Current controversies, is there merit?
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Current controversies, is there merit? / Twetman, S.
In: Advances in Dental Research, Vol. 21, No. 1, 2009, p. 48-52.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Current controversies, is there merit?
AU - Twetman, S
PY - 2009
Y1 - 2009
N2 - Xylitol has become a debated measure in caries prevention. This paper aims to examine and comment on some possible controversies, with emphasis on the most recent literature. A search for clinical trials was conducted through 2007 in PubMed, and papers describing a controlled xylitol intervention with reported endpoints were assessed. The main reasons for the conflicting results were weak study designs, underpowered groups, mixed outcome measures, and use of low-xylitol regimens. Definitive evidence for a caries-preventive effectiveness of xylitol is still lacking, and it is concluded that the controversies cannot be solved without well-designed double-blind randomized placebo-controlled caries trials in defined populations. Furthermore, as a candidate for public health intervention, the economical aspects of xylitol administration must be taken into account at the planning stages of future projects. Until further evidence is available, xylitol should be regarded as an adjunct to other preventive measures in targeted individuals.
AB - Xylitol has become a debated measure in caries prevention. This paper aims to examine and comment on some possible controversies, with emphasis on the most recent literature. A search for clinical trials was conducted through 2007 in PubMed, and papers describing a controlled xylitol intervention with reported endpoints were assessed. The main reasons for the conflicting results were weak study designs, underpowered groups, mixed outcome measures, and use of low-xylitol regimens. Definitive evidence for a caries-preventive effectiveness of xylitol is still lacking, and it is concluded that the controversies cannot be solved without well-designed double-blind randomized placebo-controlled caries trials in defined populations. Furthermore, as a candidate for public health intervention, the economical aspects of xylitol administration must be taken into account at the planning stages of future projects. Until further evidence is available, xylitol should be regarded as an adjunct to other preventive measures in targeted individuals.
U2 - 10.1177/0895937409335624
DO - 10.1177/0895937409335624
M3 - Journal article
C2 - 19717410
VL - 21
SP - 48
EP - 52
JO - Advances in dental research
JF - Advances in dental research
SN - 0895-9374
IS - 1
ER -
ID: 21483862