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Masters Thesis | Dentistry | India | Volume 12 Issue 8, August 2023
Effectiveness of Xylitol Oral Wipes in Prevention of Early Childhood Caries among High Caries Risk Toddlers - A Randomized Control Trial
Dr. Savitha Sathyaprasad [5] | Dr. Krishnamoorthy S H | Dr. Amogha K B [2]
Abstract: Aim: Early Childhood Caries is a worldwide and a highly prevalent disease which needs prevention, intervention and treatment accordingly. Prevention of Early Childhood Caries is a challenging task for parents, care givers, dental care fraternity. The pathognomic feature of ECC is that it has a typical etiologic factors and even typical progressing pattern which makes it easy to intercept, treat and eventually prevent it. If left untreated, it may lead to consequences including malnourishment and anemia due to difficulty in consuming food, speech problems, and malocclusion due to early loss of teeth. It spreads to the other teeth and also to the permanent dentition. Apart from these, psychological problems results from mocking and peer pressure as the child is cornered and sidelined. Since many parents are not aware of the causes of Early Childhood Caries they follow a routine, such as feeding the baby with sweets, letting baby sleep with feeding bottle overnight not cleaning gum pads sufficiently which eventually leads to caries. There is lack of knowledge among parents on oral hygiene maintenance and aids available. There is a need for the education of the parents on preventive measures available to prevent Early Childhood Caries. Hence, the present study aims at evaluating the effectiveness of xylitol oral wipes in prevention of early childhood caries among high caries risk toddlers. Method: In this randomized control trial, 20 high caries risk children of age 18 to 36 months according to AAPD caries risk assessment tool 2014 and inclusion criteria are selected for the study. Parents were explained about the risks of ECC and educated on the different oral hygiene methods available. Stimulated saliva was collected in container for checking the SM count and pH of saliva at baseline. The study samples were randomly assigned to one of the 3 group. Group I - received normal oral wipe (after having lunch and night before sleeping) with fluoridated toothpaste (morning), and group II received xylitol oral wipes (after having lunch and night before sleeping) with non fluoridated xylitol containing toothpaste (morning). Each parent was asked to use the intervention for 30days. After which salivary sample were collected to check for salivary SM count and salivary pH. Results: Group received xylitol oral wipe +xylitol toothpaste showed maximum reduction in SM count in saliva and increase in pH of saliva in comparison with control group. Conclusion: Xylitol oral wipes are good alternative to conventional non - xylitol oral wipes for cleaning gum pads in high caries risk toddlers, combined with fluoridated toothpaste is also a better preventive strategy to prevent ECC.
Keywords: Xylitol Oral Wipes, Toddler
Edition: Volume 12 Issue 8, August 2023,
Pages: 2033 - 2037