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Not yet recruitingNCT07902323Updated Oct 28, 2026

Effect of Xylitol- Versus Erythritol-Sweetened Mints on Plaque ATP-Bioluminescence Readings

An interventional study of Xylitol and Erythritol in Dental Caries and Dental Plaque, sponsored by Loma Linda University. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Loma Linda University · Not applicable, Interventional, and Prevention

Updated Oct 28, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess the effectiveness of erythritol and xylitol in suppressing biofilm activity, using both within-subject and between-group comparisons.

Read the detailed description

Xylitol and erythritol are sugar alcohols that cariogenic bacteria cannot readily ferment. Most clinical evidence comes from chewing gum; few studies have tested polyol mints in people, and none has compared xylitol and erythritol mints with a real-time measure of plaque activity.

This is a single-center, randomized (1:1), parallel-group, examiner-blinded trial in 80 healthy adults at Loma Linda University School of Dentistry. The randomization sequence is generated in jamovi. The xylitol group takes two Epic Xylitol mints (about 0.25 g xylitol each) twice daily; the erythritol group takes one DC24 Daily Care erythritol mint (about 0.5 g erythritol) twice daily. Both groups receive about 1 g of polyol per day for 7 days.

Participants arrive in the morning without brushing or eating. A trained, calibrated examiner who does not know the group assignment swabs the lingual surfaces of the lower anterior teeth for about 5 seconds, and the CariScreen meter reports a reading from 0 to 9,999 within about 15 seconds. A different, unblinded team member handles randomization and dispenses the mints. Measurements are taken at Visit 1 (baseline) and Visit 2 (after one week). Participants avoid other sugar-alcohol products during the study week. Adverse events are reviewed at Visit 2.

02

Conditions studied

  • Dental Caries
  • Dental Plaque

Keywords

  • Biofilm
  • Sugar
  • xylitol
  • erythritol
03

In context

Dental Caries

1,171 studies on the registry are indexed under Dental Caries; 209 are open to participants now.

This study's planned enrollment of 80 is above the median of 60 across 967 interventional studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

Loma Linda University is the lead sponsor of 306 studies on the registry; 46 are open to participants now.

Of its 29 completed or terminated interventional studies of FDA-regulated products, 23 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subjects are 18 years or older;
  • Subjects who will comply with study protocol;
  • Subjects who can read and understand the consent form;
  • Subjects available during the study period;
  • Subjects have 20 or more natural teeth.

Exclusion criteria

Exclusion Criteria:

  • Allergy or intolerance to study product ingredients;
  • Systemic antibiotic use within the preceding 30 days;
  • Active oral infections;
  • History of systemic diseases.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    Xylitol

    Two Epic Xylitol mints (about 0.25 g xylitol each) dissolved in the mouth twice daily for one week, about 1 g xylitol per day.

    Dietary Supplement: Xylitol

  • Active comparator
    Erythritol

    One DC24 Daily Care erythritol mint (about 0.5 g erythritol) dissolved in the mouth twice daily for one week, about 1 g erythritol per day.

    Dietary Supplement: Erythritol

Interventions

  • Dietary supplementXylitol

    Participants will consume two Epic Xylitol mints (\~0.25 g xylitol each) twice daily for one week

  • Dietary supplementErythritol

    Participants will consume one DC24 erythritol mint (\~0.5 g erythritol) twice daily for one week

06

What researchers measure

Primary outcomes

  1. Biofilm Metabolic Activity Assessment with Xylitol

    Plaque from the lingual surfaces of the lower anterior teeth is swabbed and read immediately with the CariScreen ATP meter (relative light units, 0-9,999; higher = more bacterial metabolic activity). Change = 1 week post-baseline minus baseline, reported within each arm.

    Time frame: Change in biofilm activity between Visit 1 (baseline) and Visit 2 (1 week post-baseline)

  2. Biofilm Metabolic Activity Assessment with Erythritol

    Plaque from the lingual surfaces of the lower anterior teeth is swabbed and read immediately with the CariScreen ATP meter (relative light units, 0-9,999; higher = more bacterial metabolic activity). Change = 1 week post-baseline minus baseline, reported within each arm.

    Time frame: Change in biofilm activity between Visit 1 (baseline) and Visit 2 (1 week post-baseline)

Secondary outcomes

  1. Change in ATP reading by baseline caries risk category

    Change from baseline in CariScreen reading, by American Dental Association (ADA) Caries Risk Assessment category (low, moderate, high).

    Time frame: Change in biofilm activity between Visit 1 (baseline) and Visit 2 (1 week post-baseline) by risk category (low, moderate, high)

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Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Burt BA. The use of sorbitol- and xylitol-sweetened chewing gum in caries control. J Am Dent Assoc. 2006 Feb;137(2):190-6. doi: 10.14219/jada.archive.2006.0144. PubMed 16521385 ↗
  • Soderling E, Pienihakkinen K. Effects of xylitol and erythritol consumption on mutans streptococci and the oral microbiota: a systematic review. Acta Odontol Scand. 2020 Nov;78(8):599-608. doi: 10.1080/00016357.2020.1788721. Epub 2020 Jul 7. PubMed 32633595 ↗
  • Salli KM, Gursoy UK, Soderling EM, Ouwehand AC. Effects of Xylitol and Sucrose Mint Products on Streptococcus mutans Colonization in a Dental Simulator Model. Curr Microbiol. 2017 Oct;74(10):1153-1159. doi: 10.1007/s00284-017-1299-6. Epub 2017 Jul 17. PubMed 28717846 ↗
  • Rechmann P, Chaffee BW, Rechmann BMT, Featherstone JDB. Efficacy of an adenosine triphosphate meter for evaluating caries risk in clinical dental practice. J Am Dent Assoc. 2019 Oct;150(10):873-882. doi: 10.1016/j.adaj.2019.05.025. Epub 2019 Aug 28. PubMed 31472759 ↗
  • Martins ML, Monteiro ASN, Vieira TI, Guimaraes MBCT, de Abreu LCL, Cabral LM, Cavalcanti YW, Maia LC, Fonseca-Goncalves A. Effect of xylitol tablets with and without red propolis on salivary parameters, dental biofilm and sensory acceptability of adolescents: a randomized crossover clinical trial. Biofouling. 2020 Nov;36(10):1182-1195. doi: 10.1080/08927014.2020.1858063. Epub 2020 Dec 17. PubMed 33334195 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Dec 2028, 24 months later.

Of 469 non-industry interventional studies with no phase under Dental Caries, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's planned 24 months is above that.

Counting every sponsor, half of 502 studies reached it within 15 months; a quarter within 7 and three quarters within 29.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2026
First posted
Oct 28, 2026
StartEst.
Dec 1, 2026
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Oct 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

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Registry details

Key details

Study ID
NCT07902323
Responsible party
So Ran Kwon (Program Director of Student Research, Loma Linda University) — Principal investigator
First posted
Oct 28, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 28, 2026

Study contacts

So Ran Kwon, DDS, MS, PhD
Contact
sorankwon@llu.edu
909-558-4621
So Ran Kwon, DDS, MS, PhD
principal investigator · Loma Linda University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Xylitol · Erythritol

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