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Sugar-free polyol gum, lozenges, hard candy; Nonfluoride varnishes help prevent cavities
Date:9/12/2011

9/1065.full.pdf">http://jada.ada.org/content/142/9/1065.full.pdf ) and the Caries Form (Patients Over 6 Years) (http://jada.ada.org/content/142/9/1065.full.pdf) are available on ADA.org.

Nonfluoride agents

In addition to a comprehensive cavity-prevention program which includes the use of fluoride, the scientific panel recommended that clinicians consider applying a mixture of cholrhexidine-thymol varnish to the teeth of high-risk adults and the elderly every three months to reduce cavities developing in the root of the tooth.

The panel encouraged clinicians to consider advising parents and caregivers of healthy children older than 5 years who are at higher risk for cavities to chew sugar-free polyol gum after meals for 10 to 20 minutes to prevent cavities.

A polyol is a low-calorie sweetener such as xylitol, sorbitol or mannitol, which is not broken down by the bacteria in the mouth and therefore does not contribute to tooth decay. The panel also recommended that sucking xylitol-containing sugar-free lozenges or hard candy after meals may reduce cavities in children.

The panel's recommendations are based on a review of evidence from 71 published articles that described 50 randomized controlled trials and 15 nonrandomized studies to assess the effectiveness of various nonfluoride agents in preventing cavities.

ADA expert panels, Evidence-Based Dentistry

The clinical recommendations, developed by expert multidisciplinary panels convened by the ADA Council on Scientific Affairs, assessed available scientific evidence and developed practice-oriented recommendations through a comprehensive evidence-based process.

Evidence-based clinical recommendations are intended to provide dentists and other health professionals with a review of the latest scientific evidence on particular topics and are no
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Contact: Lydia Hall
halll@ada.org
312-440-2806
American Dental Association
Source:Eurekalert

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