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                                                        DR. DAN PETERSON

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Decay Preventing Gum

Xylitol causes bacteria to lose the ability to adhere to the tooth,
 stunting the cavity causing process!

Breath Rx Gum Cavity Killer


Mother chew gum affects 
children dental health


Trident White Chewing Gum 


Xylitol Updates Products with Xylitol

Breath Rx Gum contains Xylitol


  BreathRx Halispheres Clean Mint chewing gum provides a burst of mint flavor that continues to work throughout the day to keep your mouth feeling fresh and clean. Halispheres increase saliva flow to combat dry mouth, and clean the mouth with ZYTEX, a powerful odor neutralizer, attacking bad breath where it starts. Halispheres are sugar-free, and are sweetened with Xylitol which is proven to inhibit the growth of s.mutans, the primary organism found in tooth decay.

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How does it work?

bulletBlocks bacteria from producing the acids that cause tooth decay
bulletDecreases the level of cavity-causing bacteria
bulletDecreases plaque formation
bulletEnhances remineralization (hardening) of weakened teeth

Because it fights bacteria so well, people who chew xylitol gum can reduce their risk of cavities.

Other reasons to chew xylitol gum

bulletIt is safe for the whole family
bulletHas 40% less calories than sugar
bulletMakes you mouth feel fresh and cool
bulletTastes as sweet as sugar with no aftertaste
bulletYou can buy it at the candy counter
bulletIt is a natural sweetener
bulletIt relieves "dry mouth" by increasing saliva
bulletIt can reduce ear infections

How Should I use it?

bulletChew 1.5-2 grams of xylitol gum for 5 minutes, 3-5 times a day
bulletChew xylitol gum after meals or snacks
bulletXylitol sweetened mints can be used by people who can't or prefer not to chew gum


Naturally occurring Xylitol fights bacteria!

It is reported you need 5 gms of Xylitol per day to be effective..  Carefree Koolerz is about 1.8 gms.

Xylitol is a naturally occurring form of the five carbon sugar xylose.   It is found in many fruits and vegetables such as plums, corn and strawberries.  Xylitol is even produced in small amounts in the human body.  The main source of commercially produced xylitol are corn cobs and birch bark.  In the presence of xylitol, some infection causing bacteria lose the ability to adhere to cells.  Without this adhesion, inflection is very limited if not impossible due to inhibited bacterial growth.    Scientist at Turku University in Finland first discovered xylitol effect on dental health in the early 1970's.  It fights cavities, plaque, dry mouth and bad breath, neutralized plaque acids and even remineralized tooth enamel.    Finland researches also find that eight grams of xylitol taken orally every day will prevent about 40% ear infections in children.

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Koolerz by Carefree makes a gum with xylitol.


Be certain to check the ingredients of your gum and make sure it
contains xylitol, an incredible cavity buster!

If Mom Chews Gum, Children Have Healthier Mouths

Researchers in Finland reported six-year results of a study that tested whether mothers who chew gum sweetened with xylitol are less likely to transmit cavity-causing bacteria to their children.

Xylitol is a natural sweetener found in plants, trees, fruits and vegetables. Some sugar free gums use xylitol as a sweetener, it's these gums that will help keep your kids cavity-free.

The study originally enrolled 195 pregnant women whose mouths had high levels of Streptococcus , known to be a major cause of tooth decay. The women were divided into three groups:

bulletThe xylitol group began chewing xylitol-sweetened gum three months after giving birth and continued for 21 months, until their children were 2 years old. Xylitol is a natural sweetener.
bulletThe fluoride group received fluoride varnish treatments at 6, 12 and 18 months after giving birth.
bulletThe chlorhexidine group received a chlorhexidine varnish (an antiseptic) at 6, 12 and 18 months after giving birth.

Six years after the women gave birth -- several years after the treatments stopped -- their children were tested for the presence of the cavity-causing bacteria. Children whose mothers chewed xylitol gum had significantly lower levels of these bacteria in their mouths than did children in the other two groups. S. mutans generally is passed from mothers to children when they are between 6 and 31 months old. Higher levels of bacteria in a child's mouth increase the risk of tooth decay.

