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PubMed1995

Oral bolus kneading and shaping measured with chewing gum.

A masticatory test using two-colored chewing gum is presented and analyzed. Two separate parameters of chewing were studied on the same chewing gum bolus after 10 strokes of oral preparation, color mixing, and bolus shaping. The two parameters were evaluated in indices 1-5. A test series should preferably contain three chewing gums, and color mixing can be evaluated on six sides and shape-indexed for each bolus. The medians characterize the subjects' masticatory ability. Color mixing may relate, for example, to ensalivation of the food during chewing, and bolus shape may relate to preparation into a form suitable for swallowing. The tests were used on test subjects with different dental and denture status. Significant differences in both color mixing and shape indices were found between groups with different status. The method is discussed in relation to earlier types of tests, e.g., the comminution test mostly used hitherto.

Adult↗
PubMedDate not supplied

Effect of chewing gums on plaque pH after a sucrose challenge.

The objective of this study was to determine whether sugarless chewing gums sweetened with different sweeteners differ in their ability to reduce an acidogenic response from a 10 percent sucrose-rinse challenge. Five commercially available chewing gums and two control regimens ("no gum" or paraffin) were tested using a plaque pH telemetry system. The gums were sweetened with sucrose, high-intensity sweeteners (aspartame, saccharin, or acesulfame-K), or a polyol (xylitol). Using a seven-period randomized block design, eight adult panelists were challenged with a 10 percent sucrose solution and then randomly used one of the test regimens during each of the seven test sessions. Each two-hour test session was divided into five periods: resting baseline (five minutes); sucrose rinse challenge (two minutes); postsucrose challenge (ten minutes); gum chewing (ten minutes); post gum chewing (ninety-three minutes). The factors analyzed were: the area of the curve (pH X Time) below pH 5.5, the minimum plaque pH attained, the changes in plaque pH over relevant intervals, and the length of time the plaque pH remained below pH 5.5. The various response variables showed a similar pattern of statistically significant differences. All of the sugarless gums were effective in significantly increasing plaque pH and in reducing the area under the curve after the sucrose challenge compared with "no gum" treatment. No statistically significant differences were noted among the sugarless gums. The response to sucrose gum was intermediate between sugarless gums and "no gum" but was not statistically different from "no gum" or three of the sugarless gums.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1982

Effects of sugared and sugar-free chewing gum on the accumulation of plaque and debris on the teeth.

The aim of this study was to determine the effects of sugar-free and sugar-containing gums on plaque formation, established plaque and salivary debris. Plaque accumulating during three 5-day periods was recorded in a group of 10 students who, in the absence of normal oral hygiene methods, chewed sugar-free or sugar-containing chewing gum or did not chew gum. In a second group of 10 students the effect of chewing the two types of gum on 3-day accumulations of plaque was recorded. Finally, the wet weight of liquorice debris present in saliva with and without gum chewing, was recorded. During the no chewing periods distinct and significant differences in the amounts of plaque accumulating at different sites were apparent. Both types of chewing gum significantly and comparably reduced plaque accumulation during the 5-day period. The chewing gums also significantly reduced established plaque on many tooth surfaces. Salivary debris was significantly reduced by 50% after chewing gum. It was noted that plaque removal occurred primarily from sites remote from the gingival margin and interdental areas and therefore it was concluded that the observed effects of chewing gum on plaque would not be reflected in a reduction in gingival inflammation.

Adult↗
PubMed1980

The use of nicotine chewing gum as an aid to stopping smoking.

Two hundred and ten subjects entered a trial to test the use of a chewing gum containing nicotine as an aid to stopping smoking. They were divided into three groups: nicotine chewing gum, placebo chewing gum, and control. The trial was double blind between the two chewing gum groups. After 1 month the percentage of confirmed non-smokers in the nicotine gum group was 34%, in placebo chewing gum group 37% and the control group 24%. By 6 months most of the non-smokers had relapsed, but the nicotine gum group (23%) was more successful than the placebo (5% or the control group (14%).

Adolescent↗
PubMed2004

The efficacy of a fluoride chewing gum on salivary fluoride concentration and plaque pH in children.

