pH modulation and salivary sugar clearance of different chocolates in children: A randomized clinical trial

Nirmala, S V S G; Quadar, Mohammed Akhil; Veluru, Sindhuri

doi:10.4103/0970-4388.175502

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…Moreover, the salivary glucose level remains high for up to 2 h after food and/or sugar intake and the recovery rate to normal levels is slower in diabetic than in non-diabetic subjects ( Jurysta et al 2009 ). The food type also plays an important role in sugar clearance rate ( Nirmala et al 2016 ), thus high levels of salivary glucose are indeed achievable and may favor Candida colonisation.…”

Section: Discussionmentioning

confidence: 99%

New perspectives on the nutritional factors influencing growth rate of Candida albicans in diabetics. An in vitro study

Man

Ciurea

Păsăroiu

et al. 2017

Mem. Inst. Oswaldo Cruz

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BACKGROUND The link between Candida albicans and diabetes mellitus is well-acknowledged, but incompletely elucidated.OBJECTIVES The purpose of this study is to assess the growth rate of C. albicans (CA) in the presence of different concentrations of glucose and fructose, two of the main pathophysiologic and nutritionally relevant sugars in diabetic patients, in order to obtain a better understanding of the nutrient acquisition strategy and its possible relation to the hyperglycemic status of diabetic patients.METHODS The effects of different concentrations of glucose and fructose (1000 mg%, 500 mg%, 250 mg% and 100 mg% w/v) on the growth rate of CA have been studied by flow-cytometry.FINDINGS We found that glucose concentration is directly related to CA growth, which may be linked to the frequent yeast infections that occur in non-controlled diabetic patients; we also show that fructose inhibits CA growth rate.MAIN CONCLUSIONS As a consequence of our hypothesis, the study demonstrates that fructose-containing food may prevent the development of candidiasis, at least in oral sites.

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Section: Discussionmentioning

confidence: 99%

New perspectives on the nutritional factors influencing growth rate of Candida albicans in diabetics. An in vitro study

Man

Ciurea

Păsăroiu

et al. 2017

Mem. Inst. Oswaldo Cruz

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“…The etiology of caries is not only restricted to microorganisms but is also related to carbohydrate retention time and oral cavity clearance due to saliva. The salivary clearance depends on the amount of ingested foodstuff, physiological factors like salivary flow rate, and saliva volume in the mouth before and after swallowing [ 30 ]. Increased salivary flow can also lead to changes in the salivary pH and the removal of oral microbes [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Antibacterial Efficacy of Emblica Officinalis Lollipop Against Streptococcus Mutans Counts in Institutionalized Visually Impaired Children

Bane¹,

Thosar²,

Rathi³

et al. 2022

Cureus

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BackgroundAmong the 1.21 billion population of India, 26.8 million individuals have disabilities, and around five million are visually impaired. These children encounter problems related to oral health maintenance, thus further leading to dental problems. Even though Pediatric dentists treat visually impaired children for their oral problems, they emphasize mainly on the prevention of dental caries. Dental caries has a multifactorial etiology, and dentists are unable to find a complete solution for its prevention. However, reducing Streptococcus mutans has been seen to reduce the caries rate in the past. The use of the herbal product Emblica officinalis to reduce Streptococcus mutans levels has been documented. An affordable delivery system is required to use Emblica officinalis for its anticaries action. Thus, a unique delivery system of herbal sugar-free lollipops containing Emblica officinalis extract was made and can effectively deliver antimicrobial action in visually impaired children. AimTo evaluate the antibacterial efficacy of Emblica officinalis lollipop on Streptococcus mutans counts and pH levels in institutionalized visually impaired children. MethodA total of 60 institutionalized visually impaired children (age: 4 to 14 years) were selected. The study consisted of two groups (experimental "Emblica officinalis lollipop" and control "placebo lollipop"), and the children were divided equally into both groups. Children from the study and control groups were subjected to the respective lollipops twice daily for seven days. Streptococcus mutans count and pH count were evaluated at baseline and after seven days post-intervention of the respective lollipop. ResultsThe results showed that in both groups, Streptococcus mutans count was reduced post-intervention. However, the efficacy of the study group (Emblica officinalis lollipop) in inhibiting the Streptococcus mutans count was better than the control group (placebo lollipop). An increase in the pH level was seen postintervention for both the study and control groups. And on the intergroup comparison, no statistical significance was found. ConclusionThe use of Emblica officinalis lollipop is effective in inhibiting the Streptococcus mutans count when compared with the placebo lollipop. While marginal pH change was seen in both groups. Thus, the herbal modality most acceptable without any pharmaceutical concerns should be chosen. Emblica officinalis lollipops can be used in institutionalized visually impaired children to reduce the oral Streptococcus mutans count and maintain a healthy oral cavity.

