The Effect of Xylitol Chewing Gum on The Growth of Streptococcus Mutans Bacteria Colonial Growth in Saliva

Authors

  • Ni Nyoman Gemini Sari Department of Oral Medicine, Faculty of Dentistry, Universitas Mahasaraswati Denpasar, Bali, Indonesia.
  • Ni Putu Widani Astuti Department of Pediatric Dentistry, Faculty of Dentistry, Universitas Mahasaraswati Denpasar, Bali, Indonesia
  • Ni Komang Alisya Undergraduated Program, Faculty of Dentistry, Universitas Mahasaraswati Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.46862/interdental.v21i1.11164

Keywords:

streptococcus mutans, saliva, Xylitol gum

Abstract

Introduction: The unkempt state of the mouth and teeth can lead to the development of bacteria that cause problems in the oral cavity. Streptococcus mutans, an acid-producing bacterium, can cause caries whose numbers can be reduced by chewing Xylitol gum. Xylitol is a non-acidogenic and non-cariogenic natural sweetener that can stimulate salivary flow and increase the pH value of saliva. These bacteria cannot ferment Xylitol so acid is not produced and salivary pH does not decrease.

Materials and Methods: The tools and materials used in this study were Xylitol fresh mint gum, diagnostic tools, laboratory tools, Streptococcus mutans bacteria, saliva before and after treatment. The research method used was descriptive pseudo-experimental with One Group Pre-test and Post-test design.

Results and Discussion: The results of the study were analyzed with the Wilcoxon Signed Rank Test. The group between before and after treatment showed a difference in the number of bacterial colonies of 0.000, so there was a significant difference in the number of colonies in this study, with an average colony of Streptococcus mutans before treatment of 99.87 CPU/ml. While for Streptococcus mutans colonies after treatment amounted to 36.75 CPU/ml.

Conclusion: From the results of the study, it can be concluded that Xylitol gum has an effect on the growth of the number of colonies of Streptococcus mutans bacteria in saliva.

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References

Maelissa SR, Lilipory M. Pkm keterampilan menggosok gigi siswa SD Negeri 5 Tulehu Kabupaten Maluku Tengah. Maren: Jurnal Pengabdian dan Pemberdayaan Masyarakat 2020;1(1):37-44. doi: https://doi.org/10.69765/mjppm.v1i1.381

Andriyani, Putri N, Lusida N, Rosyada D, Al-Maududi AA. Faktor yang berhubungan dengan perilaku orangtua dalam pencegahan karies gigi anak di Jakarta Timur. Jurnal Kedokteran dan Kesehatan 2023;19(1):11-17. doi: https://doi.org/10.24853/jkk.19.1.11-17

Praptiningsih RS, Wakhid AR, Pratiwi R. Chewing xylitol candy and probiotic candy on the growth of dental plaque and number of colony of Streptococcus mutans bacteria. Odonto Dental Journal. 2022;9:147-154. doi: https://doi.org/10.30659/odj.9.0.147-154

Aishah W, William, Rumiati F. Characteristics of saliva in FK Ukrida students after chewing paraffin, xylitol and sucrose gum. Indonesian Journal of Biotechnology and Biodiversity. 2021;5(1):24-30. doi: https://doi.org/10.47007/ijobb.v5i1.73

Roeslan BO. Imunologi Oral. Cet. ke-2. Jakarta: Balai Penerbit Fakultas Kedokteran UI; 2002. p. 187-197.

Horax S, Chalid SE, Jubhari EH. Differences in salivary flow rate and pH between chewing gum of Xylitol and sucrose in elementary school students in Makassar. Makassar Dental Journal 2020;9(2):160-162. doi: https://doi.org/10.35856/mdj.v9i2.339

Alshibani N, Shalabi M, AlMugbel K, AlSaqer E, AlFarraj N, Allam E. Xylitol content and acid production of chewing gums available in the markets of Saudi Arabia. Saudi Dental Journal 2022;34(2):121-128. doi: https://doi.org/10.1016/j.sdentj.2021.11.001

Nuranisyah V, Sarwo EI, Purwaningsih E. Nilai pH saliva anak usia sekolah dasar ditinjau dari konsumsi yoghurt dan permen karet xylitol. Jurnal Ilmiah Keperawatan Gigi 2021;2(2):307-313. doi: https://doi.org/10.37160/jikg.v2i2.715

Abdullah K, Jannah M, Aiman U, Hasda S, Fadilla Z, Taqwin, et al. Metodologi Penelitian Kuantitatif. Pidie: Yayasan Penerbit Muhammad Zaini; 2022. p. 79-86.

Maguire A, Rugg-Gunn AJ. Xylitol and caries prevention – is it magic bullet? BDJ. 2003;194(8):432. doi: https://doi.org/10.1038/sj.bdj.4810022

Gupta M. Sugar substitutes: Mechanism, availability, current use and safety concerns‐an update. Open Access Maced J Med Sci. 2018;6(10):1888-1894. doi: https://doi.org/10.3889/oamjms.2018.336

Monica OJA, Susiana S, Widura W. Pengaruh permen karet Xylitol terhadap bakteri Streptococcus mutans pada pengguna alat ortodontik cekat (Effect of Xylitol gum on Streptococcus mutans of fixed orthodontic appliance users). Jurnal Kedokteran Gigi Universitas Padjadjaran 2018;30(1):38. doi: https://doi.org/10.24198/jkg.v30i1.18182

Soesilo D, Santoso RE, Divantri I. Peranan sorbitol dalam mempertahankan kestabilan ph saliva pada proses pencegahan karies (the role of sorbitol in maintaining saliva's ph to prevent caries process). Maj Ked Gi (Dent J) 2005;38(1):25-8. doi: https://doi.org/10.20473/j.djmkg.v38.i1.p25-28

Podunavac I, Hini S, Koji S, Jelenciakova N, Radonic V, Petrovi B, Stojanovic GM. Microfluidic platform for examination of effect of chewing. Appl Sci 2021;11(5):2049.

Kusumaningsari, Handajani J. Efek Pengunyahan permen karet gula dan xylitol terhadap pertumbuhan bakteri streptococcus mutans pada plak gigi. Maj Kedokt Gigi Indonesia 2011;18(1):30-4. doi: https://doi.org/10.22146/majkedgiind.16473

Ly KA, Milgrom P, Rothen M. The potential of dental-protective chewing gum in oral health interventions. JADA 2008;139(5):553-63.

doi: https://doi.org/10.14219/jada.archive.2008.0215

Rodian M, Satari MH, Rolleta E. Efek Mengunyah Permen Karet yang Mengandung Sukrosa, Xylitol, Probiotik Terhadap Volume, Kecepatan Aliran, Viskositas, pH, dan Jumlah Koloni Streptococcus mutans Saliva. 2011. p. 1-20.

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Published

2025-04-22

How to Cite

1.
Sari NNG, Astuti NPW, Alisya NK. The Effect of Xylitol Chewing Gum on The Growth of Streptococcus Mutans Bacteria Colonial Growth in Saliva. interdental [Internet]. 2025 Apr. 22 [cited 2025 Apr. 27];21(1):27-33. Available from: https://e-journal.unmas.ac.id/index.php/interdental/article/view/11164

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