Eating sugar causes tooth decay by creating a highly acidic condition in the mouth. Acidity strips tooth enamel of minerals, causing it to weaken and making it more vulnerable to attack by bacteria, leading to tooth decay or demineralization. Ordinarily, saliva bathes the mouth with an alkaline solution that neutralizes all acidity and actually remineralizes the teeth. Saliva also washes away leftover bits of food and helps the digestion process. But when saliva turns acidic because of too many sweets, bacteria in the mouth have a feeding frenzy. These nasty bacteria, along with carbohydrate waste, stick to the teeth and tongue and hold the acid close to the teeth where it eats away enamel. Virtually whatever food you ingest, the remaining particles become food for plaque-producing bacteria. Using xylitol helps to raise plaque pH, thereby reducing the time that teeth are exposed to damaging acids, as well as starving harmful bacteria of their food source.
Xylitol is a dentist's dream. It reverses all these destructive effects of sugar on oral health. Xylitol is non-fermentable and therefore cannot be converted to acids by oral bacteria, thus it helps to restore a proper alkaline/acid balance in the mouth. This alkaline environment is inhospitable to all the destructive bacteria, especially the worst variety, Streptococcus mutans. It also inhibits plaque formation.
Using xylitol right before bedtime, after brushing and flossing, protects and heals the teeth and gums. Unlike sugar, it can even be left on the teeth overnight. With proper use, xylitol actually stops the fermentation process leading to tooth decay. Long-term use suppresses the most harmful strains of oral bacteria, making a long-lasting change in those bacterial communities. Xylitol even has the ability to enhance the mineralization of the enamel. It is most effective in treating small decay spots. Although larger cavities won't go away, they can harden and become less sensitive.
Consistently using small amounts of xylitol tends to increase protective factors in saliva. Xylitol stimulates saliva flow and helps keep salivary minerals in a useful form. Prolonged xylitol use increases the buffering capacity and protective factors in saliva. Increased saliva production is especially important for people suffering with a dry mouth due to illness, aging, or drug sideeffects.
Since the oral environment becomes less acidic with continued xylitol use, it is advisable to chew xylitol gum or suck a xylitol mint after every meal or after eating sweet snacks. The best news is that studies have shown that xylitol's effect is long-lasting and possibly even permanent.
Xylitol has recently received positive support in the Journal Of The American Dental Association. "Xylitol is an effective preventive agent against dental caries... Consumption of xylitol containing chewing gum has been demonstrated to reduce caries in Finnish teenagers by 30-60%. Studies conducted in Canada, Thailand, Polynesia, and Belize have shown similar results.... " 3 A study conducted at Harvard School of Dental Medicine concluded that: "Xylitol can significantly decrease the incidence of dental caries." 4
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