Research published last year from the same study found that at 5 years of age, the children whose mothers had chewed xylitol gum had 70 percent less dental decay, compared with children whose mothers received the varnish treatments.

Xylitol has received a lot of attention in recent years as studies have shown that chewing xylitol-sweetened gum can slow the buildup of plaque on the teeth and inhibit the formation of cavities. Other sweeteners don't have the same effect.

 May-June issue of Caries Research. By Nancy Volkers InteliHealth News Service

Xylitol and Dental Caries: An Overview for Clinicians Lynch H, Milgrom P March 2003 Journal of the California Dental Association. 

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Xylitol News Updates

US Army Fact Sheet on Xylitol: Xylitol the Army Facts

Ice Breakers gum has xylitol 7/06

The use of sorbitol- and xylitol-sweetened chewing gum in caries control -  J Am Dent Assoc, Vol 137, No 2, 190-196.
The author compared the caries-inhibitory action of sorbitol- and xylitol-sweetened chewing gum and assessed the role of these products in caries prevention. The author reviewed studies includingrandomized field trials with substantial numbers of participants and observational studies. He found studies through a MEDLINE search and by hand searching. When compared with sugar-sweetened gum, sorbitol-sweetened gum had low carcinogenicity when it was chewed no more than three times per day. Xylitol-sweetened gum was noncariogenic in all of the
protocols tested. Some studies claimed that xylitol-sweetened gum had an anticariogenic effect, though these claims need further study. There also is good evidence that when mothers of infants and young
children chew xylitol-sweetened gum, it will block transmission of mutans streptococci from mother to child.
The evidence is strong enough to support the regular use of xylitol-sweetened gum as a way to prevent caries, andit can be promoted as a public-health preventive measure. Chewing xylitol-sweetened gum, especially for patients who like chewing gum, can be fitted readily into a regimen that includes frequent fluoride
exposure, good oral hygiene and regular dental appointments. 4/06

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Xylitol is promoted in caries-preventive strategies, yet its effective dose range is unclear. This study determined the dose- response of mutans streptococci in plaque and unstimulated saliva to xylitol gum. Participants (n = 132) were randomized: controls  (sorbitol/maltitol), or combinations giving xylitol 3.44 g/day  6.88 g/day , or 10.32 g/day . Groups chewed 3 pellets/4 times/d. Samples were taken at baseline, 5 wks, and 6 mos, and were cultured on modified Mitis Salivarius agar for mutans streptococci and on blood agar for total culturable flora.

At 5 wks, mutans streptococci levels in plaque were 10x lower than baseline in G3 and G4 (P = 0.007/0.003). There were no differences in saliva. At 6 mos, mutans streptococci in plaque for G3 and G4 remained 10x lower than baseline (P = 0.007/0.04). Saliva for G3 and G4 was lower than baseline by 8 to 9x (P = 0.011/0.038). Xylitol at 6.44 g/day and 10.32 g/day reduces mutans streptococci in plaque at 5 wks, and in plaque and unstimulated saliva at 6 mos. A plateau effect
is suggested between 6.44 g and 10.32 g xylitol/day.

Mutans Streptococci Dose Response to Xylitol Chewing Gum P. Milgrom, K.A. Ly, M.C. Roberts, M. Rothen, G. Mueller, and D.K.
Yamaguchi, J Dent Res 85(2):177-181, 2006

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Recent studies report that subjects who chewed gum had fewer cavities than non gum chewers.  Xylitol in chewing gum caused the GREATEST REDUCTION in cavities.  The greatest reduction in cavities occurs when gum chewing is begun at least 1 year prior to the eruption of permanent teeth.  The antimicrobial effect of xylitol on strep mutans. Children chewing xylitol gum had a greater reduction in the number of strep mutans than those children who were not gum chewers. Maximum effect of sugarless gum chewing occurs when it is chewed 3 time a day directly after meals.

