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- 1. DDS, CNC, ND “ Sweet Success with Xylitol” Thank You CSPD! San Francisco April 9 th 2011 DDS, CNC, ND
- 3. Sugar
- 4. Sucrose sugar is the standard for comparison “ sugar substitutes” Attempt to duplicate the taste And some functional properties
- 5. Sucrose “ Sugar” on food ingredients labels, ordinary table sugar, cane sugar, beet sugar disaccharide 12-carbon
- 6. Glucose (D-glucose, dextrose, corn sugar, blood sugar, monosaccharide, 6-carbon) Fructose (fruit sugar) monosaccharide, 6-carbon)
- 7. M altose (malt sugar) disaccharide, 12-carbon) Glucose (D-glucose, dextrose, corn sugar, blood sugar) monosaccharide, 6-carbon)
- 8. Maltodextrin Oligosaccharide 3 – 19 glucose units
- 9. Starch Polymer, Polysaccharide, Amylose 200 – 1000 glucose units
- 10. Sugar alcohols are reduction products of sugars MonoSaccharides Di or Poly Saccs Sugar Glucose (dextrose) Fructose (fruit sugar) Galactose Xylose (wood sugar) Maltose (malt sugar) Sucrose (table sugar) Lactose (milk sugar) Starch Hydrolysate Polyol Sorbitol Mannitol Galactitol Xylitol Maltitol (glu-sorbitol) Isomalt (glu-mann/sor) Lactitol (glu-galactose) HSH (hydrogenated SH)
- 14. Corn Syrup Water, glucose High Fructose Corn Syrup Glucose converted to fructose by enzymes Water, glucose, fructose (42-95%)
- 18. Why is sucrose so harmful? Energy Acid Food storage
- 19. Sugar Increases the Bugs
- 20. Watch for “Hidden Sugar” Cough Drops Chewable vitamins Breath mints Fruit juices Dried fruits Sports Drinks Syrup medicines
- 21. But Don’t Forget the Obvious
- 22. Too Much Sugar
- 23. Way to Much Sugar Germs Sugar Acid Plaque
- 24. Way Way Way to Much Sugar … . But
- 25. On Teeth It is all just Sugar
- 26. American Heart Association Recommends less than 100 calories from added sugars (6.2 sugar cubes) per day for adult women
- 27. From sugar cane or sugar beets It’s all just Sugar
- 31. Our Xylitol Journey Begins 1999 Dr. Larry Bybee Dr. Russ Misner
- 45. Orthodontic Module Release all 2011 (I Hope )
- 46. Sweet Success with Xylitol
- 47. Changing Ideas and Concepts In a learning environment you don’t need to agree with anything that is said…. We learn from each other by listening and doing, NOT from argument.
- 48. Reframing From “manage the damage or drill and fill” to health promotion and self care decay prevention From helpless victim to proactive self-care
- 49. We sometimes find ourselves changing our mind without any resistance or heavy emotion, but if we are told we are wrong we resent the imputation and harden our hearts. We are incredibly heedless in the formation of our beliefs but find ourselves filled with an illicit passion for them if someone should rob us of their companionship. It is obviously not the ideas themselves that are dear to us but our self esteem that is threatened.
- 50. We like to continue to believe what we have been accustomed to accept as true and the resentment aroused when doubt is cast upon any of our assumptions leads to seek out every manner of excuse to continue clinging to them. The result is that much of our so called reasoning consists in finding arguments to go on believing as we already do. James Harvey Robinson
- 51. DEMO
- 53. What is Xylitol? Carbohydrate with uncommon structure Five carbon atoms Found in small amounts in a wide variety of fruits and vegetables Metabolic intermediate Used as a substitute for sugar
- 55. Sorbitol (polyol) 6-carbon Xylitol (polyol) 5-carbon
- 56. Xylitol (polyol) 5-carbon
- 58. Properties
- 65. I only Ate the Parts with Xylitol YUMMY
- 66. Xylitol can help keep them smiling!
- 68. Xylitol Harvest
- 69. Wow! Xylitol is Everywhere
- 72. Xylitol Makes You Smile
- 73. No Matter How you Stack it Xylitol is Good for Teeth
- 80. Why is sucrose so harmful? Energy Acid Food storage
- 82. Xylitol Keeps Unwanted Bugs Out
- 84. Effects of xylitol on plaque: "xylitol-plaque" is thinner than regular plaque, contains less adhesive polysaccharides courtesy of Eva Soderling
- 90. Xylitol supports our natural defenses by promoting protective factors stimulates saliva increases salivary pH promotes remineralization suppresses acid bacteria such as mutans strep (MS)
- 91. Glycemic Index Xylitol supplies a steady flow of energy Adapted from SS Natah et al Am J Clin Nutr (65) 1997
- 93. Safety
- 94. Don’t overdo a good thing
- 95. This is Overdoing It
- 96. This is Too Much!!
