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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

14 questions in 5 reviews · cluster CL0298

current versions
No studies 0 · 0%Ungraded 14 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Intervention categories, outcome domains and clusters are a proposed key pending human validation. Clear all filters

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