Document Detail

The potential benefits of sugar-free chewing gum on the oral health and quality of life of older people living in the community: a randomized controlled trial.
MedLine Citation:
PMID:  22533799     Owner:  NLM     Status:  Publisher    
OBJECTIVES: To determine the effects of prescribing sugar-free chewing gum on the oral health and quality of life of dentate older people living in the community and attending for routine dental care. METHODS: A randomized controlled trial was conducted on 186 older people who were not regular chewers of gum, (aged 60 years and over with ≥ 6 teeth) recruited from primary care clinics. Participants were randomly allocated to a gum-chewing group (chewing xylitol-containing gum twice a day for 15 min; n = 95) or a control group (no gum; n = 91). Both groups were examined at baseline and at the end of the study (6 months later). The primary outcome measure for the study was increased in stimulated saliva flow rate. Secondary measures included improvements in Plaque and Gingival Indices, and self-perceived change in oral health. RESULTS: The retention rate for the study was 78.5% (n = 146 at follow-up); reported compliance with the protocol was 84% (ranged between 12% and 100%). There was no significant change in the saliva flow of the gum-chewing group (1.20-1.17 ml/min), while the control group experienced an increase in flow rate (1.06-1.32 ml/min; P = 0.001). The gum-chewing group, however, demonstrated significant improvement in Plaque and Gingival Index scores over the control group. For the Plaque Index, the mean scores (±SD) were 0.29 (±0.29) and 0.56 (±0.46) for the gum-chewing group and control groups, respectively (P < 0.001), at the second examination, which remained significant after controlling for age and saliva flow rate. For the Gingival Index, the scores were 0.73 (±0.30) and 0.92 (±0.32), respectively (P < 0.001), which persisted after controlling for age. A significantly higher proportion of participants in the gum-chewing group perceived that their oral health had improved during the study period in comparison with the control group (40% cf 21%; P = 0.016). CONCLUSIONS: Prescription of sugar-free chewing gum to dentate older people living in the community and attending routine dental services was not associated with a significant increase in stimulated saliva flow. There were, however, significant improvements in Plaque and Gingival Index scores, and in self-perceived oral health.
M Al-Haboubi; L Zoitopoulos; D Beighton; Je Gallagher
Related Documents :
20714079 - Transcranial magnetic stimulation in depression--lessons from the multicentre trials.
17303249 - Long-lasting effects of high frequency repetitive transcranial magnetic stimulation in ...
22228379 - Relationship of endothelial function and atherosclerosis to treatment response in late-...
21727149 - Best practices for the nonpharmacological treatment of depression at the end of life.
22509319 - Efficacy of oral metronidazole with vaginal clindamycin or vaginal probiotic for bacter...
20809999 - Positive symptoms and white matter microstructure in never-medicated first episode schi...
21952039 - Overactive bladder syndrome: an underestimated long-term problem after treatment of pat...
21865959 - Electroconvulsive therapy for treatment of major depression in a 100-year-old patient w...
15612609 - Emotional support, conflict, depression, and relationship satisfaction in a romantic pa...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-26
Journal Detail:
Title:  Community dentistry and oral epidemiology     Volume:  -     ISSN:  1600-0528     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0410263     Medline TA:  Community Dent Oral Epidemiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 John Wiley & Sons A/S.
King's College London Dental Institute at Guy's, King's College and St Thomas's Hospitals, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Association between thyroid function, thyroid autoimmunity, and state and trait factors of depressio...
Next Document:  Processing Speed Mediates Gender Differences in Memory in Schizophrenia.