Xylitol Alternatives

Hi Dr Ellie, 

Can you advise me please ?

I found 1 kg of xylitol crystals (Sugar) from an online health shop. Can I use that as substitute for Zellies Mints? Also I found Oral-B mouth wash with Sodium Fluoride (0.05%), can I use those 2 in combinations as alternative? And how much xylitol sugar can I intake ? 


Hi N,

Yes and yes! Xylitol crystals can be used in place or together with the Zellies mints. Oral B fluoride rinse will work. It does not matter HOW you eat xylitol you can even swish it around your teeth and spit it out if you really want to! What you need is to GIVE the harmful bacteria in your mouth a chance to absorb about two teaspoons full ( 6.5 grams) regularly each day for at least six months. This regular “dose” will gradually wipe out the harmful bacteria population. The bacteria absorb the xylitol but cannot process it so they use up all their energy and are gone!If you keep eating xylitol for longer than the six months the new “xylitol-resistant” bacteria are tooth-protective ones and do not stick to teeth so plaque stops forming. You can eat way more than the 6.5 grams of xylitol each day up to a quarter pound of the crystals is perfectly safe each day. You can bake with xylitol, make it into cakes or add it to cereal or on fruit etc. During the 1940s they ran out of sugar in Europe and xylitol was used as table sugar for years. It is high fiber, diabetic friendly and has a low glycemic index ( all good things!) ACT will always be my favorite 0.05% sodium fluoride rinse because I KNOW that it works. On the other hand, if you have trouble getting it the Oral B should also work fine. It may not be quite as effective I don’t know for sure. ACT has special ingredients that “coat” the teeth. Make sure you keep the Oral B rinse in your mouth for as long as possible, because it only works when IN CONTACT with YOUR TOOTH SURFACE. Also it is good not to eat or drink for half an hour after using it preferably use last thing before going to bed at night. Good luck and keep me up to date with your progress!

Ellie Phillips DDS

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