablets, sucking tablets, and rinses.  In dental plaque after using the rinse the values remained significantly elevated during the entire 30 minute follow up.  Commonly used xylitol containing products gave elevated concentrations of xylitol in saliva and plaque for at least 8 minutes after intakes.

26. Recommendations  Trident Sugarless Gum  ADA approved  Found in retail stores with an affordable price ($0.96)  It’s a well know product  Tom’s of Maine  ADA approved  Found in retail stores  Holistic patients

27. References (Internet)  http://www.dentist.net/trident-original.asp  http://tynan.net/wp-content/uploads/2009/07/toms-of-maine-toothpaste.jpg  http://www.dentist.net/images/tm-tp-w-fluoride-dn.jpg  http://www.reallynatural.com/pictures/spry%20gum.jpg  http://www.ifood.tv/files/u14642/strawberry.jpg  http://upload.wikimedia.org/wikipedia/commons/3/39/Hermann_Emil_Fischer.jpg  http://www.petinsurance.com/healthzone/pet-articles/pet-health- toxins/~/media/All%20PHZ%20Images/Article%20images/October%20images/225xylitol%20gum2.ashx  http://www.tomsofmaine.com/research/ingredients/ingredient-detail/xylitol-antiplaque  http://img.alibaba.com/photo/10191936/FD_Mushroom_Slices.jpg  http://www.walgreens.com  http://www.walmart.com  http://www.safeway.com  http://www.raleys.com  http://www.epicdental.com/m-1-xylitol products.aspx?9gtype=search&9gkw=epic%20denta&9gad=5793493266.1&9gag=1834238466&gclid=CMOyktPvqKMCFQo5gwodmVhF 4w  http://www.dentist.net/xylitol-teeth.asp  http://www.dimensionsofdentalhygiene.com/ddhright.aspx?id=765  http://www.xylitol.org/faqs.asp  http://www.wholefoods.com

28. References (Journal Article)  Holgerson P., Stecksén-Blicks, C., Sjötröm, I., Öberg, M., & Twetman, S. (2006). Xylitol Concentration in Saliva and Dental Plaque after Use of Various Xylitol-Containing Products. Caries Research, 40(5), 393-397. doi:10.1159/000094284.

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