Potential benefits of chewing gum for the delivery of oral therapeutics and its possible role in oral healthcare

INTRODUCTION: Over the years, chewing gum has developed from a candy towards an oral health-promoting nutraceutical. This review summarizes evidence for the oral health benefits of chewing gum, emphasizing identification of active ingredients in gum that facilitate prevention and removal of oral biofilm.

AREAS COVERED: Chewing of sugar-free gum yields oral health benefits that include clearance of food debris, reduction in oral dryness, increase of biofilm pH and remineralization of enamel. These basic effects of chewing gum are attributed to increased mastication and salivation. Active ingredients incorporated in chewing gums aim to expand these effects to inhibition of extrinsic tooth stain and calculus formation, enhanced enamel remineralization, reduction of the numbers of bacteria in saliva and amount of oral biofilm, neutralization of biofilm pH, and reduction of volatile sulfur compounds.

EXPERT OPINION: Evidence for oral-health benefits of chewing gum additives is hard to obtain due to their relatively low concentrations and rapid wash-out. Clinical effects of gum additives are overshadowed by effects of increased mastication and salivation due to the chewing of gum and require daily chewing of gum for prolonged periods of time. Future studies on active ingredients should focus on specifically targeting pathogenic bacteria, whilst leaving the healthy microbiome unaffected.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Expert opinion on drug delivery - 13(2016), 10 vom: 13. Okt., Seite 1421-31

Sprache:

Englisch

Beteiligte Personen:

Wessel, Stefan W [VerfasserIn]
van der Mei, Henny C [VerfasserIn]
Maitra, Amarnath [VerfasserIn]
Dodds, Michael W J [VerfasserIn]
Busscher, Henk J [VerfasserIn]

Links:

Volltext

Themen:

Bacteria
Chewing Gum
Chewing gum
Journal Article
Oral biofilm
Oral health
Oral microbiology
Review
Saliva

Anmerkungen:

Date Completed 28.04.2017

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17425247.2016.1193154

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM260724718