- 97. Don’t Eat the Yellow Xylitol
- 101. Don’t give to dogs
- 102. Hey Dogs Xylitol is NOT for YOU!
- 103. Good Doggie
- 104. Thanks for Keeping Me Safe
- 105. Make New Friends with Xylitol
- 106. Protecting Man’s Best Friend From Xylitol is exhausting Break Time
- 107. Xylitol Review
- 108. Susceptible Tooth Attacked and Demineralized By Acid Made by Germs From the fermentation of sugars Decay Process: result is cavities – holes in the teeth
- 111. Mutans streptococci on enamel
- 112. De-Mineralization (Caries v. Cavities)
- 115. Cavities Caries
- 118. Damaging vs. Protective Factors Demineralization Remineralization
- 119. Tooth decay progresses when damaging factors prevail over protective factors More demineralization than remineralization
- 120. Risk Factors
- 123. Eruption Period – Early Mixed Dentition
- 124. Eruption Period – Late Mixed Dentition
- 126. Tooth decay progresses when damaging factors prevail over protective factors More demineralization than remineralization
- 134. 100% Xylitol Gum Only Before After 1 Week
- 135. 100% Xylitol Gum Only Before After 3 Weeks
- 136. Xylitol Reduces Bacterial Regrowth After Oral Disinfection Hildebrandt GH, Sparks BS. Maintaining mutans streptococci suppression with xylitol chewing gum. J Am Dent Assoc. 2000;131:909-916 | 3 Months
- 137. 100% Xylitol Gum and Chlorhexidine Before After 1 Week
- 138. 100% Xylitol Gum and Chlorhexidine Before After 2 Weeks
- 139. AJS 2-26-2003 Initial examination with oral hygiene and xylitol recommendations
- 140. AJS 3-4-2003 After using xylitol for one week
- 141. WF 2-26-2003 Inadequate hygiene for fixed orthodontic appliances
- 142. WF 3-11-2003 Improvement after two weeks of Xylitol Hygiene
- 151. Mutans Strep ≥ 100,000 Colony Forming Units Caries Risk Test
- 152. Lactobacillus ≥100,000 Colony Forming Units Caries Risk Test
- 153. Gold Standard in Clinical Trials (MS) Growth medium Bacitrasin SM-strips Paraffin Ten tests Flossette
- 156. Stefan’s Curve Breakfast Lunch Dinner Snacks
- 157. Mutans streptococci
- 159. Xylitol consumption decreases amounts and the adhesivity of MS. Mutans streptococci of habitual xylitol consumers are easily shed to the saliva. Söderling et al., 1991; Trahan et al., 1992 courtesy of Eva Soderling
- 161. Effects of xylitol on mother-child transmission of mutans streptococci SWEDEN FINLAND
- 162. , February 2011) Japan Finland Sweden Finnish, Swedish, Japanese Studies (Courtesy of Eva Soderling Feb. 2011
- 163. Protect Your Child with Xylitol – It’s Pretty Cool Stuff Protected Child
- 164. Xylitol gel in pacifier for baby Mother uses xylitol chewing gum
- 165. Caufield et al., 1993 The window of infectivity for mutans streptococci Caries as an infectious disease: Early colonisation of mutans streptococci (caries bacteria) increases the risk of caries occurence in the future! courtesy of Eva Soderling
- 168. Finland:Effects of xylitol on mother-child transmission of mutans streptococI YES!
- 169. Wow! This is good!
- 170. Finland: Effects of xylitol on childhood caries Isokangas et al., 2000 Caries occurence until 5 yrs YES!
- 171. Yum!
- 172. Mother’s Dental Care Soderling E, IsokangasP, PienhakkinenK, Tenovuo J. Influence of maternal xylitol consumption on acquisition of mutans streptococci by infants. J Dent Res. 200;79:1885-9 Chlorhexidine YES!
- 173. Soft Banana brush with xylitol gel
- 174. When Mothers Use Xylitol, Children Have Fewer Cavities Isokangas P, Soderling E, Pienikakkinen, Alanen P. Occurrence of dental decay in children after maternal consumption of xylitol chewing gum, a follow-up from 0-5 years of age. J Dent Res. 2000;79:1885-9 YES!
- 175. She likes it!
- 176. Xylitol Reduces Bacterial Regrowth After Oral Disinfection Hildebrandt GH, Sparks BS. Maintaining mutans streptococci suppression with xylitol chewing gum. J Am Dent Assoc. 2000;131:909-916 | 3 Months YES!