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“…The mean prevalence of dental caries in India for age group 5 and 12 years was 49% and for age 15 years was 60%, 3 and those consuming substances containing sugar were at a 4.8 times higher risk. 4 Cariogenicity in terms of pH and salivary clearance of commercially available chocolates has been studied 5,6 and candies with increased sucrose content, higher frequency of intake, and delayed clearance were more cariogenic. 5,6 There is a lack of data evaluating in vivo changes in the salivary parameters like calcium, phosphorus, alkaline phosphatase, and total antioxidant capacity (TAC) after consuming candies.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Cariogenic Potential and Total Antioxidant Capacity of Saliva after the Consumption of Candies and Paneer: An In Vivo Study

Shah

Manju

Joshi³

et al. 2022

Journal of Health and Allied Sciences NU

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Aim The present study was performed to assess and compare the changes in pH, calcium, phosphorus, alkaline phosphatase, and the total antioxidant capacity (TAC) of saliva after consuming candies, followed by rinsing with water and consumption of paneer. Materials and Methods Baseline saliva of 5 mL was collected from 60 children and they were asked to chew on candies. After 10 minutes of intake of candies, 5 mL of saliva was collected. They were then divided into two groups of 30 each and test products were given. Group 1: rinse with water and group 2: chew 20 g of paneer and swallow. Saliva of % mL was collected after 10, 20, and, 30 minutes from the study groups. The saliva samples collected were assessed for pH, calcium, phosphorus, alkaline phosphatase, and TAC. The data were analyzed using the paired t-test and post hoc Tukey's test. Results The pH, calcium, phosphorus, and alkaline phosphatase decreased from baseline values after consuming candies significantly (p < 0.001). These increased after rinsing with water and consumption of paneer which was statistically significant (p < 0.001). The TAC values increased significantly after consuming candies and decreased after rinsing with water and consumption of paneer which was substantial for both the groups. Conclusion Consumption of candies created a cariogenic milieu. Both the study groups were effective in the reversal of the cariogenic potential. The consumption of paneer caused remineralizing properties and showed superior results than rinsing with water.

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pH modulation and salivary sugar clearance of different chocolates in children: A randomized clinical trial

Abstract: Dark chocolate had a high fall in pH and milk chocolate had low salivary sugar clearance which signifies that unfilled chocolates are more cariogenic than other chocolates. Even though mango-flavored candy had maximum fall in plaque pH, its salivary sugar clearance was high.

Cited by 4 publications

References 1 publication

New perspectives on the nutritional factors influencing growth rate of Candida albicans in diabetics. An in vitro study

New perspectives on the nutritional factors influencing growth rate of Candida albicans in diabetics. An in vitro study

Comparative Evaluation of Antibacterial Efficacy of Emblica Officinalis Lollipop Against Streptococcus Mutans Counts in Institutionalized Visually Impaired Children

Evaluation of the Cariogenic Potential and Total Antioxidant Capacity of Saliva after the Consumption of Candies and Paneer: An In Vivo Study

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