Xylitol has been shown to reduce plaque acids, but its topical cariost
atic effect has been equivocal. The purpose of the studies reported he
re was to optimise the xylitol/NaF combination in dentifrices for an i
mproved anticaries activity. In the first study, the combination of 10
per cent xylitol with 1100 ppm F (NaF), 1100 ppm F (NaF), and placebo
dentifrices were tested in a rat caries model to assess the cariostat
ic effect. The combination was significantly more effective than fluor
ide by itself (P=0.05). The xylitol/NaF combination provided significa
ntly more remineralisation of dentine than fluoride by itself. Collect
ively, results of these investigations confirm the improved anticaries
effectiveness of the xylitol/NaF combination in a variety of animal a
nd intra-oral models. A three-year clinical study confirmed these find
ings.