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Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Caries | Research

The economic benefits of increased sugar-free chewing gum in China: a budget impact analysis

Authors: Shuo Du, Chunzi Zhang, Wenhui Wang, Jian Liu, Chao Yuan, Yizhen Yu, Qing Chang, Shanshan Zhang, Yan Si

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

To analyze the potential cost savings in dental care associated with increased sugar-free gum (SFG) use among Chinese teenagers and adults.

Methods

The amount of SFG chewed per year and decayed, missing and filled teeth (DMFT) was collected from a cross-sectional survey to create a dose–response curve assumption. A cost analysis of dental restoration costs was carried out. A budget impact analysis was performed to model the decrease in DMFT and the subsequent cost savings for dental care. Three different scenarios for the increase in the number of SFG were calculated.

Results

The average cost savings per person in the Chinese population due to increasing SFG use ranged from 45.95 RMB (6.94 USD) per year to 67.41 RMB (10.19 USD) per year. It was estimated that 21.51–31.55 billion RMB (3.25–4.77 billion USD) could be saved annually if all SFG chewers among Chinese teenagers and adults chewed SFG regularly.

Conclusion

This study suggests that dental care costs could be significantly reduced if SFG use increased in the Chinese population.
Appendix
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Literature
1.
go back to reference Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A, Murray CJ. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92(7):592–7.CrossRef Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A, Murray CJ. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92(7):592–7.CrossRef
2.
go back to reference Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, Amini S, Arabloo J, Arefi Z, Arora A, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020;99(4):362–73.CrossRef Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, Amini S, Arabloo J, Arefi Z, Arora A, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020;99(4):362–73.CrossRef
3.
go back to reference Petersen PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century–the approach of the WHO global Oral health Programme. Coinmimity Dent Oral Epidemiol. 2003;31(Suppl 1):3–23.CrossRef Petersen PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century–the approach of the WHO global Oral health Programme. Coinmimity Dent Oral Epidemiol. 2003;31(Suppl 1):3–23.CrossRef
4.
go back to reference Listl S, Galloway J, Mossey PA, Marcenes W. Global economic impact of dental diseases. J Dent Res. 2015;94(10):1355–61.CrossRef Listl S, Galloway J, Mossey PA, Marcenes W. Global economic impact of dental diseases. J Dent Res. 2015;94(10):1355–61.CrossRef
5.
go back to reference Cheng ML, Xu MR, Xie YY, Gao XL, Wu HJ, Wang X, Feng XP, Tai BJ, Hu Y, Lin HC, et al. Utilisation of oral health services and economic burden of oral diseases in China. Chin J Dent Res. 2018;21(4):275–84.PubMed Cheng ML, Xu MR, Xie YY, Gao XL, Wu HJ, Wang X, Feng XP, Tai BJ, Hu Y, Lin HC, et al. Utilisation of oral health services and economic burden of oral diseases in China. Chin J Dent Res. 2018;21(4):275–84.PubMed
6.
go back to reference Liu J, Zhang SS, Zheng SG, Xu T, Si Y. Oral health status and oral health care model in China. Chin J Dent Res. 2016;19(4):207–15.PubMed Liu J, Zhang SS, Zheng SG, Xu T, Si Y. Oral health status and oral health care model in China. Chin J Dent Res. 2016;19(4):207–15.PubMed
7.
go back to reference Cheng ML, Si Y: The economic burden and influencing factors of oral diseases in Chinese adults. The 19th National Academic Annual Meeting of Oral Preventive Medicine Professional Committee of Chinese Stomatological Association in 2019 2019. Cheng ML, Si Y: The economic burden and influencing factors of oral diseases in Chinese adults. The 19th National Academic Annual Meeting of Oral Preventive Medicine Professional Committee of Chinese Stomatological Association in 2019 2019.
8.
go back to reference Whelton HP, Spencer AJ, Do LG, Rugg-Gunn AJ. Fluoride revolution and dental caries-evolution of policies for global use. J Dent Res. 2019;98(8):837–46.CrossRef Whelton HP, Spencer AJ, Do LG, Rugg-Gunn AJ. Fluoride revolution and dental caries-evolution of policies for global use. J Dent Res. 2019;98(8):837–46.CrossRef
9.
go back to reference Scientific Opinion on the substantiation of a health claim related to sugar free chewing gum and reduction of tooth demineralisation which reduces the risk of dental caries pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal 2010, 8(10):1775. Scientific Opinion on the substantiation of a health claim related to sugar free chewing gum and reduction of tooth demineralisation which reduces the risk of dental caries pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal 2010, 8(10):1775.
10.
