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Effect of Xylitol chewing gums on oral bacteria

Not Applicable
Completed
Conditions
Prevention of Dental caries
Registration Number
CTRI/2018/03/012632
Lead Sponsor
The Oxford Dental College and Hospital
Brief Summary

This research marks a newbeginning to the evaluation of the effectiveness of 100% xylitol chewing gumson the salivary measures and oral micro flora which attribute to the cariespreventive action.

The major findings of our doubleblind parallel arm Randomized controlled trial were that the mean age of thestudy subjects was 19.45+/- 1.37 years. The salivary pH in Group I hadsignificantly increased after 30 days of intervention (5.83 to 6.62, p<0.05)as compared to the baseline but did not show a sustained effect at thefollow-up at 60 and 90 days.

The salivary buffering capacityalso significantly varied between the two groups after 30 days of interventionand had a sustained effect only upto 60 days follow-up period.

The results in our trial showedthat there was a difference in the salivary flow rate between the two groups at30 days of intervention (1.34 ml/minute to 2.46 ml/minute), but at thefollow-up time intervals the salivary flow rate did not differ significantlybetween the two groups. However, Group I showed an increased salivary flow ratein the follow-up time intervals and sustained the effect till the end of ourstudy.

There were significant reductionsin salivary levels of mutans streptococci at 30 days after intervention whencompared to the baseline and the effect was maintained even beyondinterruption. Group I showed greater amounts of mutans streptococcus countsreduction at the end of follow-up phase when compared to Group II.

Thus our study supports theaction of 100% xylitol chewing gums at the dose and frequency used in our studyin reduction of mutans streptococci and this strategy can be used as a targetedcaries-preventive measure after the evaluation of its cost-effectivenessthrough various preventive programs.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Subjects who did not have any active carious lesions.
  • Subjects who were not on any systemic antibiotic medication, 3 months prior to the commencing of the study.
Exclusion Criteria
  • Subjects who had recent exposure to topical or systemic fluoride treatment.
  • Subjects who were phenylketonurics.
  • Subjects who had a history gastro-intestinal problems.
  • Subjects who were habitual consumer of chewing gums.
  • Subjects who were undergoing any orthodontic treatment at the time of the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the action of 100% xylitol chewing gums at the dose and frequency used in our study in reduction of mutans streptococci and this strategy can be used as a targeted caries-preventive measure30, 60 , 90 days
Secondary Outcome Measures
NameTimeMethod
Follow-up for measuring stretptococcus mutans count, salivary pH levels and buffering capacity60 days and 90 days

Trial Locations

Locations (1)

The Oxford Dental College and Hospital

🇮🇳

Bangalore, KARNATAKA, India

The Oxford Dental College and Hospital
🇮🇳Bangalore, KARNATAKA, India
Chaithra V
Principal investigator
9886145047
drchaithrav@gmail.com

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