- 177. Baby gets cariogenic bacteria from mother Mothers who use xylitol transmit non-cariogenic microflora
- 178. With All this Xylitol Your Teeth are Safe
- 179. XYLITOL’S Role in Re-mineralization
- 180. Remineralization / Cosmetic Enhancement Invention Hypomineralized areas on #8,9 Status before any treatment Status immediately following treatment Example # 1 Treatment Time: 5-7 minutes
- 181. Status before any treatment Status immediately following treatment Example #2
- 182. Status before treatment. # 8, 9 are to be treated. Note generalized demineralization on maxillary posteriors that will not be professionally treated. Example #3 - Slide 1 of 2 Status of # 8,9 immediately following professional treatment. Please note no change to hypo-mineralized areas in Maxillary posteriors.
- 183. Slide 2 of 2 5 months after initial professional treatment to # 8,9. Patient was instructed to use an at-home solution daily. Please note remineralization effects of home solution on maxillary posteriors.
- 184. Photos illustrating possible treatment process ~ Slide 1 of 2 Status before any treatment Slight microabrasion of surface
- 185. Slide 2 of 2 Chemical Etch Status immediately following treatment
- 186. Initial Condition
- 187. Same Day After In Office Treatment
- 189. XYLITOL’S Role in Maintenance
- 190. Medical Model Medical Model information Adapted from A Comprehensive Review of Pediatric Dentistry Manual , San Diego September 2002. Diagnosis Treat Caries Treat Cavities Maintenance Home / Professional Health Caries+ Cavities + Cavities - Caries - Cavities - Cavities + L1 L2 L3 L4 L4
- 198. Carbonated drinks are the single biggest source of refined sugars in the American diet. According to dietary surveys, soda pop provides the average American with 7 teaspoons of sugars per day, out of a total of about 20 teaspoons. Teenage boys get 44 percent of their 34 teaspoons of refined sugars a day from soft drinks. Teenage girls get 40 percent of their 24 teaspoons of sugars from soft drinks. Because some people drink little or no soda pop, the percentage of refined sugars provided by pop is higher among actual drinkers.
- 201. Product Types
- 202. Product Types Toothpaste Oral Rinse Dental Cleansing Gel Mints Gum Moisturizing breath freshener
- 206. Banana Brush
- 208. Joint Venture
- 210. Ultradent
- 211. Enjoy
- 212. Old way
- 214. Find a Bug Use a Drug
- 215. New Way With Xylitol
- 216. Show ’em the door Makes plaque Slicky instead of Sticky
- 217. Slam it shut Xylitol Lives Here
- 218. Xylitol blocks the tooth-damaging factors
- 222. Use 100% Xylitol Products
- 223. Xylitol Keeps Them Smiling
- 225. Environment, Whole Food and Whole Food Supplements Xylitol protocols and Products Office Oral Hygiene Program Oral Disinfection Remineralization Ease of Management Effect on Oral Health Least Most Easy Hard
- 227. Adapted from the book: From Here to Longevity by Dr. Mitra Ray Ph.D. with Patricia Cannon Childs
- 228. Saliva Calcium Phosphorus Xylitol Gum
- 229. Adapted with permission from the book: From Here to Longevity by Dr. Mitra Ray Ph.D. with Patricia Cannon Childs
- 230. S. Mutans
- 234. To Summarize: We believe that whole food nutrition , as close to the natural state that one can obtain, supplemented by the use of concentrated whole food supplements is the essential foundation for a healthy mouth and body.
- 236. Xylitol – Level II
- 254. Slide Show Review Thank You
- 255. Quotes
- 263. Xylitol Studies Chart, outline and references 1-15 are courtesy of Dr. John Peldyak Mt. Pleasant Michigan.
Notas del editor
- Motivational music should be playing at this time. Put slide up 10 minutes before the presentation. Welcome everyone and thank them for inviting me to San Francisco Since this is a pediatric meeting and we all treat children I believe that it is appropriate to have fun. At home I call these lunch and learn and laugh, but since it is obviously after lunch… today it will simply be Learn and laugh. If you would like a copy of this presentation I will be happy to send it to you for free all you need to do is send me an email and ask me to send it to you.
- Here is my contact information. Begin the transformation to the wig and jacket What is the common issue that brought us all here today. Well some of you may be here to learn about xylitol, while others are here because your boss said you need to be here, while others came because a friend wanted them to be here. I thought a lot about this and I finally decided that the reason we are all here is because of one thing and that one thing is Sugar. So I thought that it would be appropriate to show our appreciation to sugar by singing a song. Now the words will be on the screen so everyone and sing along. Now if you don’t want to sing then simply clap to the music, but singing is always fun
- Maroon Sports coat and tambourine What is the one thing that draws us all to Change to the Big Chief Sugar after the song.
