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Hygiene Tribune Middle East & Africa Edition No. 3, 2018

2 HYGIENE TRIBUNE Dental Tribune Middle East & Africa Edition | 3/2018 Erythritol functional roles in oral-systemic health By P. de Cock Oral health functionality of Erythritol Mäkinen et al. 2005 demonstrated that in comparison to other sugar alcohols like sorbitol and xylitol, erythritol can decrease dental plaque mass and acids associated. Erythritol has the potential to reduce strepto- cocci mutans in saliva hence mini- mizing the risk of dental caries. Falony et al 2016 concluded that the erythritol group had significantly fewer tooth surfaces with enamel or dentin caries in comparison with sorbitol. In addition, the time of enamel or dentin caries lesions to progress and dentin caries to extend further was significantly longer in the erythri- tol group compared with the other polyol groups. Runnel et al. 2013 confirmed that the amount of fresh dental plaque and counts of S. mutans in saliva and plaque were lower in the erythritol group in comparison to the sorbitol and xylitol groups. Dental plaque in the erythritol group also showed lower levels of acetic, propionic, and lactic acid compared to control. Honkala et al. 2014 in a study demon- strated that at the end of a 3 year in- tervention, the erythritol group had the lowest caries. Yao et al. 2009 in another study suggested that compared to xylitol, erythritol in low concentrations had a weaker inhibition effect on the bac- terial growth and acid production of S. mutans while having stronger ef- fect at high concentrations. Hashino et al. 2013 reported that 10% erythritol had an inhibitory effect on the microstructure and metabo- lomic profiles of biofilm composed of Porphyromonas gingivalis and Streptococcus gordonii. Erythritol was the most effective reagent to reduce P. gingivalis accu- mulation onto S. gordonii substrata compared to xylitol and sorbitol that erythritol due to its small molec- ular size is rapidly absorbed through passive diffusion. Approximately 90% of the ingested dose is absorbed from the small intestine and ex- creted in the urine unchanged. Euro- pean Food Safety Authority also con- firmed that young children tolerate erythritol equally well as adults on a body weight basis Systemic health effects Erythritol is noncaloric, noninsuline- mic, and nonglycemic besides be- ing well-tolerated. It has a very high bioavailability, showing potential to provide cardiovascular benefits due to its capability to act as an antioxi- dant systemically. Effects of Erythritol on the Gastrointestinal Tract Munro et al. 1998 reported the fact Effects of Erythritol on Cardiovascular Health Boesten et al. 2013 in a research confirmed that in endothelial cells, erythritol could shift a variety of damage and dysfunction parame- ters to a safer side, thereby reversing the damaging effects of hyperglyce- mic conditions. Conclusion & Sales arguments - Erythritol as an antioxidant im- proves the endothelial function and their vascular health status in people with type 2 diabetes. - Erythritol provides healthier tooth protection than sorbitol and xylitol, in children and teenagers. - Erythritol is of great importance not only in oral care or dietary-based preventive strategy but also to help maintain oral and cardiovascular health besides supporting weight management benefits when replac- ing sugar. Erythritol is not just an AIR FLOW powder, but a complete, efficient and safe one stop solution for dental prophylaxis with additional support- ive action as an antioxidant. Fluoride varnish in primary dentition positively affects caries prevention By DTI COLOGNE, Germany: Whereas caries in adults and adolescents in Germa- ny is declining, research has found that about 14 per cent of 3-year-olds in the country have cavities in their primary dentition. According to a re- port by the Institute for Quality and Efficiency in Health Care (IQWiG), fluoride varnish is effective in rem- ineralisation of the tooth surface and prevents the development and pro- gression of caries. Permanent teeth may be affected by caries at an early stage in the case of caries-affected primary teeth, as the enamel has not yet fully hardened. Because oral hygiene and caries pre- vention can be challenging in young children, the use of fluoride varnish can be beneficial. For this reason, the IQWiG research- ers investigated whether the ap- plication of fluoride varnish to pri- mary dentition has advantages in comparison with standard care with- out fluoride application by compar- ing the findings of 15 randomised controlled trials. In these, a total of 5,002 