What is Xylitol: It is a natural sugar derived most commonly from corn cobs, corn stalks and birch trees. It is also found in fruits, vegetables, and even in our own bodies.

How does it work: Xylitol works on the bacteria that cause dental decay, mainly Mutans Streptococci (MS). Unlike most sugars which have 6 carbon atoms, this naturally sweet substance has only 5 carbon atoms---and that is the MAGIC. That is the secret that makes xylitol non-and anticariogenic. Since Xylitol is not fermented, it will not result in the acid production in plaque and the pH levels in the mouth remains neutral.

Partial, alphabetical list of products containing clinically proven levels of xylitol
· Carefree Koolerz gum
· Laclede products (Biotene)
· Rembrandt products
· Smint mints
· Spry Products
· Squigle toothpaste (Contains the most xylitol of any toothpaste)
· Starbucks mints
· TheraGum (office distribution only-Omnii Pharmaceuticals)

The time to start ingesting xylitol for maximum benefit is during the year directly before eruption of the tooth, for instance age five. The principal beneficiaries of xylitol are children whose parents or caregivers have a decay problem. Since the bacteria most associated with early stages of decay are transmitted from caregiver to child (most often from the mother), decreasing the bacterial count from the caregiver can be advantageous for the child. For children to benefit substantially from xylitol, the primary caregiver should chew xylitol, before the baby’s teeth erupt for approximately 18 months.

The most fundamental difference between Xylitol and other sweeteners is that Xylitol reduces the amount of plaque and the virulence of mutans streptococci in plaque. Xylitol can even help to repair teeth by stimulating the remineralization of teeth already affected by cavities. And, no matter how long xylitol is consumed (even during long term habitual use), oral bacteria will not adapt to metabolize xylitol so its benefits continue after xylitol is no longer a part of daily use.

When combined with proper oral hygiene and regular dental care, the use of xylitol products can significantly reduce the risk of cavities and gum infections.

Recommended dosage: Research shows that a mere 5-10g/day is enough. This means 3-8 pieces of chewing gum a day. The pieces should be chewed immediately after a meal or a snack. If you eat more snacks, you of course need more frequent help from xylitol. And another plus, it is safe for diabetics!! Get Healthy--Choose XYLITOL!

By: Jane A. Balavage, RDH, BS
Sources: Honkala, E. Rimpela, A. Karvonen, S. and Rimpela M. 1996. “Chewing of Xylitol Gum--A Well Adapted Practice Among Adolescents.” Caries research 30: 34-39.

Isokangas, P., Soderling, E., Pienihakkinen, K., Tenovuo, J. “Influence of Maternal Xylitol Consumption on Acquisition of Mutans Streptococci by Infants” Journal of Dental Research, 2000,
March, 79:3.

RDH Magazine, March 2004, p. 74
www xylipro.com.
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