- Need the big chief sugar tee-shirt here. WOW!! That was fun. This is the top of the heap, the sweet killer of tooth enamel, the dark knight of sweet seduction. We are addicted to it’s sweet taste. But What is it? Is it a drug a nutrient and what effect does it have on the human body? First lets find out what it is
- DEMO… Here is Sucrose a disaccharide 12 carbon made up of fructose and glucose. Acid bacteria MS use sucrose for energy and leave acid as a waste product, and store excess sucrose as glucans and fructans. The term glycan refers to a polysaccharide (many) or oligosaccharide (a few)
- Have everyone dig into their bag and get out a glucose and a fructose and snap them together – you have just made sucrose. When you break it up you get Glucose and Fructose Have them put the thumb of their right hand into the opening on the left hand Energy, Acid and Storage
- Maltose is a disaccharide made up of 2 glucose units
- Oligosaccharide Oligo(few) saccharide(sugar): A carbohydrate molecule composed of 3–20 monosaccharides. Generally, free oligosaccharides do not quantitatively constitute a significant proportion of naturally occurring carbohydrates. (McGraw Hill’s Access Science Encyclopedia) Have the audience join arms.. They are making oligosaccs until they get over 19 and then you are making polysaccs
- Amylose is linear chain (made up of glucose units); amylopectin is branched starch and amylose every 2K to 200k glusose units; glycogen (body starch) same composition but every8-12 units is highly branched. A polymer is a large molecule (macromolecule) composed of repeating structural units. These subunits are typically connected by covalent chemical bonds. Polysaccharide – Storage… Starch Structural…Cellulose
- The Sugar plus hydrogen (h2) = the polyol Lactose- disaccharide…galactose (milk sugar) and glucose A starch hydrolysate is constituted by chains of propoxylated (demulsify emulsions to obtain the desired oil/water solubility) glucose of which the terminal groups are hydrogenated. It is prepared by subjecting a milk of starch to propoxylation followed by hydrolysis of the starch ether thus obtained and hyrogenation of the resulting syrup, or by subjecting a milk of starch to hydrolysis, subjecting the syrup thus obtained to hydrogenation followed by propoxylation, which step of propoxylation may be effected in the presence of an anion exchange resin. The starch hydrolysates are useful as thickeners for the food industry or for suspending agents for pharmaceutical products.
- Monos – Fructose, Glucose, Sucrose is a disacc
- There is a lot of discussion as to whether these intense sweeteners are good for us or harmful to us. Personally the only on that I use is Stevia and Licorice. Aspartame – controversial due to release of methanol – will increase insulin Sucralose – Trichlorinated sucrose, use as direct replacement in all recipies that call for sucrose (sugar) Saccharine – bitter metallic after taste used with Aspartame to sweeten soft drinks … Benzoic sulfimine sulfur to nitrogen double bond Ace K – combined with Asp and sucralose in drinks to give a more sugar taste. Does have and after taste Glycyrrhizin – limit 100-200mg per day Lingering taste in the mouth, candies, pharmaceuticals Stevia – Herb Sweet leaf (rebaudiana) slower onset and longer duration Neotame - is the new kid on the block 13000X chemically similar to aspartame, lower cost of production, after taste like other artificial sweeteners. Metabolized by products esters and methanol much less than aspartame
- Why include starch and maltodextrin? They are polysaccharides – polymers comprised of linked sugars. They are storage sugars for bacteria
- Honey, maple syrup, agave are mostly mixtures of glucose and fructose.
- Maillard – reaction between reducing sugar and amino acid and is used to create many different flavors in cooking The Maillard reaction also occurs in the human body. It is a step in the formation of advanced glycation endproducts . Need some toast The total state of oxidative and peroxidative stress on the healthy body, and the accumulation of AGE-related damage is proportional to the dietary intake of exogenous (preformed) AGEs, the consumption of sugars with a propensity towards glycation such as fructose [17] and galactose. [18]
- HemaglobinA1c test is based on the long term formation of the modified proteins in the red blood cell. The modification of the collagen protein is an AGE and manifests as wrinkles.
- Provides energy to MS bacteria Waste product is Acid plaque It is a great food storage for bacteria
- What are going to do about it? Let the dirty bugs take over? From the back of the room that may look like dust on the screen but those are bugs. Sugar increases the bugs and the then the acid comes
- A point worth emphasizing is that sugar used between meals can be the most damaging for the teeth.
- Nothing hidden about this sugar
- Tooth decay is a process of enamel demineralization by acids created from sugar over time. Cavities are holes in teeth that have been acid-attacked by the decay process.
