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Link to original content: http://pubmed.ncbi.nlm.nih.gov/35645521/
A Comparative Evaluation of Xylitol Chewing Gum and a Combination of IgY + Xylitol Chewable Tablet on Salivary Streptococcus mutans Count in Children: A Double-blind Randomized Controlled Trial - PubMed Skip to main page content
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. 2022;15(Suppl 2):S212-S220.
doi: 10.5005/jp-journals-10005-2162.

A Comparative Evaluation of Xylitol Chewing Gum and a Combination of IgY + Xylitol Chewable Tablet on Salivary Streptococcus mutans Count in Children: A Double-blind Randomized Controlled Trial

Rashi L Jain  1 , Sandeep Tandon  2 , Tripti S Rai  1 , Rinku Mathur  1 , Kamal K Soni  1 , Manju Rawat  3
Affiliations

A Comparative Evaluation of Xylitol Chewing Gum and a Combination of IgY + Xylitol Chewable Tablet on Salivary Streptococcus mutans Count in Children: A Double-blind Randomized Controlled Trial

Rashi L Jain et al. Int J Clin Pediatr Dent. 2022.

Abstract

Aim: The study was designed for evaluation and comparison of the efficacy of Xylitol chewing gum and a combination of IgY + Xylitol chewable tablet (Nodecay TM) against the "salivary Streptococcus mutans " count in children.

Materials and methods: About 120 children belonging to 6-12 years age-group were enrolled into this "double-blind randomized control clinical trial" according to the selection criteria. They were randomly assigned to three groups of 40 each: Group I-Xylitol chewing gum, Group II-IgY + Xylitol Chewable tablet (Nodecay TM), and Group III-Control. Children in all the groups had to chew the gum/tablet twice daily for 5 minutes during the 15-day period. The salivary samples at baseline, 15 days, 1, 2, and 3 months were inoculated on mitis salivarius bacitracin agar with potassium tellurite medium and the number of colony-forming units (CFUs) of Streptococcus mutans were determined. The data obtained was subjected to statistical analysis.

Result: There was a "significant" difference in the number of "S. mutans CFUs" amongst the three groups at 15 days, 1st month, 2nd month, 3rd month with highest levels of S. mutans CFUs in Group III-Control and least in Group II-IgY + Xylitol (NodecayTM).

Conclusion: The combination of IgY + Xylitol (NodecayTM) when administered for 15 days had significant efficacy against "S. mutans" when compared to Xylitol and control group.

Clinical significance: Passive immunization with immunoglobulin Y is known not only to decrease the S. mutans count but also confers extended immunity by preventing recolonization of the tooth surface by persistence of the antibodies in saliva.

How to cite this article: Jain RL, Tandon S, Rai TS, et al. A Comparative Evaluation of Xylitol Chewing Gum and a Combination of IgY + Xylitol Chewable Tablet on Salivary Streptococcus mutans Count in Children: A Double-blind Randomized Controlled Trial. Int J Clin Pediatr Dent 2022;15(S-2):S212-S220.

Keywords: Dental caries; Double-blind; IgY; Immunoglobulin Y; Randomized clinical trial; Streptococcus mutans; Xylitol.

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Figs 1A to D
Figs 1A to D
Streptococcus mutans culture of Group I-Xylitol chewing gum
Figs 2A to D
Figs 2A to D
Streptococcus mutans culture of Group II-IgY + Xylitol chewable tablet
Fig. 3
Fig. 3
Streptococcus mutans culture of Group III-Control (no intervention)
Fig. 4
Fig. 4
Mean Streptococcus mutans counts of the three study groups at various time intervals
Flowchart 1
Flowchart 1
CONSORT flow diagram presenting the stream of patients through the study
See this image and copyright information in PMC

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