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Table 3 Characteristics of studies investigating the effects of non-nutritive sweeteners on dental outcomes

From: Health outcomes of non-nutritive sweeteners: analysis of the research landscape

First author, publication year

Study sample (n)

Intervention/Exposure

Control

Outcome

Effect

Interventional studies: randomized controlled trials with parallel-group design

Beiswanger, 1998 [141]

children (1818)

sugar-free chewing gum containing AS and non-AS

no intervention

development of caries/caries prevalence

decreased development of caries

Lopez de Bocanera, 1999 [142]

both adults and children (32)

a solution/drink with AS

sugared solution/drink

salivary or plaque pH

no effect on pH

Interventional studies: randomized controlled trials with cross-over design

Brambilla, 2014 [143]

adults (20)

a solution/drink with stevioside

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Jawale, 2012 [144]

adults (20)

diet soft drink

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Manning, 1993 [145]

adults (10)

sugar-free chewing gum containing AS and non-AS

sugared chewing gum

salivary or plaque pH

less acidogenic (increased) pH

Mendes de Santa, 2014 [146]

adults (9)

a solution/drink with a combination of NNS

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Mentes, 2001 [147]

adults (29)

a solution/drink with AS and non-AS

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Meyerowitz, 1996 [148]

age group not described (14)

a solution/drink with sucralose

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Park, 1993 [149]

age group not described (5)

sugar-free chewing gum containing sucralose/ ace K

another NNS

salivary or plaque pH

no difference in pH

Park, 1995 [150]

adults (8)

sugar-free chewing gum containing AS or non-AS

sugared chewing gum; no intervention

salivary or plaque pH

less acidogenic (increased) pH

Roos, 2002 [151]

children (17)

diet soft drink

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Steinberg, 1995 [152]

age group not described (10)

a solution/drink with sucralose

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Steinberg, 1996 [153]

age group not described (12)

a solution/drink with sucralose

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Zanela, 2002 [154]

children (T: 200)

a solution/drink with stevioside

chlorhexidine gluconate

amount of plaque formed

less effective in decreasing the amount of plaque formed

Interventional studies: non-randomized controlled trials

Mühlemann, 1985 [155]

adults (T:2)

a solution/drink with aspartame

sugared solution/drink

salivary or plaque pH

no effect on pH

Syrrakou, 1993 [156]

age group not described (15)

a solution/drink with sucralose

sugared solution/drink

salivary or plaque pH

less acidogenic (increased) pH

Observational studies: case-control studies

Grenby, 1975 [287]

adults (24)

saccharin instead of sucrose

sugared solution/drink

amount of plaque formed

decreased amount of plaque formed

Observational studies: cross-sectional studies

Serra-Majem, 1993 [288]

age group not described (893)

AS in regular diet

–

development of caries/caries prevalence

decreased development of caries

  1. Abbreviations: AS artificial sweetener, ace K acesulfame potassium, n total number of participants, non-AS a non-sugar sweetener other than NNS (e.g. sugar alcohols)