OBJECTIVES: The purpose of this study was therefore to study the influence of different chewing times on the salivary F concentration and on the recovery of plaque pH directly after a sucrose rinse on both the chewing and the non-chewing side. METHODS: For this purpose, one piece of sugar free chewing gum was chewed to 10 healthy subjects (aged 8-10 years, 5 male and 5 female children). Subjects refrained from toothbrushing for 3 days. On the fourth day, they rinsed for 1 min with 10 microl of a 10% sucrose solutions. After 8 min, chewing gum was given and started to chew for either 5, 10, 20, 30, 45 min or control (sucrose rinse). Thus, altogether six test sessions were repeated at one week intervals. Measurements of F concentration in saliva and pH of approximal plaque were carried out at two contralateral sites for up to 60 min. RESULTS: Higher salivary F concentrations were found on the chewing side than on the non-chewing side (expressed as) (p<0.05). But, the difference between the chewing and the non-chewing side was not obvious for the plaque pH (expressed as AUC) (p>0.05). Therefore, this study showed that: (1) the F concentrations in saliva after chewing a F containing chewing gum had only small numerical differences among the various chewing times, with the exception for 5 min. All chewing time periods showed statistically significant differences between chewing and non-chewing side. (2) The prolonged chewing time increased the plaque pH recovery after a sucrose rinse (p<0.05) but there was no statistically significant difference on both of the chewing and non-chewing side (p>0.05). CONCLUSION: The results of this study indicated that a prolonged chewing time was favorable to the plaque pH recovery after a sucrose rinse and, to a certain extent, to the salivary fluoride concentration. Also it was shown that the F concentration in saliva was strongly dependent on which side the subject chewed on.

Analysis of Variance↗
PubMed1991

Chewing gum as aid in treatment of hyposalivation.

Chewing gum is more than a popular confection. In people suffering from dry mouth, chewing gum produces transitory relief from symptoms by stimulating residual functional salivary glands to increase flow rates. Chewing sugarless gum also reduces the risk of carious attack secondary to dry mouth by neutralizing acid production in plaque.

Chewing Gum↗
PubMed1991

Effect on smoking cessation of silver acetate, nicotine and ordinary chewing gum. Influence of smoking history.

In a randomized smoking cessation study 211, 203 and 82 persons were supported with nicotine, silver acetate and ordinary chewing gum, respectively. After 26 weeks there was no overall difference in number of abstainers between treatments. Participants were divided into subsets with low and high weighted packyears consumption (WPY) which modifies tobacco consumption by nicotine content. Abstainer rates in the total population controlled for treatment decreased with increasing WPY (P less than 0.005). In participants with low WPY abstainer rate was higher in the silver acetate group compared to the nicotine (P less than 0.0005) and ordinary (P less than 0.05) chewing gum groups. Nicotine chewing gum was more effective than silver acetate (P less than 0.05) and ordinary (P less than 0.05) chewing gum in smokers with high WPY. Ratings on some inconveniences experienced during earlier attempts to quit smoking influenced the ability to break the habit but had no influence on chewing gum effects. This study indicated that through consideration of smoking history it should be possible to individualize pharmacological support to smokers wanting to quit, with silver acetate chewing gum most effective for smokers with a low WPY and nicotine chewing gum most effective for smokers with a high WPY.

Acetates↗
PubMedDate not supplied

Gum-chewing stimulates bowel motility after surgery for colorectal cancer.

BACKGROUND/AIMS: During the perioperative period after open colorectal surgery, surgical stress affects changes in the autonomic nervous system of patients. The decreased intestinal motility results in many complaints for patients. To resolve this problem, the usefulness of gum-chewing for improving the motility was examined. METHODOLOGY: Twenty-two patients with colorectal cancer were divided into two groups; gum-chewing and control groups. From after their operation, chewing gum was given to the former group three times a day. RESULTS: The first passage of flatus and stool in the chewing-gum group after operation were 35 and 50 hours, respectively, sooner for the controls. CONCLUSIONS: It was concluded that gum-chewing provides a simple and effective method to improve the postoperative state of patients.

Adult↗
PubMed1993

An in vitro stimulation of the effects of chewing sugar-free and sugar-containing chewing gums on pH changes in dental plaque.

