Who doesn’t
fondly remember chewing gum as part of your childhood? When I was
younger, it was a bribe well- earned when my parents found themselves in a
“sticky” situation and needed us kids on our best behavior. Other times
it was about killing time with my best friend on summer days, competing to blow
the biggest bubble, blowing a bubble within a bubble (I can still do that!),
and strategically cutting the bubble out of our hair when the wind blew at just
the wrong moment, making the “bubble inflation event” go awry. Still,
even with all the fun that gum provided, it was also known to be the cause of
cavities, a risk widely accepted if one was going to chew.
Wrigley,
Bazooka, and Dentyne were just a few of the more popular brands of the 60’ and
70’s. Beemans, Black Jack, and Clove were not as well known to me growing
up in the San Francisco Bay Area, but I know many of you can recall your
parents and grandparents sharing these hallmark names in chewing gum.
What they all have in common, however, is a higher level of sugar, which when
chewed, exposes the teeth to a sticky, concentrated amount of sugar for an
extended period…bathing the teeth in this yummy goodness but weakening the
enamel. Multiply that by one or two pieces a day several times a
week, and the result can leave a “sour taste” in our mouth and holes in our
teeth!
In 1964,
Trident introduced sugar-free gum. Its popularity was initially “stuck
under the chair,” but its benefits in preventing tooth decay were soon
unwrapped, and the gum consumer bit into the idea of this sugar-free
craze! Though there are still some who feel chewing gum is as annoying as
that found “stuck on the bottom of your shoe,” medical and dental professionals
have widely accepted several benefits worth chewing on.
Cleansing/Acid
Reduction
Chewing
sugar-free gum helps to cleanse the teeth via mechanical abrasion. The
contact of the gum against the tooth and gum tissue helps to remove biofilm and
plaque from these surfaces. Also, the chewing motion combined with the
stickiness of the gum helps to dislodge food particles from in-between the
teeth and the biting surfaces of the molars. Chewing gum also creates an
increase in salivary flow which helps to dilute and neutralize the damaging
acids that form and weaken enamel. After eating, the bacteria break
down carbohydrates into sugar resulting into byproducts that lower the pH of
the mouth, becoming more acidic. Chewing gum is proven to raise the pH
level to near 7 or higher (A pH of 7 is a neutral chemical state…water is an
example of a solution with a pH7). Calcium can also be introduced
to the teeth via gum, which “helps strengthen the enamel” (ADA), making it not
only more resistant to acid production but also enhances remineralization of
the enamel.
Different
gum boasts various benefits. For example, there are several different
names and recipes of chewing gum under the umbrella name of “Trident.” In
fact, not all Trident is the same!! Trident Xtra Care has an ingredient
called Recaldent, which is calcium, derived from cow’s milk that when delivered
to the tooth becomes incorporated into the enamel and strengthens the tooth
surface. Some gum manufacturers have considered an incorporation of
fluoride into the gum and yet others, including Trident Original, have added
xylitol, a naturally occurring sugar that has proven to help prevent tooth
decay. That said, the ADA states that chewing gum for 20 minutes after
eating results in a decrease in the development of tooth decay.
Xylitol
A naturally
occurring sugar, xylitol can be found in most fruits and vegetables but
extracted from birch wood for medicinal purposes (WebMD).
Used mostly as a sugar substitute, it can be found in chewing gum, candy and
mints. The value of xylitol blows holes in the development of tooth
decay! Streptococcus mutans are bacteria found in the mouth that
are responsible for fermenting sugar into an acid, etching holes into the
enamel and the creation of tooth decay. Considered a “safe
sweetener,” xylitol inhibits the bacteria from developing acid, thereby
reducing cavity production. Also, researchers have also discovered
medicinal benefits of xylitol including the destruction of some bacteria found
in middle ear infections and its safe consumption by diabetics. Xylitol
can be found in less common named gum manufacturers like Epic and Spry.
These brands have a higher level of xylitol, averaging 1 gram per serving which
is proven most helpful in decay prevention. Studies have shown that in
underdeveloped areas and in areas where dental treatment is more difficult to
receive, children chewing gum with xylitol for 5-20 minutes before bed
experienced a significant decrease in the development of tooth decay.
Xerostomia
Dry mouth is
a common side effect of many medications and some cancer treatments.
Having dry mouth can put an individual at a higher risk for tooth decay, and
gum disease as the natural rinsing properties of saliva are limited, leaving
a large sticky population of bacteria on the teeth and gums. Chewing
gum helps to stimulate the saliva ducts producing more saliva and rinsing the
teeth.
Halitosis
Bad breath is
one of the leading concerns of dental patients today. The causes can be
related to a larger population of bacteria and their byproducts spilling over,
or it can be from a food source that was recently ingested. Chewing gum
can help neutralize some of the odor, reduce the bacteria causing some bad
breath and increase digestive activity and reduce a stale digestive
system. Bad breath can be the result of several conditions orally and
digestively and if persistent should be looked into with more detail.
However, for more common conditions that affect breath like food sources and a
higher bacterial population, gum can help alleviate some embarrassing odors until
a toothbrush and floss are available.
Chewing gum
has some valuable medicinal properties as well. Many in the medical
community are realizing the benefits gum has on post-surgical gastro-intestinal
processes, the treatment of nausea and motion sickness and the relationship and
improvement of some cognitive abilities while chewing gum.
So while many
of us have grown up to believe chewing gum was bad for our teeth, today's gum
can be helpful in preventing tooth decay! Not all gum provides equal
benefits, but reading labels, looking for xylitol and staying away from sugar
will minimize any harmful side effects…so grab a stick and have a whale of a
time!
A wad of fun
facts to chew on:
•
Chewing gum dates back more than 9,000 years ago.
•
Ancient Mayans and Aztecs chewed “Chicle” which is extracted from the sapodilla
tree.
•
1850’s John Curtis opened the first chewing gum factory in Portland, Maine.
•
1893 William Wrigley Jr. introduced Juicy Fruit and Spearmint Gum.
•
Wrigley's marketing campaign included free samples and “sending gum to children
on their second birthday.”
•
1928 Competitor employee from Fleer Corporation Walter Diemer developed what is
known as Dubble Bubble.
•
Chewing gum that is swallowed WILL NOT STICK TO YOUR TUMMY FOR 7 YEARS…in fact
it will pass normally.
•
Gum was made from whale blubber??? This is a fun fact I cannot confirm or
deny…though most answers point toward myth…There are a few sources that leave
me chomping at the bit for the truth!
•
I had a patient that was a Chiclets gum tester in 1930’s-1940’s…Introduced in
1900, the name Chiclets was derived from the word “chicle,” the naturally
occurring plant-based “gum.”
julia@randolphnjdentist.com
Seriously? In the beginning of your post the disclaimer says that this is NOT a shock post and is for educational purposes dental disease.
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