- Even starchy foods are readily broken down to simple sugar and converted to plaque acid. Ordinary table sugar – Sucrose – is the most harmful. Remember Sugar is stored by the bacteria
- DEMO…. Sugar cubes Breakfast toast 4 cubes, coffee and sugar 2 cubes, orange juice 4 cubes or a bagel and cream cheese 4 cubes.Lunch soda 5 cubes Dinner… Potato 5 cubes, rolls 6 cubes, Snack bag of chips 5 cubes, soda 5 cubes, yogurt 6 cubes
- Switch back to Suit for the next part of the presentation
- Need to get the legal qualifiers out of the way first and then we can get down to the fun stuff.
- How did this all begin well in 1999 my Partner Dr. Russ Misner came to me and ask me if I thought that we were making a difference with our patients. Did I think that our patients were having fewer cavites when they came for their recall
- 1999 Russ asks me if I think that we have more or less decay in our practice than we did 5 years ago. My answer was more. Then he asked have you ever heard of xylitol and my response was yes. Johnathon Wright newsletter talking about xylitol. We noticed that the company was in Orem Utah only a 3 hour drive.
- Here was our original label
- As you can see we were in the gum business the Xylitol gum business. Then one day in 2001 we get a call from VP of Xlear and they wanted us to come down and talk to them about our business. To make a long story short when we left there we were Xlear dental consultants and we agreed to go to 15 dental trade show per year and talk to dentist about Xylitol gum. And talk we did. We travelled all over the country ….. And
- During our travels we decided that we needed a product for infants and toddlers so we called Xlear and spoke to them about our idea and asked to send us a few basic products and we would see what we could come up with.
- As this was actually done in Dr. Misners kitchen. We mixed and mixed tasted and squeezed the gel until we thought we had a pretty high content xylitolgel ane we sent it back to Xlear for the finishing touches and to make a batch of samples for us to use in the office.
- Well in 2004 our contract ended and we decided to start company that would help educate the dentists about xylitol
- Four Partners.. Dr. John Peldyak, Dr. Eric Johnson, Dr. Russ Misner and Dr. Bybee
- There is a companion DVD with this manual. Tell the story of making the DVD… Buhl Idaho, green screen… Had to stop when the train was going by. The most frustrating thing that I ever tried it took me an hour to do the first slide.. I was trying to read my notes and hold perfectly still for the filming. Hey it is hard for me to stand still. Finally a got upset and turned off my notes and talked to the camera for 200 slides and we were finised in another tow hours.
- Looks like a big city setting in the background… gotta a love a green screen
- Product recommendation brochure
- Xylitol education
- Xylitol education DVD
- Office forms
- ADR is the professional website
- ADR has been working on this for almost 2 years.. Our resident orthodontic expert Dr. Eric johnson is working feverishly putting on all the finishing touches and he has to put up with Dr. Misner and I pushing to get it done.
- Switch to Xylitol T-Shirt…. Sweet Success with Xylitol on the Back. Bigger Chief Xylitol
- We’ve all heard about shifting concepts and beliefs, but what do we mean when we say it. Today I will explain what it means to me and then you will have an opportunity to experience it for yourselves.
- Reframing is an example of a paradigm shift. We want to tell show and do to our patients so they are better equipped to take care of their own oral health
- Illicit accustomed
- What we are really talking about is a Paradigm shift and our resistance to it.
- Get 20 volunteers to come on stage Pick up the white envelope Put it in your right hand Hold it above your head Now move it to your left hand Now open the envelope You have just witnessed the ease of Shifting Your Paradigms so lets begin. For those in the audience DEMO…for paradigm shift
- Looks like sugar
- Most dietary carbohydrates are based on a 6-carbon saccharide unit. Xylitol is a 5-carbon “non-glucose” polyol. Xylitol will carry calcium according to Dr. makinen
- Virtually no after taste Most dietary carbohydrates are based on a 6-carbon saccharide unit. Xylitol is a 5-carbon “non-glucose” polyol. c5h12O5 Xylitol will carry calcium according to Dr. makinen
- Possible contamination otherwise the toxicity could be attributed to overwhelming the mtabolic capacity and hyperosmolarity. Too much too quick
- Xylitol is sweet enough to be used directly as a sugar replacer without the need to add an intense sweetener.
- I believe that this is what we all would like to see. Beautiful children with happy smiles. Our role as dentists should be to have a practice without decay and we should educate ourselves so we can provide our parents and patients with information to allow them to create a zero decay environment. Unrealistic? Maybe but those that want less decay it is possible.
- They say it just falls out of the sky in Lead
- There is so much that they have to pile it up on the side of the roads
- Because of its bright white color Lead sometimes looks like the Santa’s North Pole. If we could just get santa to make the candy canes with Xylitol that he leaves in the stockings
- Here you see a couple of workers clearing the Xylitol from the Plant managers home
- A job well done and she is still smiling…
- No Matter how you stack it Xylitol is good for your Teeth.