Oral Care Report Vol. 13 No. 2,2003

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Use of xylitol chewing gum in daycare centers: a follow-up study in Savonlinna, Finland.

The use of toothbrushes in daycare centers has been questioned because of the possibility of infections spreading through unsupervised brushing. Several field studies have demonstrated a caries-preventive effect of xylitol chewing gum--a measure that could be a practical way of taking care of oral hygiene during daycare hours without brushing. A community trial was conducted in total of 921 children. Oral health status in the xylitol group was a little bit better than in the control group. The use of xylitol can therefore be recommended, especially if the personnel do not have the possibility to supervise the brushing.Acta Odontol Scand. 2003 Dec;61(6):367-70.  Kovari H, Pienihakkinen K, Alanen 

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 Remineralization effects of xylitol on demineralized enamel. We morphologically determined the effects of xylitol on the remineralization of artificially demineralized enamel. The samples were demineralized and then immersed in a remineralizing solution with or without 20% xylitol at 37 degrees C for 2 weeks.  Samples immersed in a xylitol solution demonstrated less mineralization in the outer 10 microm of the outermost surface layers, but more mineralization in the middle and deep layerss. The MIP evaluation indicated that remineralization was more prominent in layers at depths of 50-60 microm in the xylitol samples than in the non-xylitol samples.  These results indicate that xylitol can induce remineralization of deeper layers of demineralized enamel by facilitating Ca2+ movement and accessibility. Clinical Trial Randomized Controlled Trial PMID: 14960009 [PubMed - indexed for MEDLINE] J Electron Microsc (Tokyo). 2003;52(5):471-6.Miake Y, Saeki Y, Takahashi M, Yanagisawa T. 

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 Xylitol and dental caries: an overview 

  Xylitol is a naturally occurring, low-calorie sugar substitute with anticariogenic properties. Data from recent studies indicate that xylitol can reduce the occurrence of dental caries in young children, schoolchildren, and mothers, and in children via their mothers. Xylitol, a sugar alcohol, is derived mainly from birch and other hardwood trees. Short-term consumption of xylitol is associated with decreased Streptococcus mutans levels in saliva and plaque. Aside from decreasing dental caries, xylitol may also decrease the transmission of S. mutans from mothers to children. Commercial xylitol-containing products may be used to help control rampant decay in primary dentition. Studies of schoolchildren in Belize and Estonia, along with data from the University of Washington, indicate that xylitol gum, candy, ice pops, cookies, puddings, etc., in combination with other dental therapies, are associated with the arrest of carious lesions.  PMID: 14700079  J Calif Dent Assoc. 2003 Mar;31(3):205-9.Lynch H, Milgrom P.

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 In vitro testing of xylitol as an anticariogenic agent.  

A number of studies involving xylitol chewing gum have demonstrated that xylitol is both noncariogenic and anticariogenic. The ability of xylitol to act as an anticariogenic agent most likely is due to its ability to be transported into caries-causing oral bacteria and inhibiting fermentation either by depleting the cell of high-energy phosphate or by poisoning the glycolytic system. In vitro tests were conducted to determine the concentration of xylitol required to inhibit the growth of three strains of oral streptococcus (S. mutans, S. salivarius, and S. sanguis). All three strains were inhibited significantly at xylitol concentrations of 12.5% and higher; however, only S. mutans was inhibited significantly at a xylitol concentration of 1.56%. Gen Dent. 2002 Jul-Aug;50(4):340-3. _Sahni PS, Gillespie MJ, Botto RW, Otsuka 