children were treated with fluoride varnish, and 4,705 children received no such treatment, being the control group. Children aged up to 6 years with or without caries of their primary teeth were included in the research. In several of the studies, further measures for caries prevention in ad- dition to the application of fluoride varnish were offered. These included training on oral hygiene, instruction on the correct toothbrushing tech- nique, and the provision of tooth- brushes and fluoridated toothpaste. The follow-up observation period was mostly two years. The development of caries was in- vestigated in all 15 studies; side-ef- fects were investigated in nearly all of the studies. However, owing to a lack of conclusive data, it is unclear whether fluoride application also has advantages regarding further patient-relevant outcomes, such as tooth preservation, toothache or dental abscesses. There was no data on oral health-related quality of life. A clear advantage of fluoride varnish was determined despite the very heterogeneous study results. After the application of fluoride varnish, caries in primary teeth was less fre- quent. More precisely, the fluoride treatment could completely prevent caries in approximately every tenth child and would at least reduce pro- gression of caries in further children. Apparently, whether the children already had caries or whether their teeth were completely intact made no difference regarding the benefit of fluoride varnish application. The report, titled “Assessment of the application of fluoride varnish on milk teeth to prevent the devel- opment and progression of initial caries or new carious lesions”, was published online by IQWiG on 26 April 2018. EFP set to celebrate European Gum Health Day 2018 By DTI LEIPZIG, Germany: On 12 May, the European Federation of Periodon- tology (EFP) and 29 of its affiliated national societies will participate in European Gum Health Day 2018. With the slogan “Health begins with healthy gums”, the day seeks to raise awareness of periodontal disease’s deleterious effects through a range of informative and engaging activi- ties. Co-ordinated by Dr Xavier Struil- lou, an elected member of the EFP executive committee, European Gum Health Day 2018 aims to build upon the success of last year’s in- augural event. Through television and radio interviews, press releases, press conferences and individually produced video content, many of the participating national societies will be seeking to widely communi- cate and emphasise the importance of periodontal health for general health. Dentists and other dental professionals are also invited to sign the EFP Manifesto, a call to action for the prevention, early detection, and early treatment of gum disease. National societies of periodontology from Austria, Azerbaijan, Belgium, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Italy, Israel, Ireland, Lithuania, Morocco, the Netherlands, Norway, Poland, Portugal, Romania, Russia, Serbia, Slovenia, Spain, Sweden, Switzer- land, Turkey, Ukraine and the United Kingdom will be actively involved in the day. All of these societies have employed the logos, posters, info- graphics and templates provided by the EFP to convey a shared message that transcends borders. ties of Colombia and Panama, also taking part in European Gum Health Day 2018. “We are very excited that the Latin American perio societies are for the first time joining European Gum Health Day 2018 and that they are helping us to convey the awareness message ‘Health begins with healthy gums’ ever further,” said Struillou. In addition, an agreement with the IberoPanamerican Federation of Periodontology (FIPP) will see FIPP’s eight Caribbean and South Ameri- can member associations, as well as the national periodontology socie- “European Gum Health Day 2018 aims to remind people that—even if still often overlooked—gum health is a key factor for general health throughout life, and that gum dis- ease is a relevant public-health concern because it is linked to very serious conditions, including heart disease and cerebrovascular disease,” he added. “Gum health can help us to save many lives, to detect or pre- vent many severe conditions, and to save billions in medical costs.” Anton Sculean, president of the EFP, added: “Gum disease’s prevalence and gravity increase with age and as a result of contributing factors such as smoking and obesity, but it can be prevented and successfully treated, especially if diagnosed early. That is why, as our motto says, ‘Health begins with healthy gums’, and we have an opportunity to take action.”

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