Abstract
The aim of our study was to evaluate and compare the clinical and microbiological efficiency of Fluoride, Xylitol and combined Fluoride - Xylitol toothpastes on some salivary parameters in children by measuring salivary pH, salivary flow rate, salivary Streptococcus mutans (S. mutans) and Lactobacillus counts. Toothpastes were prepared by mortar and pestle technique. They were then evaluated for physicochemical properties like pH, cleanability, physical appearance, spreadability, abrasiveness, foaming power, homogeneity, content of moisture and volatile substances, and drug content. Twenty one normal apparently healthy children were selected from the Outpatient Dental Clinic of Pedodontic Department, Faculty of Dentistry, Suez Canal University. Children were randomly divided into three groups: children who brushed their teeth with fluoride toothpaste, children who brushed their teeth with xylitol toothpaste and children who brushed their teeth with combined fluoride xylitol toothpaste. Salivary samples were obtained from all groups and examined for salivary parameter changes (flow rate, pH) and microbiological assessment for (S. mutans and Lactobacilli) was done. All data were collected, tabled and statistically analyzed. Statistical significance was measured using p value. Xylitol was superior in increasing salivary flow rate and decreasing mean of S. mutans when compared to fluoride while Fluoride was superior in decreasing mean of Lactobacilli when compared to xylitol. Both had the same effect on increasing salivary pH.
Highlights
The aim of our study was to evaluate and compare the clinical and microbiological efficiency of Fluoride, Xylitol and combined Fluoride Xylitol toothpastes on some salivary parameters in children by measuring salivary pH, salivary flow rate, salivary Streptococcus mutans (S. mutans) and Lactobacillus counts
It has been reported in many studies that fluoride alone may not be sufficient in preventing dental caries and it may not offer a complete protection against the disease and the effectiveness of fluoride could be enhanced when combined with additional cariostatic agents such as xylitol
This was in agreement with Pancu and co-workers (Pancu et al 2017) who conducted a study on xylitol-based oral hygiene products to evaluate their effect on salivary parameters and there was a significant increase in salivary flow rate after three weeks of xylitol-based products consuming
Summary
The aim of our study was to evaluate and compare the clinical and microbiological efficiency of Fluoride, Xylitol and combined Fluoride Xylitol toothpastes on some salivary parameters in children by measuring salivary pH, salivary flow rate, salivary Streptococcus mutans (S. mutans) and Lactobacillus counts. Fluoride has a dose-response relationship, and improper delivery of fluoride agents may lead to fluorosis (Lagerweij and ten Cate 2002) It has been reported in many studies that fluoride alone may not be sufficient in preventing dental caries and it may not offer a complete protection against the disease and the effectiveness of fluoride could be enhanced when combined with additional cariostatic agents such as xylitol. The anticariogenic effect of xylitol can be attributed to its mode of action as it cannot be fermented by oral bacteria It reduces the acidogenic potential, increases salivary flow and inhibits cariogenic S. mutans (Janket et al 2019). This study was conducted to evaluate and compare the efficiency of Fluoride, Xylitol, and Combined Fluoride - Xylitol toothpastes on some salivary parameters, S.mutans and Lactobacillus sp. counts in children
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