The objective of these studies was to simulate the effect of chewing sugar-free and sucrose-containing chewing gums on the return of the pH to neutrality after exposure to sucrose of plaque located on the buccal (BLM) and lingual (LLM) surfaces of the lower molar teeth. In study 1, a 0.5-mm-deep artificial plaque containing Streptococcus oralis cells was exposed to 10% sucrose for one min, and a 0.1-mm-thick film of sucrose-free artificial saliva was then flowed over the plaque surface at the unstimulated salivary film velocities previously found at the BLM and LLM sites. At the time of the pH minimum (pH 4-5), one of three conditions was simulated: (a) a no-gum-chewing control, or chewing for 20 min on either (b) a sugar-free gum or (c) a sucrose-containing gum. The recovery of the plaque pH to resting values was rapid during simulation of chewing a sugar-free gum (SFG), much slower with the no-gum control, and even slower with simulation of chewing a sucrose-containing gum (SCG). The pH recovery was slower with the BLM than the LLM plaque. In study 2, the BLM plaque was exposed to a 2% sucrose solution for 20 min under stimulated salivary conditions, to simulate the consumption of a meal, followed by one of conditions (a), (b), or (c) described above. The pH recovery with simulation of chewing a SCG was faster than with the no-gum control, but much slower than with the SFG simulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Bicarbonates↗
PubMed1986

Electroencephalographic effects of nicotine chewing gum in humans.

The electroencephalographic (EEG) and subjective effects of nicotine chewing gum (0, 2 and 4 mg) were compared in three tobacco deprived (12 hr) heavy smokers. EEG responses were recorded from F7, F8, T5, and T6 positions before and after the subjects chewed nicotine gum (chew rate = 1 per 2 sec) for 10 min and subsequently analyzed by a computer-based data acquisition and analysis system. Analysis of the chewed gum indicated that the subjects extracted approximately 50 percent of the available nicotine. The nicotine gum increased EEG frequencies in the alpha (7.25-14 Hz) and beta (14.25-25 Hz) bands and decreased theta (4-7) Hz) power. The EEG effects were most evident in the resting subject; the effects of the gum were similar but weaker when the EEG was aroused by a mental arithmetic task. Nicotine gum had EEG stimulant effects like those of inhaled tobacco smoke which were most apparent in the relaxed subject. In spite of this similarity, the subjects did not identify the effects of the gum as being identical to those of cigarettes.

Adult↗
PubMed1988

Serum concentrations and accumulation of silver in skin during three months treatment with an anti-smoking chewing gum containing silver acetate.

Silver acetate chewing gum was used for 12 weeks as a smoking deterrent in 21 adults. The effect of silver on serum concentrations, its accumulation in the skin and the risk of developing clinically evident argyria were investigated. Serum concentrations of silver clearly rose after chewing gum use had started, and concentrations quickly returned to normal after use had ceased. In most cases the number of silver granules in skin biopsies, observed by autometallography, increased after the gum had been used for 12 weeks. No one developed clinical signs of argyria. Silver acetate containing remedies can be used as an aid to stop smoking, but the consumption must be monitored to avoid accumulation of larger amounts of silver in the body.

Acetates↗
PubMed2004

The effects of prolonged gum chewing on salivary flow rate and composition.

OBJECTIVE: To determine the effect of gum chewing for 2 h on salivary flow rate and composition. DESIGN: Five male and five females each collected whole saliva at intervals over a 2 h period on three separate days, prior to which they collected unstimulated saliva for 5 min. For one 2 h session they continued to collect only unstimulated saliva while for the others one tablet of Wrigley's Extra peppermint- or fruit-flavoured (peach) gum was chewed continuously. Flow rates were calculated and the saliva was assayed for pH and for Na, K, Ca, Cl, inorganic P and protein concentrations. The data were subjected to repeated-measures ANOVA and Duncan tests. RESULTS: When only unstimulated saliva was collected, there was no significant change in salivary flow rate over the 2 h. With the chewing gums the flow rate increased initially and then, after 35-40 min, fell to similar plateau values which remained significantly higher than the initial unstimulated flow rate and significantly higher than the flow rate at the corresponding time intervals when only unstimulated saliva was collected. With both gums the salivary pH from 2 min to 2 h was significantly higher than that of unstimulated saliva. The changes in the salivary electrolyte and protein concentrations due to the flow rate increase elicited by the chewing gum were largely as expected from previous studies on parotid and submandibular saliva. CONCLUSION: During prolonged chewing gum use, both salivary flow rates and pH remained significantly above the values for unstimulated saliva.

Adult↗
PubMed1989

Correlation between caries incidence and frequency of chewing gum sweetened with sucrose or xylitol.

The effect on caries incidence of the daily consumption of chewing gum sweetened with sucrose or xylitol was measured in 100 subjects included in the 1-year chewing gum study (Scheinin et al. 1975, Turku sugar Studies XVIII). The subjects were divided retrospectively into groups consuming 2-8 chewing gum pieces per day and their caries incidence was compared. With chewing gum sweetened with sucrose, the caries incidence increased in relation to the daily consumption of gum. In contrast, chewing gum sweetened with xylitol reduced the incidence of caries with increasing consumption.

