The effect of polyol-combinant saliva stimulants on S. mutans levels in plaque and saliva of patients with mental retardation

Spec Care Dentist. 2002 Sep-Oct;22(5):187-93. doi: 10.1111/j.1754-4505.2002.tb00269.x.

Abstract

The effect of chewable saliva-stimulants on Streptococcus mutans levels in dental plaque and paraffin-stimulated whole saliva among participants who were mentally disabled was investigated. Over 64-days, 98 participants chewed one of four saliva-stimulating tablets five times/day. The tablets contained one of the following: xylitol (X) or sorbitol (S), or 1:1 mixtures of xylitol and erythritol (XE) or sorbitol and erythritol (SE). Consumption of xylitol and sorbitol in Groups X and S was 5.4 grams/day/ subject, and of each polyol in Groups XE and SE, consumption was 2.7 g/day/subject. Interproximal dental plaque and stimulated whole saliva were sampled at baseline, at Day 36, and Day 64. There was a statistically significant reduction of S. mutans in plaque and saliva counts in Groups X and XE. The percentage of S. mutans in total streptococci increased significantly in dental plaque in Group S but decreased in the other groups. The results suggest that xylitol-containing saliva stimulants may be more effective than sorbitol-containing products in controlling some caries-associated parameters in people who are mentally disabled. Also a relationship may exist between the pentitol-type xylitol and S. mutans, and erythritol may exert a specific biochemical effect on this organism, although further studies are needed.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Colony Count, Microbial
  • DMF Index
  • Dental Plaque / microbiology*
  • Drug Combinations
  • Erythritol / administration & dosage
  • Erythritol / therapeutic use
  • Follow-Up Studies
  • Humans
  • Intellectual Disability*
  • Mastication
  • Saliva / drug effects*
  • Saliva / microbiology
  • Single-Blind Method
  • Sorbitol / administration & dosage
  • Sorbitol / therapeutic use
  • Statistics as Topic
  • Statistics, Nonparametric
  • Stimulation, Chemical
  • Streptococcus mutans / drug effects*
  • Streptococcus mutans / growth & development
  • Streptococcus sobrinus / drug effects
  • Streptococcus sobrinus / growth & development
  • Sugar Alcohols / therapeutic use*
  • Xylitol / administration & dosage
  • Xylitol / therapeutic use

Substances

  • Drug Combinations
  • Sugar Alcohols
  • Sorbitol
  • Erythritol
  • Xylitol