- Change to a Dental Smock
- General – Plaque is plaque, Plaque is bad, everyone has it, get rid or it, Bacteria are bad kill the little buggers, drill and fill recheck in 6 months Specific – Different plaque have different ecologies, some are worse than others, diagnosis is essential to identify risk, Modify the plaque, some bacteria are useful just get rid of the pests, address the problem and test to make sure the pests are gone.
- Aggregate of microorganisms of cohesion and adhesion Polysaccharides, proteins, Form on living and nonliving surfaces Multi species Extremely hard to eliminate Are physiologically distinct from planktonic cells of the same organism.. Because they share different information with-in the biofilm
- Plaque DEMO…. Planktonic bacteria… Blow up your balloons… Free floating have them bounce them around. BioFilm… it is the same bacteria they have just invited a few friends over a lifetime get together. MS Bacteria in a biofilm. Bring out the biofilm Xylitol Bacteria
- Planktonic v biofilm have the audience stand and then jump up and down and then have them join arms or have the front row blow up balloons and bounce them around the room.
- Figure 3. Cartoon depicting biofilm formation. Biofilms usually occur when one bacterial species attaches specifically or non specifically to a surface, and then secretes carbohydrate slime (exopolymer) that imbeds the bacteria and attracts other microbes to the biofilm for protection or nutritional advantages.
- Bring out the balloons with the xylitol in them
- You can see here that xylitol reduces plaque according to Soderling’s studies considerably more than gum alone
- Xylitol can block the initial colonization by strep mutans. Xylitol acts as a carrier for calcium and promoted optimal mineralization of new enamel.
- Frequency, consistency and timing are more important than total amount.
- Health begins with what we breathe, and what we put in our mouths. We need to protect the oral nasal gateway. Xylitol will help Nasal spray keeps the air clear and the gum and mints keep the bad bugs out of the mouth
- Why is dental health so important? It is easier to prevent dental disease than to treat it. Since Xylitol removes plaque there will be less irritation at the gum
- Xylitol reduces acid and acts as a carrier for calcium. Repeated exposure to xylitol weakens the most harmful mouth germs.
- Glucose has a Glycemic Index of 100. Xylitol has a Glycemic Index of 7. Xylitol provides a steady flow of energy with no rebound hypoglycemia below baseline. Early on, xylitol was used as a premium natural sweetener in the diabetic diet.
- A few reminders --
- Don’t eat the Yellow Xylitol
- Lots of xylitol in liquid on an empty stomach can cause gastrointestinal discomfort. Dental protection only requires small amounts, about one rounded teaspoon per day, Tolerance to increasing amounts builds up over a few weeks..
- With that much Xylitol and that much water…..that nice lady is in trouble So Don’t over do it !!!!
- Xylitol provokes an insulin reaction in dogs leading to rapid drop in blood sugar. Give glucose. We hired a mamma bear in a white coat to help protect our animal friends from xylitol and I was able to get a few pictures of her teaching techniques so that I could share them with you. .
- Stay away from the xylitol, its not good for you.
- Thanks for listening, I want you to be safe
- Your are awesome Mamma bear
- Time for a break
- Alt Tab to Jump drive and start the movie. With the jump drive open move it to the presentation screen in preparation. Then all that needs to be done is to double click the movie, when finished minimize and go on with the presentation.
- … over a period of time. Xylitol can stop this decay process by weakening the germs and remineralizing the teeth. Straw Microscope DEMO!! How many non Dentists are in the audience. I am going to show what the dentist sees when they look in and see a cavity. Focus on the cavity.. Now we are going to take a trip inside that lesion I wanted to get everyone a microscope but it would have been a little too expensive so what I want you to do is use the next best thing. Dig into your bag and find the straw.
- This is a little out of focus so roll up a piece of paper or simple roll your hands over each other and we will look a little closer and bring it into focus
- Bacteria in the plaque… This is the biofilm. Notice the entanglement of several different bacteria. And finally
- Now we can actually see the bacteria and the enamel surface. Why are MS so important? 1. It is the caries bacteria 2. They form sticky plaque and produce acids efficiently. Having high levels of Mutans Streptococci is an important but less clear risk factor for early childhood caries. So with that in mind lets look at the process of caries to cavities
- Caries is considered the process of Dental Decay and indicates to the practitioner whether or not there is evidence of that process in the mouth and helps the Dentist formulate a treatment plan consistent from one patient to the next.
- Cavities on the maxillary anteriors and Caries on the mandibular anteriors
- This slide shows the several stages of the caries process and cavitation
- There is a constant struggle or “tug-of-war” between damaging and protective factors.
- Xylitol tips the balance in our favor by supporting protective factors. The enamel surface is in dynamic flux between losing and gaining minerals.
