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Caries as a Process and Transmissible Disease | Xlear with Xylitol
-Dr. Eva Soderling
Dr. Eva Soderling, also from the University of Turku, is best known for her work on mother child transmission. Her presentation was titled “Caries as a process and transmissible disease.” And she started by briefly outlining the importance of diet in caries prevention. It was pointed out that the frequency of food intake is more important than the amount of sucrose in the diet. With Italy being the home of the pizza, it was fitting that she used it as an illustration. Most of the topping, she explained, was fine for the teeth. But the heated carbohydrate base was not much better for the teeth than the arch-criminal, sucrose.
Most common carbs and other sugars, are readily transformed to plaque acids by pathogenic oral bacteria, with one notable exception: xylitol. Products sweetened exclusively with xylitol have considerably better dental health benefits than other sugar free products. And they can, and should be used, after meals and snacks to stop the acid production in plaque.
This is because of the unique effect that xylitol has on the oral bacteria, and not just because of salivary stimulation. The use of xylitol is the perfect adjunct to current caries prevention methods and not necessarily replacement.
Of the various factors that that affect the parent to child transmission, one of the most important is that the salivary mutans count in the parent, needs to be greater than 100,000 per millimeter, which might sound like a lot, but is actually quite common, even in people with beautiful teeth.
With reference to the mechanism of action, Dr. Soderling pointed out that all polyols reduce acid production in the plaque, whereas xylitol produces no acid at all. Furthermore, it decreased the actual amount of plaque. Substantially reduces, not only the strep mutans count, but also its transmission from mother to child, and has an extremely important re-mineralization effect.
Referring to one of her earlier studies, she demonstrated that xylitol inhibits plaque accumulation as well as its subsequent regrowth by up to 50%. The subjects found that the xylitol plaque, containing fewer adhesive polysaccharides, was far easier to remove and that their teeth felt much cleaner.
This reduction of plaque, combined with a decrease in its stickiness, is extremely important for the inhibition of caries and periodontal diseases. Dr. Soderling referred to various studies by Dr. Makinen, Alanon and Milgram, showing that caries control or prevention, xylitol should be used at least 3 times a day after meals, and that the optimal daily dosage should ideally be between 5 to 6 grams.
Her own ground breaking mother child study was done to find out if a mother’s xylitol use could effect the vertical transmission of strep mutans. 195 mothers were divided into 2 groups: xylitol and the fluoride group.
The xylitol group used 100% xylitol gum at 6 to 8 grams of xylitol per day during the period where their children were 3 to 24 months old. The children themselves received no preventatives.
At the end of the period in the fluoride control group, slightly fewer than 50% of the children were colonized with strep mutans. By contrast in the xylitol group, the colonization level was just under 10%. The study didn’t end there however, the children continued to be monitored for caries occurrence and by the age of 5 the need for restorative treatment in the xylitol was 71% lower than in the fluoride group. Most importantly it was only the colonized 10% in the xylitol group that had any caries at all. The other 90% were caries free.
Dr. Soderling then referred to the Swedish mother child study by Thorild where a similar process was followed. There were three groups: xylitol, fluoride, and chlorhexadine, all in chewing gum form. However the daily dose of xylitol was only 2 grams. Nevertheless, at both the 18 month and 4 year stages, both mutans colonization and caries occurrence were lowest in the xylitol group by a significant margin.
In closing, Dr. Soderling identified which groups of people would benefit most from xylitol use. Stressing the importance of xylitol being the main ingredient and preferably the only sweetener. She also discussed some new approaches to presenting xylitol in combination with other functionally synergistic substances like fluoride, plant extracts, and probiotics. Final recommendations were then made with regard to effective dosages and frequency under different conditions.
An Interview with Jurgen Matzat
Jürgen Matzat (Juergen.Matzat@psycho.med.uni-giessen.de) graduated in psychology and since 1977 has worked as a psychological psychotherapist at the Department of Psychosomatics and Psychotherapy at the Justus Liebig University Giessen, Germany, where his research projects include Psychological Therapeutic Self-Help Groups (Prof. M. L. Moeller) and Self-Help Groups for Patients Suffering from Psychological and Psychosomatic Disorders (Prof. M. E. Beutel). He is one of the founders and long-standing board member of a professional organisation, the Deutsche Arbeitsgemeinschaft Selbsthilfegruppen e. V. (German Association of Self-Help Groups) and since 1987 has been head of the contact centre for self-help groups at the Department of Psychosomatics in Giessen. Jürgen Matzat participated in the German government’s two model programmes for supporting self-help groups. He is the editor of the Selbsthilfegruppenjahrbuch (Self-Help Groups Yearbook) and has written a range of publications on self-help. He is also on the editorial board of the International Journal of Self-Help & Self-Care. For many years he has been involved in the healthcare policy surrounding self-help groups. He is the patient representative in the psychotherapy subcommittee of the Gemeinsamer Bundesausschuss (Federal Joint Committee), the psychotherapy admissions and approval committee and the committee for the state of Hesse as well as in other working groups developing medical care guidelines; in addition, he represents the Giessen district in the Gesunde Städte-Netzwerk (Healthy Towns and Cities Network).
Sotiris Lainas is a Psychologist. He obtains a Master Degree in Social Clinical Psychology of Addictions and a PhD in Psychology. He is the coordinator of Self-Help Promotions Programs in Greece. Questions can be addressed to lainas@selfhelp.gr .
Self-Help Promotion Program consists the only state proposal in Greece that attempts to support and promote self-help/mutual aid in addressing addiction and other psychosocial problems, as well as health problems.
The main goals of Self Help Promotion Program are:
The psychosocial support of drug and alcohol addicts and their relatives, based on the philosophy and the practices of self-help/mutual aid and on critical views in the addiction field.
The psychosocial support of the members of the Alcoholics Anonymous (AA), and Narcotics Anonymous (NA) groups and also of the members of groups for their relatives (e.g. Family Anonymous, Alanon). This support is achieved with the utmost respect for the autonomy and the traditions of these groups.
The promotion of self-help/mutual aid philosophy and practices in addressing addiction and other psychosocial problems.
Main interventions of the program:
- The facilitation of citizens for the creation of self-selp/mutual aid groups or initiatives.
- The support of self-help/mutual aid initiatives in the field of physical health problems.
- The education of health care professionals in new ways of encountering with citizens and in jointly developing participative interventions for the confrontation of psychosocial and health problems.
- The training of health professionals in self-help support practices.
The awareness of communities and the general public about self-help/mutual aid philosophy and practices.
- The implementation of studies and researches regarding self-help/mutual aid groups and initiatives and regarding addiction problems.
Self-Help Promotion Program’s operation is based on action research principles. Based on this philosophy the program’s interventions do not constitute a mere implementation of theoretical models and gestalts by experts, but a product of their constant interaction with the participants or any stakeholders.
BeachTV Campus Connection May 2010
This edition features stories on campus safety, gang violence in Long Beach, International students, fashion, graduates, the job market and taxing marijuana.