Same question across reviews · CL0298

intervention :: Xylitol/polyols -> Microbiological/plaque

ProposalThis cluster groups questions by review type, intervention category and outcome domain. It is a proposal pending human validation, so questions in it may differ in population, comparator or timing.
Reviews
5
Questions
14
current versions
GRADE rated
0
Review overlap (CCA)
0.014
over all included studies of these reviews, not this question only
QuestionEffectEvidenceStatus / GRADE
Xylitol chewing gum vs No treatment (no gum / no intervention)
Change in Mutans streptococci (MS) count in saliva · Generally healthy individuals across all age groups (infants to elderly) · Post-consumption endpoint (varied durations across trials), Xylitol chewing gum vs no intervention/no gum (3 studies)
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
SMD -1.47 [-1.94, -0.99]3 studies · 136 participantsUngraded
Consumption of xylitol chewing gum by women (mothers) vs Consumption of CHX/xylitol gum by women, or CHX varnish applied to women's dentition
Child microbiological presence (any mutans streptococci colonisation) · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
RR 0.60 [0.45, 0.81]2 studiesUngraded
Xylitol (low-intensity sweetener/sugar alcohol) in food products (chewing gum, milk, candy, or tablets) vs Sorbitol (low-intensity sweetener)
Change in Mutans streptococci (MS) count in saliva · Generally healthy individuals across all age groups (infants to elderly) · Post-consumption endpoint (varied durations across trials), Xylitol gum vs sorbitol gum (2 studies)
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
SMD -0.16 [-0.44, 0.12]2 studies · 201 participantsUngraded
Consumption of xylitol chewing gum by women (mothers) vs Consumption of CHX/xylitol gum by women, or CHX varnish applied to women's dentition
Mother microbiological presence (mutans streptococci colonisation level, CFU/mL) · For interventions, pregnant women and mothers of infants in the first year of life; for outcomes, children up to 6…
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood… (2024) · Cochrane
MD 0.50 [0.15, 0.85]1 study · 126 participantsUngraded
Xylitol (low-intensity sweetener/sugar alcohol) in food products (chewing gum, milk, candy, or tablets) vs No treatment (no gum / no intervention)
Change in Mutans streptococci (MS) count in dental plaque · Generally healthy individuals across all age groups (infants to elderly) · Post-consumption endpoint (trial durations 2 wk to 6 mo), Xylitol gum vs no treatment (5 studies, mixed ages)
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
SMD -0.73 [-1.09, -0.37]5 studies · 308 participantsUngraded
Xylitol (low-intensity sweetener/sugar alcohol) in food products (chewing gum, milk, candy, or tablets) vs Sorbitol (low-intensity sweetener)
Change in Mutans streptococci (MS) count in dental plaque · Generally healthy individuals across all age groups (infants to elderly) · Post-consumption endpoint (varied durations across trials), Xylitol vs sorbitol (4 studies)
Clinical Effects of Sugar Substitutes on Cariogenic Bacteria: A Systematic Review and Meta-Analysis. (2024)
SMD -0.45 [-0.69, -0.21]4 studies · 323 participantsUngraded
Xylitol sugar-free chewing gum vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -0.743 [-1.148, -0.338]7 studiesUngraded
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -0.778 [-1.167, -0.390]7 studiesUngraded
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years), Sensitivity analysis (pre-post correlation set to 0.95 for the SFG group)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -1.098 [-1.539, -0.656]7 studiesUngraded
Sugar-free chewing gum (any polyol-based SFG; predominantly xylitol) vs Pooled controls: no gum, placebo/control gum, probiotic, or fluoride varnish
Streptococcus mutans load in the oral cavity (saliva and/or dental plaque) · Adults and children (general population) · Final/end-of-study time point (follow-up 2 weeks to 18 months), Sensitivity analysis: baseline-to-endpoint correlation 0.95 for SFG arm
A systematic review and meta-analysis of the role of sugar-free chewing gum on Streptococcus mutans. (2021)
SMD -0.55 [-0.80, -0.30]13 studies · 1335 participantsUngraded
Sugar-free chewing gum (any polyol-based SFG; predominantly xylitol) vs Pooled controls: no gum, placebo/control gum, probiotic, or fluoride varnish
Streptococcus mutans load in the oral cavity (saliva and/or dental plaque) · Adults and children (general population) · Final/end-of-study time point (follow-up 2 weeks to 18 months), Overall (vs all controls)
A systematic review and meta-analysis of the role of sugar-free chewing gum on Streptococcus mutans. (2021)
SMD -0.42 [-0.60, -0.25]13 studies · 1335 participantsUngraded
Xylitol-only sugar-free chewing gum vs Pooled controls: no gum, placebo/control gum, probiotic, or fluoride varnish
Streptococcus mutans load in the oral cavity (saliva and/or dental plaque) · Adults and children (general population) · Final/end-of-study time point (follow-up 2 weeks to 18 months), Overall (vs all controls)
A systematic review and meta-analysis of the role of sugar-free chewing gum on Streptococcus mutans. (2021)
SMD -0.46 [-0.64, -0.28]12 studies · 1295 participantsUngraded
Dentirol chewing gum (xylitol) vs Profylin lozenge (xylitol/sorbitol + CMC)
Salivary flow (stimulated whole saliva) · Adults seeking treatment for the symptom of dry mouth (xerostomia) due to any cause (e.g. medication, Sjogren's…
Interventions for the management of dry mouth: topical therapies (2011) · Cochrane
No change in stimulated whole saliva.1 study · 18 participantsUngraded
Saliva stimulant lozenge (sorbitol, Sorbee) vs Saliva substitute spray (MouthKote)
Salivary flow (unstimulated whole saliva) · Adults seeking treatment for the symptom of dry mouth (xerostomia) due to any cause (e.g. medication, Sjogren's…
Interventions for the management of dry mouth: topical therapies (2011) · Cochrane
MD -0.01 [-0.03, 0.02]1 study · 80 participantsUngraded

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