- Tooth decay is a process. Cavities are the result of bacterial acids.
- Anemia – We took blood samples on 300 kids that we took to the hospital and 75% of the kids were low iron. Raised in a smoke environment
- Gingival inflamation
- Talk about Xlear Nasal wash maintaining patent airway
- Tooth decay is a process. Cavities are the result of bacterial acids.
- Heart Plaque relationship
- Xylitol V. Sorbitol
- CHX/GUM/Prevident Slides 19-30
- Note puffy gingival margins.
- Rx list. Xylitol can help.
- Have the patient chew a paraffin pellet for 3-5 minutes. Spit into a cup Measure saliva at the end of time period and divide by the time to determine ml/min of stimulated flow Levels ≥ 1.0 ml/min is standard and lowers the risk for oral disease Level ≤ .7 ml/min is below normal and is a higher risk for oral disease Level ≤ .1 ml/min is referred to as xerostomia and is a very high risk for oral disease
- You can see here that xylitol reduces plaque according to Soderling’s studies considerably more than gum alone. Xylitol Gum was more effective at reducing plaque than non xylitol gum
- Cost of the unit is about $400. And the cost of each test will run you about $20.
- Salivary flow rates are quite important and should be done as often as you can. With observation and practice you will begin to see what lack of salivary fo\\low has on the oral invironment and bacterial growth.
- Dentocult is now the gold standard in clinical trials for assessment of MS colinization.
- Time to talk about moms and babies
- Some of you may be familiar with this ph graph, showing consumption of sugar, resultant ph drop then gradual change back to neutral ph Stefan’s curve shows how saliva acid drops after the first meal of the day, then saliva production removes the acidity of the mouth, remineralizes the tooth, drop for lunch, drop for dinner etc It is of course the ph drop we wish to avoid as this is when demineralisation of the teeth occur Chewing gum speeds thiss ph change, returning the mouth to a neutral state reducing demineralisation time .
- Having high levels of Mutans Streptococci is an important but less clear risk factor for early childhood caries. Caries can occur after all without Mutans Streptococci and more studies are needed to confirm just how significant a risk the bacteria is. This is where the importance of a whole food diet and eating real food and getting the sugar consumption down will make a difference. Sugar removes minerals from the body. Reduce sugar intake and save your teeth and your general health.
- Having high levels of Mutans Streptococci is an important but less clear risk factor for early childhood caries.
- Xylitol Plaque is safer on the teeth.
- Xylitol can carry calcium.
- Finnish mother-child study (Söderling & Isokangas): Could xylitol consumption of the mother affect transmission of MS? 195 mothers participated; the Xylitol group used xylitol gum with 6-7 g xylitol/day during child's age 3-24 mo (Control F- varnish and chlorhexidine). The children received no additional prevention.
- % colonization of MS bacteria when mothers chew xylitol gum at 0, 3, 6 month intervention. The numbers certainly vary from study to study but in all three it is obvious that there is less colonization when moms chew gum.
- Demonstrate xylitol gel in pacifier. Xylitol gel is safe to swallow. First teeth should erupt into clean, non-acid xylitol environment.
- What we need to remember is Caries is an infectious disease; Having ms does increase the risk of caries occurrence in the future There is also the proposed window of infectivity for MS, the times of a child when these bacteria are passed on If MS have colonized the teeth before the age of 2 yrs, the risk of caries occurence in the future becomes high and the earlier they colonise the greater the risk
- Within Finland’s mother-child study: the child’s risk of having mutans streptococci colonisation in the dentition was 5-fold in the Control group as compared to the Xylitol group
- Xylitol and calcium gel in pacifier is safe to swallow.
- Finnish mother-child study: At the age of 5 years the need of restorative treatment was 71% lower in the Xylitol group compared to the Control The results of the 10-year-old children in line with the earlier ones (Laitala, thesis 2010)
- Best time to get xylitol on teeth is during eruption. Xylitol blocks early MS colonization and mineralizes new enamel.
- This chart shows the percent of colonization of strept mutans in the children of the mothers in the various groups
- Next step is to begin brushing with xylitol gel. Soft brush is safe.
- Lightly-flavored gel contains xylitol and calcium, and is safe to swallow.
- Chlorhexidine was used as the disinfectant.
- Through kissing, food tasting, etc. Make sure mother has germs under control.
- This little 8 year old was in tears when I spoke to her about her teeth. The kids at school teased her and called her chocolate teeth.
