Randomised Control Trial on the Role of Various Sugar Free Chewing Gums on Levels of Streptococcus Mutans, Salivary Calcium and Phosphorous- A Prospective Study

Abstract

Introduction: Dental Caries Is A Multifactorial Disease That Starts With Microbiological Shifts Within The Complex Biofilm. The Goal Of Modern Dentistry Is The Non-Invasive Management Of Non- Cavitated Caries Lesions Involving Remineralization Systems To Repair The Enamel.

Aims And Objective: The Main Purpose Of This Study Was To Evaluate The Effects Of Different Sugar Free Chewing Gums On Concentration Of Calcium, Phosphorus And Streptococcus Mutans Count.

Materials And Methods: This Study Was Conducted In 54 Children Of Age Group 10 – 14 Years And They Are Divided Into Three Groups. Group I Was Given Xylitol Containing Chewing Gum, Group Ii Chewed Sorbitol Containing Chewing Gum And Group Iii Chewed Cpp Acp Containing Chewing Gum. Each Group Chewed 2 Pellets Of Their Respective Chewing Gum For 20 Minutes Twice Daily For A Week Time. The Saliva Samples Were Collected At Base Line, On The First Day And On 7^th Day Of Chewing Regimen.

Results: There Was Increase In Calcium Concentration In Every Group After Chewing The Gum, But Very Highly Significant Increase Was Shown By Cpp – Acp Containing Chewing Gum. The Phosphorus Concentration Of Saliva Decreased In All Group After Chewing The Gum And Cpp – Acp Containing Chewing Gum Group Showed Significantly Low Phosphorus Concentration Than The Other Groups. Mutans Count Reduced Significantly In All Chewing Gum Groups After Chewing The Gum And No Significant Difference Between The Groups.