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 Maintaining Mutans Streptococci Suppression: With Xylitol Chewing Gum  One strategy for treating dental caries is to suppress oral mutans streptococci, or MS, with chlorhexidine, or CHX, mouthrinse. Oral MS levels, however, tend to quickly return to baseline values without further intervention. In this clinical study, the authors evaluated the effect of xylitol chewing gum on MS regrowth.  Subjects rinsed with 0.12 percent CHX gluconate mouthrinse twice daily for 14 days.Those in the test  group  chewed a commercial xylitol gum three times daily for a minimum of five minutes each time for three months. The placebo group subjects used a commercial sorbitol gum, and the control group subjects did not chew gum. After three months of gum chewing, the test group subjects had significantly lower salivary than did the placebo or control  group subjects. Conclusions. Xylitol chewing gum appears to have the ability to prolong the effect of CHX therapy on oral MS. . [Maintaining Mutans Streptococci Suppression: With Xylitol Chewing Gum Hi= ldebrandt G.H., Sparks B.S. JADA The Journal of the American Dental Association, July 2000, vol. 131, no. 7,pp. 909-916] 

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How Xylitol–Containing Products Affect Cariogenic Bacteria 

The authors examined the effect of xylitol on levels of Streptococcus mutans and S. sobrinus.  In the first study, 187 children received xylitol containing snacks in school for four weeks. The children's salivary S. mutans levels remained stable before and after xylitol exposure. Bacteria from five of these children grew with 10 percent or less xylitol at baseline, while the bacteria from all seven children grew with 15 percent xylitol after exposure to the xylitol containing snacks, suggesting that the S. mutans increased in tolerance to xylitol during exposure.  Overall, consumption of xylitol-containing snacks and candy did not reduce S. mutans levels. However, bacteria from five children and one adult became more xylitol tolerant.  [How Xylitol–Containing Products Affect Cariogenic Bacteria Roberts M.C., Riedy C.A., Coldwell S.E., Nagahama S., Judge K., Lam M., Kaakko T., Castillo J.L., Milgrom P. JADA The Journal of the American Dental Association, April 2002, vol. 133, no. 4,pp. 435-441.] 

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Cavity Killer

If you tend to get cavities, chew on this: Gum that is sweetened with xylitol can help prevent tooth decay.

Study participants who chewed on gum with xylitol after meals had far fewer cavity-causing bacteria in their mouths five minutes afterward than people who chewed gum sweetened with sorbitol or people who didn't chew gum at all. Check the label on your favorite gum to see if it contains the cavity-fighting ingredient.

RealAge Benefit: Flossing and brushing your teeth daily can make your RealAge as much as 6.4 years younger

Chewing gum can improve your memory! Read more about it.

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Trident White Gum with Recalent

Trident WHITE has been made with Recaldent, ACC-CPP, a good remineralizer

      This is a sugarless chewing gum with Recalent™ that is a MILK DERIVED product ****

      The advantages to chewing Trident White~ are:


Reduces Plaque through mechanical action of chewing


Helps prevent dry mouth by promoting salivary flow to help remove plaque


Recaldent remineralizes and strengthens teeth


It is a soft gum which allows you to chew it with braces


Freshens breath


25% fewer calories than sugared gum


Total carbohydrates is 2g per 2 pieces


Total calories for 2 pieces is 6 calories


It comes 12 pieces to a pack


Comes in two flavors-Peppermint or Coolmint®



**Trident For Kids* and Trident White* chewing gum products  contain Recaldent*: any children, especially two and under, that are allergic to milk protein, should AVOID these products. Recaldent is a milk-casein derivative found in milk. Recaldent does not contain lactose and will not affect people who are lactose intolerant.  Other Trident* chewing gums do not contain Recaldent. Trident White  has *no* xylitol at all, while other flavours do have some.

Visit Trident website or call 1-800-TRI-0013.

Xylitol Information site.

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Products with Xylitol

Xylitol products


Spry (


Spry (




            Spry (

            Squigle (


            Spry (

Sprinkling sugar:

            Spry (

Mouth spray:

            Breathtech (

Much more information:


Provided by:


~We have NO financial interest in this company.
Dentalnotes Fall 2002 pg 1

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Chewing Gum affects Memory

Trident Gum Research

February 06, 2008

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PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
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