Effect of sugar-free chewing gum on plaque and gingivitis among 14-15-year-old school children: A randomized controlled trial

Indian J Dent Res. 2019 Jan-Feb;30(1):61-66. doi: 10.4103/ijdr.IJDR_247_17.

Abstract

Aim: The aim of the study was to find out the effect of sugar-free chewing gums (xylitol and sorbitol) on plaque and gingivitis among 14-15-year-old school children.

Materials and methods: A single center, double-blind, randomized controlled trial was conducted on 14-15-year-old children. Sample size was determined to be 48. Participants were randomly allocated to test group (xylitol [n = 12], sorbitol [n = 12]) and control group (no gum, n = 24). Duration of the study was 14 days. Baseline assessment of plaque, gingival, and bleeding score, followed by oral prophylaxis. Selected children received daily two chewing gum (1.1 g each) to chew for 20 min postbreakfast and postlunch. Follow-up was done on 15th day. Analysis was done using independent t-test, ANOVA, and post hoc test. Significance level was kept at P < 0.05.

Results: There was a significant reduction in plaque, gingival, and bleeding score in test group (P < 0.05) compared to control group.

Conclusion: Sugar-free gum (xylitol and sorbitol) significantly reduced the plaque, gingival, and bleeding score.

Keywords: Chewing gum; children; dental plaque; gingivitis; sorbitol; xylitol.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Chewing Gum*
  • Dental Plaque / prevention & control*
  • Double-Blind Method
  • Female
  • Gingivitis / prevention & control*
  • Humans
  • Male
  • Schools
  • Sorbitol / administration & dosage*
  • Time Factors
  • Xylitol / administration & dosage*

Substances

  • Chewing Gum
  • Sorbitol
  • Xylitol