Compared to rats inoculated with Streptococcus mutans, non-inoculated rats did not have any buccal/lingual caries and S. mutans in the oral cavity. However, sulcal caries prevalence was similar in both groups of rats. In addition, experiments were conducted to evaluate the anticariogenic effect of glycerol monolaurin. Rats were fed the experimental diets for either 4 or 6 weeks and then killed to assess caries prevalence and microbial oral populations. Rats consuming a diet with 2% glycerol monolaurin had a range of 45–50, 14–30 and 19–22% fewer caries on buccal/lingual, proximal and sulcal surfaces, respectively, than control rats fed a diet with hydrogenated shortening. Caries prevalence was higher in mandibular than in maxillary teeth. The number of S. mutans CFUs ranged from 28 to 69% lower among rats fed glycerol monolaurin than those fed vegetable shortening.
Companies have contributed greatly to meeting the challenge of providing a variety of reduced calorie ingredients allowing food manufacturers to choose the most appropriate ingredient to prepare the tastiest product. These sugar and fat substitutes alone do not lead to healthier eating. The diabetes educator needs to teach clients who wish to lose weight, or to reduce sugar or fat intake, to select foods made with sugar or fat substitutes (when available) as part of a balanced meal plan that meets their nutritional requirements. These products can be a factor in achieving the balance of diet and exercise essential to a healthy life-style.
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