- She cried again…but this time tears of joy!! I cried Too. What a beautiful story
- Isokangas P, Alanen P, Tiekso J, Makinen KK: Xylitol chewing gum in caries prevention: a field study in children. J Am Dental Assoc 1988; 17: 315-320. Isokangas P, Tiekso J, Alanen P, Makinen KK: Long-term effect of xylitol chewing gum on dental caries. Comm Dent Oral Epidemiol 1989; 17 200-203. Isokangas P, Makinen KK, Tiekso J, Alanen P: Long-term effect of xylitol chewing gum in the prevention of dental caries: A follow-up five years after termination of prevention program. Caries Res 1993; 27: 495-498. Peldyak John DMD, Makinen Kauko K PhD: Xylitol for Caries Prevention. Journal of Dental Hygiene Volume 76 Number IV Fall 2002; pp. 276-285.
- Xylitol is probably the most enjoyable decay prevention in the market place. Recommend xylitol to your patients, parents and grandparents
- Xylitol is portable prevention.
- This product came on the market in 2005 and 2006 and as MLM company
- Check the labels make sure that you are recommending 100% xylitol to your patients
- Ideally, use products that are 100% sweetened with xylitol for best results.
- Brush teeth twice a day, see dentist twice a year, avoid sweets – and use Xylitol after meals and snacks.
- Blast them with powerful chemicals? But biofilms such as dental plaque are comprised of more than one specific type of germ. About 600 types have been identified, many are useful but only a couple dozen are harmful. Biofilms learn to protect themselves from attack – (frontal assault). Harsh drugs & chemicals can harm us and eventually make bugs stronger.
- Instead, we can work with nature and make the uninvited guests (acid germs) increasingly uncomfortable.
- Outsmarting them at their own game. The bad ones leave. Xylitol makes them slicky instead of sticky and down the shoot they go.
- Xylitol will not let them back in.
- Over time, plaque exposed to xylitol becomes less adhesive, less acidic, less inflammatory and less harmful.
- Xylitol is a naturally sweet carbohydrate found in many fruits and vegetables.
- The base of the pyramid is the most difficult to manage but will have the largest and the greatest change in oral health. As you go up the pyramid there is less effect but easier to administer and manage.
- Anything that effects the immune system Toxins.. Smoke, anemia Things that come in boxes that can sit on the shelf are products. Fresh real food, then frozen, dehydrated, canned, boxed
- When you eat like this You get happy teeth This is a little upside down to what you may have recommended by the USDA When you eat grains and breads use fats (butter, or coconut oil, oil olive to slow down the sugar affect of the carbohydrate) Grass fed and grass finished meats are better for you.. Higher omega 3 content Choose organic when possible not because of the higher nutrient value but because of fewer pesticides and herbaside and fertalizers.
- When you eat like this you get acid rain and a very sad tooth This is the SAD almost all refined carbohydrates… very little fiber and little fat.
- Remember sugar adds energy, acid and storage for bacteria
- There are several places that you can purchase nutritional information and brochures. We believe the whole food supplements are of greater benefit because they are made from real food.
- There are approximately 60 known elements and probably hundreds of unknown elements that the body needs to function optimally. It obtains these nutrients from the food we eat; (proteins, fats, complex carbohydrates, fiber, and concentrated Whole Food Supplements), the water we drink, the air we breathe, the sunshine we enjoy, and those elements that the body can manufacture when given the proper materials. What we know about the human body doubles every 3 years. Keep reading about nutrition and share what you know with your parents, patients and staff
- We have spent tens of thousands of dollars over the past 8 years to learn more about health and nutrition. Here is the short list and what we have discovered
- To maintain maximum freshness when freezing your own veggies, freeze directly in water don’t pre-heat
- Xylitol education brochures, educate your patients and parents to the benefits of Xylitol. Allow them to take control of there oral health.
- Change to a Dental Smock
- Oral hygiene is extremely important. This how we do it in our office. I will now break them down 1 by 1
- We Start with a 4 page report card. Sequence of presentation
- Front Page Low, Mod, High Normal, Local, General Ortho, Oral Surgeon, endo, Perio, nutritionist, TMJ, Medical Doc, Other
- Categories of examination
- Inside cover addresses our findings during the exam.
- It also defines why we need to see them back for their recall. This helps us when we are speaking to the parent on the phone. We scan this document into the computer and when the recall person is calling they can look up this document and let the parent that we need to schedule their child for an exam and prophy and also to check and monitor their spacer, #14’s ectopic eruption etc.
- Xylitol in all
- These are the tools that we use to speak to and educate our parents and patients during the new patient exam.
- Betadyne is usually done in the office every 3 months on high risk population Chlorine Dioxide – gums and bad breath.. Sulfur forming bacteria
- Thank them for their attention and for the opportunity to speak to them. For those that might have slept through the presentation I have a 4 minute motivational slide show for a quick review. Set up the Rocky review compliments of my daughter Kirstin.
- When ms and lb use xylitol for there food source there cell wall no longer is sticky.
- Catherine Hayes reviewed all the literature