Xylitol für die Kariesprävention - einige praktische Aspekte und Richtlinien

Zusammenfassung

Neuere klinische Studien schlagen eine tägliche Aufnahme von 4-5 g Xylitol vor, um von dessen Antikarieseigenschaften zu profitieren. Unter Berücksichtigung aller Aspekte bezüglich I) Wissenschaft, II) Wirtschaftlichkeit, III) Patientenmitarbeit und IV) Ethik wird ein 3-mal täglicher Verzehr hoch konzentrierter Xylitol-Kaugummis oder -Pastillen, jeweils nach den Mahlzeiten, empfohlen, um diese angeratene Tagesmenge zu erreichen. Somit kann das 5-minütige Kauen von je 2 Stück am Morgen, nach dem Mittagessen und am Abend als die derzeit optimale Ergänzung zur täglichen Fluoridprophylaxe für Patienten mit Kariesrisiko angesehen werden.

Summary

Recent clinical studies suggest that a daily intake of 4-5 grams of xylitol is needed to benefit from the anti-caries properties of xylitol. Taken together, i) scientific, ii) economic, iii) compliance and iv) ethical aspects strongly suggest that highly concentrated chewing gums or tablets should be recommended 3 times a day after meal in order to facilitate and accomplish the advocated regimen. Thus, 5-minute chewing of 2 pieces in the morning, 2 pieces after lunch and 2 pieces in the evening can currently be regarded as an optimal adjunct to the daily exposure to fluoride in patients at risk for caries development.

Schlüsselwörter

Xylitol - Kariesreduktion - Dosis - Patientenempfehlung

Key Words

Xylitol - Caries Reduction - Dosage - Patient Recommendations

Literatur

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