Publication

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

Wessel, S. W., van der Mei, H. C., Maitra, A., Dodds, M. W. J. & Busscher, H. J., Oct-2016, In : Expert Opinion on Drug Delivery. 13, 10, p. 1421-1431 11 p.

Research output: Contribution to journalReview articleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)1421-1431
Number of pages11
JournalExpert Opinion on Drug Delivery
Volume13
Issue number10
Publication statusPublished - Oct-2016

    Keywords

  • Bacteria, chewing gum, oral biofilm, oral health, oral microbiology, saliva, AMORPHOUS CALCIUM-PHOSPHATE, SALIVARY FLOW-RATE, SUGAR-FREE GUM, RANDOMIZED-CLINICAL-TRIAL, ENAMEL SUBSURFACE LESIONS, INTERPROXIMAL PLAQUE PH, MAGNOLIA BARK EXTRACT, DENTAL-CARIES, MUTANS STREPTOCOCCI, IN-SITU

ID: 40448878