Collaborative WHO xylitol field study in French Polynesia. I. Baseline prevalence and 32-month caries increment.

doi:10.1159/000261084

Paper

Collaborative WHO xylitol field study in French Polynesia. I. Baseline prevalence and 32-month caries increment.

Published 1988 · D. Kandelman, A. Bär, A. Hefti

Caries research

Q1 SJR score

66

Citations

2

Influential Citations

Full textSemantic Scholar

Abstract

The value for caries prevention of partial sugar substitution by xylitol was tested in a 32-month nonrandomized comparative field study. A total of 746 6- to 12-year-old children living on three islands of the Polynesian archipelago were enrolled in the study. The children of one island representing the control group were supplied with toothbrushes and fluoridated dentifrice, and received regular instruction on oral hygiene. Otherwise, they maintained their customary dietary habits. The children of the other two islands were assigned to the xylitol group. They were enrolled in an identical oral health programme but, in addition, were regularly provided with xylitol-based sweets, i.e. chewing gums, candies, chocolate, ice lollies and gumdrops, at school on a daily basis in amounts corresponding to not more than 20 g xylitol/day. 468 children completed the study. The 195 participants of the control group showed an overall mean caries increment of 7.1 DMFS. In the xylitol group with 273 children a mean caries increment of 4.5 DMFS was measured. It is concluded that partial sugar substitution by xylitol is a useful tool in preventing caries and should be considered in addition to fluoridation and oral hygiene measures in public oral health programmes.

RCT

Large Human Trial

Study Snapshot

Partial sugar substitution by xylitol effectively prevents caries in children, and should be considered alongside fluoridation and oral hygiene measures in public oral health programs.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Sign up to use Study Snapshot

Consensus is limited without an account. Create an account or sign in to get more searches and use the Study Snapshot.

Create an account

Paper

Collaborative WHO xylitol field study in French Polynesia. I. Baseline prevalence and 32-month caries increment.

Sign up to use Study Snapshot

References

Citations

Screening, Referral, Behavioral Counseling, and Preventive Interventions for Oral Health in Children and Adolescents Aged 5 to 17 Years: A Systematic Review for the US Preventive Services Task Force.

Fluoride supplements, gels, varnishes, and sealants can effectively prevent dental caries in children and adolescents aged 5-17 years.

Meta-analysis on the Effectiveness of Xylitol in Caries Prevention

Xylitol-containing products effectively prevent dental caries, with 100% xylitol chewed or consumed three to five times per day, after meals, providing the most effective protection.

Antimicrobial properties of mucin-based saliva substitute containing xylitol

A mucin-based saliva substitute containing xylitol effectively inhibits microbial growth and biofilm formation, potentially reducing infections in cancer patients.

Evaluation of xylitol use and bitewing radiographs among school-aged children in a low-caries level population

In a low-caries level population, xylitol and erythritol lozenges did not significantly reduce caries compared to comprehensive routine prevention, but radiographic examinations showed potential benefits.

The Effectiveness of Xylitol in a School-Based Cluster-Randomized Clinical Trial

Xylitol gummy bear snacks did not provide additional benefits in preventing dental caries progression in primary and permanent teeth of inner-city school children compared to other preventive measures.

The effect of xylitol on dental caries and oral flora

Xylitol shows promise in reducing dental caries and improving oral hygiene, with various forms showing promising effects on dental caries and oral hygiene.

Anticariogenic effect of xylitol versus fluoride - a quantitative systematic review of clinical trials.

Adding xylitol to existing fluoride regimes may be beneficial in caries prevention, but future high-quality randomized controlled trials are needed to confirm this.

Compliance in a school-based caries clinical trial of a sugar-free chewing gum.

This study highlights the importance of dedicated compliance trial personnel, direct methods of measuring compliance, prompt analysis of compliance data, and piloting of compliance data collection tools.

Sugar Alcohol Sweeteners as Alternatives to Sugar with Special Consideration of Xylitol

Partial sugar substitution with polyols, particularly xylitol, can help prevent dental caries and enhance existing fluoride-based prevention programs.