Evidence supporting the use of: Polyol (unspecified)
For the body system: Teeth
Synopsis
Source of validity: Scientific
Rating (out of 5): 4
Polyols, also known as sugar alcohols (such as xylitol, sorbitol, and erythritol), are widely used in oral health products to support the teeth and overall oral cavity. The primary scientific rationale for their use is their inability to be fermented by oral bacteria, particularly Streptococcus mutans, which are implicated in dental caries (cavities). Unlike sucrose and other fermentable sugars, polyols do not lower oral pH to levels that demineralize enamel. Xylitol, in particular, has been shown in multiple randomized controlled trials and systematic reviews to reduce the incidence of dental caries when consumed regularly in chewing gum or lozenges. The mechanism involves both a reduction in acid production and an inhibitory effect on the growth and adhesion of cariogenic bacteria.
Sorbitol and other polyols are less effective than xylitol but still confer some benefit compared to sucrose. The European Food Safety Authority and the American Dental Association both acknowledge the role of polyols in caries prevention. However, the strongest evidence exists for xylitol, with other polyols primarily offering benefit by being non-cariogenic rather than truly protective. Overall, the use of polyols to support dental health is well supported by scientific evidence, particularly for caries prevention.
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