Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Xylitol is a sugar alcohol widely recognized for its dental health benefits, particularly in the context of caries prevention and oral health maintenance. Its use in supporting oral surgery patients, while not a direct treatment for surgical sites, is scientifically justified for several reasons. Xylitol inhibits the growth of Streptococcus mutans, the primary bacteria responsible for dental caries, by disrupting their energy production and reducing acid formation. This leads to a lower risk of post-operative infections and caries development, which is especially valuable during the recovery period when oral hygiene may be compromised.

Several clinical studies and systematic reviews have shown that regular use of xylitol-containing products (such as chewing gum or lozenges) reduces dental plaque and caries incidence. For surgical patients, maintaining a healthy oral environment is crucial for optimal wound healing and minimizing complications. Moreover, xylitol stimulates salivary flow, which can help with comfort and oral clearance in patients experiencing dry mouth after surgery.

However, while there is moderate-quality evidence supporting xylitol’s caries-preventive effects, direct evidence for enhanced post-surgical healing or reduced surgical complications is limited. Most recommendations are extrapolated from its general benefits in oral hygiene. Thus, while xylitol is a justified adjunct in oral surgery recovery for maintaining oral health and preventing new decay, it should not be considered a primary or stand-alone treatment for surgical recovery.

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