Adult↗
PubMed1990

Relative bioavailability of (+/-)-verapamil hydrochloride administered in tablets and chewing gum.

The absorption of verapamil administered orally in chewing gum (23.4-29.7 mg) and perorally in tablets (80 mg) to seven healthy volunteers in a study using an open cross-over design, was compared. Following peroral administration the mean +/- SD AUC/D was (5.4 +/- 1.9) x 10(-3) micrograms ml-1 h per microgram dose and after administration of chewing gum (6.6 +/- 2.3) x 10(-3) micrograms ml-1 h per microgram dose (NS). The AUC ratio of verapamil to the metabolite norverapamil was 1.5 after oral and 0.8 after peroral administration, indicating that a part of the verapamil administered in chewing gum was absorbed through the oral mucosa.

Adult↗
PubMed2001

The development of a simple objective test of mastication suitable for older people, using chewing gums.

AIMS: To develop and assess a simple test for evaluating the mastication of visco-elastic foods and prosthodontic success subsequent to treatment of older people. METHOD: The weight lost from chewing gum during mastication tests and the saliva secreted is weighed. The percentage of the original gum weight that is chewed out in a defined number of strokes is termed the Masticatory Effectiveness (ME) MATERIAL: Five edentate and three dentate volunteers were selected to provide a range of dental states and age. Four commercially available chewing gums of different origins and perceived hardness were tested, one without sweetener acted as a control for salivary stimulation. INTERVENTION: Pre-weighed samples of each gum were chewed, each for defined numbers of strokes. The saliva secreted was collected and weighed. The chewed gum was desiccated and the total weight loss of sweeteners chewed out provided an objective measure of chewing performance. RESULTS: Weight loss showed large differences between gums, between subjects and the number of strokes. ME was significantly correlated with salivary secretion rates for two subjects. The interaction between subject and gum was statistically significant, established by an ANOVA model, the value of which is shown for multivariate studies. Differential success between gums of different thickness may provide evaluation of denture stability. CONCLUSIONS: Measuring the weight lost from gums during chewing provides a simple test of masticatory effectiveness of visco-elastic foods. This has particular value both in functional assessment of older people and in physiological research.

Adult↗
PubMed1999

Effect of sucrose on the perceived flavor intensity of chewing gum.

The release of sucrose and menthone from chewing gum was measured in-mouth and in-nose, respectively, during eating. Swabs of saliva were taken from the tongue and analyzed using a rapid, direct liquid-mass spectrometry procedure. Menthone concentration in-nose was monitored on a breath-by-breath basis using direct gas phase atmospheric pressure chemical ionization-mass spectrometry. Simultaneously with the volatile release, trained panelists followed the change in mint flavor by time-intensity (TI) analysis. Two types of commercial chewing gum were analyzed. Both showed that the panelists perception of mint flavor followed sucrose release rather than menthone release. The temporal analysis of the chemical stimuli, with simultaneous TI analysis, provided unequivocal evidence of the perceptual interaction between nonvolatile and volatile flavor compounds from chewing gum.

Breath Tests↗
PubMed1987

Clinical results after 12 months from a study of the incidence and progression of dental caries in relation to consumption of chewing-gum containing xylitol in school preventive programs.

This study was designed to evaluate the effect of chewing-gum containing xylitol on the incidence and the progression of dental caries. A sample of 433 children, aged 8 and 9 years, of low socio-economic status and high caries rate, was divided into two experimental groups (15% or 65% xylitol chewing-gum distributed three times a day at school) and one control group (without chewing-gum). The three groups were exposed to the same basic preventive program. Children who chewed gum had a significantly smaller DMF(S) increment over a 12-month period than did the control group. The former had increments of 1.58 surfaces, compared with 3.28 for the latter. No statistically significant difference, however, was demonstrated between the two experimental groups. The net progression of decay (progressions-reversals) showed a significant difference between the two experimental groups and the control group. In addition, 65% xylitol chewing-gum produced better results than did that containing 15% xylitol, suggesting a dose-response relationship. Chewing xylitol gum had a beneficial effect on the caries process for all types of tooth surfaces, but chewing gum with a higher xylitol content had an additional positive effect on buccolingual surfaces. A questionnaire asking the participants about stomach pain indicated that there was no difference between the experimental and control groups. The feasibility of such a preventive measure has been demonstrated by the excellent level of participation of both children and teachers. This activity could easily be integrated into existing preventive public health programs.

Chewing Gum↗