Does xylitol do damage in the long run since it not only kills noxious bacteria but also the normal (beneficial) oral bacteria?
Don’t confuse xylitol with antibacterial mouthwashs (containing Chlorhexidine etc.) which will indeed destroy most all bacteria present for a certain period of time. In contrast, as far as we know, xylitol mostly works against the noxious caries bacteria while apparently leaving other helpful oral bacteria alone. Mother-and-child studies have shown that several months of xylitol use led to a strongly decreased caries risk even years after both mothers and children stopped taking xylitol.
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