International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 3 ( May-June, 2021 ) > List of Articles

RESEARCH ARTICLE

Effects of Xylitol and CPP-ACP Chewing Gum on Salivary Properties of Children with Molar Incisor Hypomineralization

Gajula Shivashankarappa Prathima, Mudiarasu Narmatha, Arumugam Selvabalaji, Govindasamy Ezhumalai

Keywords : Casein phosphopeptide-amorphous calcium phosphate, Chewing gum, Molar-incisor hypomineralization, Remineralization, Saliva, Xylitol

Citation Information : Prathima GS, Narmatha M, Selvabalaji A, Ezhumalai G. Effects of Xylitol and CPP-ACP Chewing Gum on Salivary Properties of Children with Molar Incisor Hypomineralization. Int J Clin Pediatr Dent 2021; 14 (3):412-415.

DOI: 10.5005/jp-journals-10005-1779

License: CC BY-NC 4.0

Published Online: 29-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim: To compare the efficacy of chewing gum containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and xylitol on salivary characteristics in 8–10 years old children with molar incisor hypomineralization. Materials and methods: A randomized controlled trial using CPP-ACP chewing gums (group I) and xylitol chewing gums (group II) was conducted among 32 children affected with mild molarincisor hypomineralization (MIH). Salivary flow rate, pH and buffering capacity were measured using saliva check kit (GC America). Data obtained were tabulated and subjected to statistical analysis using SPSS software version 20. Descriptive statistics–mean, standard deviation, 95% confidence interval. Inferential statistics–independent t tests were used. Results: A significant increase in mean salivary pH, flow rate and buffering action was observed from baseline to immediately after spitting the chewing gum in both the study groups (p 0.05). Conclusion: Casein phosphopeptide-amorphous calcium phosphate containing chewing gums improve salivary characteristics in MIH-affected children. Clinical significance: Xylitol and CPP-ACP chewing gums are recommended in MIH children with early demarcated opacities as it improves the salivary properties in those children and prevents further complications.


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  1. Jälevik B, Odelius H, Dietz W, et al. Secondary ion mass spectrometry and X-ray microanalysis of hypomineralized enamel in human permanent first molars. Arch Oral Biol 2001;46(3):239–247. DOI: 10.1016/s0003-9969(00)00113-8.
  2. Ghanim A, MariÑo R, Morgan M, et al. An in vivo investigation of salivary properties, enamel hypomineralisation, and carious lesion severity in a group of Iraqi schoolchildren. Int J Paediatr Dent 2013;23(1):2–12. DOI: 10.1111/j.1365-263X.2011.01215.x.
  3. Samuel A, Asokan S, Geethapriya PR. Caries status and salivary characteristics of South Indian school children with molar incisor hypomineralization: a cross-sectional study. J Indian Assoc PubHealth Dentis 2017;15(2):135. DOI: 10.4103/jiaphd.jiaphd_39_17.
  4. William V, Messer DLB, Burrow MF. Molar incisor hypomineralization: review and recommendations for clinical management. Pediatr Dent 2006;28(3):224–232.
  5. Hegde RJ, Thakkar JB. Comparative evaluation of the effects of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and Xylitol - containing chewing gum on salivary flow rate, pH and buffering capacity in children: an in vivo study. J Indian Soc Paedodontics Prev Dent 2017;35(4):332–337. DOI: 10.4103/JISPPD.JISPPD_147_17.
  6. American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on the use of xylitol in caries prevention. Pediatr Dent 2008;30(7l):36.
  7. Bakkal M, Abbasoglu Z, Betul K. The effect of casein phosphopeptide-amorphous calcium phosphate on molar-incisor hypomineralisation. Oral Heal Prev Dent 2017;15(2):163–168.
  8. Pasini M, Giuca MR, Scatena M, et al. Molar incisor hypomineralization treatment with casein phosphopeptide and amorphous calcium phosphate in children. Minerva Stomatol 2018;67(1):20–25. DOI: 10.23736/S0026-4970.17.04086-9.
  9. Guideline on xylitol use in caries prevention. Am Acad Pediatr Dent 2011;36:175–178.
  10. Karami-Nogourani M, Kowsari-Isfahan R, Hosseini-Beheshti M. The effect of chewing gum's flavor on salivary flow rate and pH. Dent Res J 2011;8(1):71–75.
  11. Maldupa I, Brinkmane A, Mihailova A. Comparative analysis of CRT buffer, GC saliva check buffer tests and laboratory titration to evaluate saliva buffering capacity. Stomatologija 2011;13(2):55–61.
  12. Vantipalli UK, Avula SS, Enuganti S, et al. Effect of three commercially available chewing gums on salivary flow rate and pH in caries-active and caries-free children: an in vivo study. J Indian Soc Paedodontics Prev Dent 2017;35(3):254. DOI: 10.4103/JISPPD.JISPPD_256_16.
  13. Dawes C, Kubieniec K. The effects of prolonged gum chewing on salivary flow rate and composition. Archs Oral Biol 2004;49(8): 665–669. DOI: 10.1016/j.archoralbio.2004.02.007.
  14. Ribelles Llop M, Guinot Jimeno F, Mayné Acién R, et al. Effects of xylitol chewing gum on salivary flow rate, pH, buffering capacity and presence of Streptococcus mutans in saliva. Eur J Paediatr Dent 2010;11(1):9–14.
  15. Padminee K, Poorni S, Diana D, et al. Effectiveness of casein phosphopeptide-amorphous calcium phosphate and xylitol chewing gums on salivary pH, buffer capacity, and Streptococcus mutans levels: an interventional study. IJDR 2018;29(5):616–621. DOI: 10.4103/ijdr.IJDR_166_17.
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