go back to reference Newton JR, Awojobi O, Nasseripour M, Warburton F, Di Giorgio S, Gallagher JE, Banerjee A. A systematic review and meta-analysis of the role of sugar-free chewing gum in dental caries. JDR Clin Transl Res. 2020;6(3):214–23.CrossRef Newton JR, Awojobi O, Nasseripour M, Warburton F, Di Giorgio S, Gallagher JE, Banerjee A. A systematic review and meta-analysis of the role of sugar-free chewing gum in dental caries. JDR Clin Transl Res. 2020;6(3):214–23.CrossRef
11.
go back to reference Mickenautsch S, Leal SC, Yengopal V, Bezerra AC, Cruvinel V. Sugar-free chewing gum and dental caries-a systematic review. J Appl Oral Sci. 2007;15(2):83–8.CrossRef Mickenautsch S, Leal SC, Yengopal V, Bezerra AC, Cruvinel V. Sugar-free chewing gum and dental caries-a systematic review. J Appl Oral Sci. 2007;15(2):83–8.CrossRef
12.
go back to reference John H, Franklin GG, Catherine F. Biological factors in dental caries enamel structure and the caries process in the dynamic process of demineralization and remineralization (part 2). J Pediatr Dentistry. 2004;28(2):119–24. John H, Franklin GG, Catherine F. Biological factors in dental caries enamel structure and the caries process in the dynamic process of demineralization and remineralization (part 2). J Pediatr Dentistry. 2004;28(2):119–24.
13.
go back to reference Santhosh BP, Jethmalani P, Shashibhushan KK, Subba Reddy VV. Effect of casein phosphopeptide-amorphous calcium phosphate containing chewing gum on salivary concentration of calcium and phosphorus: an in-vivo study. J Indian Soc Pedod Prev Dent. 2012;30(2):146–50.CrossRef Santhosh BP, Jethmalani P, Shashibhushan KK, Subba Reddy VV. Effect of casein phosphopeptide-amorphous calcium phosphate containing chewing gum on salivary concentration of calcium and phosphorus: an in-vivo study. J Indian Soc Pedod Prev Dent. 2012;30(2):146–50.CrossRef
14.
go back to reference Abdul P, Saheer, Preetika, Parmar: Effect of sugar-free chewing gum on plaque and gingivitis among 14–15-year-old school children: A randomized controlled trial. Indian journal of dental research:official publication of Indian Society for Dental Research 2019. Abdul P, Saheer, Preetika, Parmar: Effect of sugar-free chewing gum on plaque and gingivitis among 14–15-year-old school children: A randomized controlled trial. Indian journal of dental research:official publication of Indian Society for Dental Research 2019.
15.
go back to reference Furness S, Worthington HV, Bryan G, Birchenough S, McMillan R. Interventions for the management of dry mouth: topical therapies. Cochrane Database Syst Rev. 2011;12:008934. Furness S, Worthington HV, Bryan G, Birchenough S, McMillan R. Interventions for the management of dry mouth: topical therapies. Cochrane Database Syst Rev. 2011;12:008934.
16.
go back to reference Xie YY, Cheng ML, Xu MR, Si Y, Xu T. Cost-effectiveness Analysis of comprehensive oral health care for severe early childhood caries in urban Beijing, China. Chin J Dent Res. 2019;22(1):45–50.PubMed Xie YY, Cheng ML, Xu MR, Si Y, Xu T. Cost-effectiveness Analysis of comprehensive oral health care for severe early childhood caries in urban Beijing, China. Chin J Dent Res. 2019;22(1):45–50.PubMed
17.
go back to reference Rudmik L, Drummond M. Health economic evaluation: important principles and methodology. Laryngoscope. 2013;123(6):1341–7.CrossRef Rudmik L, Drummond M. Health economic evaluation: important principles and methodology. Laryngoscope. 2013;123(6):1341–7.CrossRef
18.
go back to reference Claxton L, Taylor M, Kay E. Oral health promotion-the economic benefits to the NHS of increased use of sugarfree gum in the UK. Br Dent J. 2016;220:121–7.CrossRef Claxton L, Taylor M, Kay E. Oral health promotion-the economic benefits to the NHS of increased use of sugarfree gum in the UK. Br Dent J. 2016;220:121–7.CrossRef
19.
go back to reference Zimmer S, Spyra A, Kreimendahl F, Blaich C, Rychlik R. Elevating the use of sugar-free chewing gum in Germany: cost saving and caries prevention. Acta Odontol Scand. 2018;76(6):407–14.CrossRef Zimmer S, Spyra A, Kreimendahl F, Blaich C, Rychlik R. Elevating the use of sugar-free chewing gum in Germany: cost saving and caries prevention. Acta Odontol Scand. 2018;76(6):407–14.CrossRef
20.
go back to reference Rychlik R, Kreimendahl F, Blaich C. A global approach to assess the economic benefits of increased consumption of sugar-free chewing gum. Am J Dent. 2017;30(2):77–83.PubMed Rychlik R, Kreimendahl F, Blaich C. A global approach to assess the economic benefits of increased consumption of sugar-free chewing gum. Am J Dent. 2017;30(2):77–83.PubMed
21.
go back to reference World Health Organization(WHO): Oral health surveys- basic methods. 5th ed. Geneva 2013, World Health Organization. World Health Organization(WHO): Oral health surveys- basic methods. 5th ed. Geneva 2013, World Health Organization.
22.
go back to reference J M: Tabulation on the population cencus of the People's Republic of China. National Bureau of Statistics 2011. J M: Tabulation on the population cencus of the People's Republic of China. National Bureau of Statistics 2011.
23.
go back to reference Alamoudi NM, HannoA.G., H.J. S, M.I. M, A.S. A, D.A. ED: Impact of Maternal Xylitol Consumption on Mutans Streptococci, Plaque and Caries Levels in Children. The Journal of Pediatric Dentistry 2012, 37(2):163–166. Alamoudi NM, HannoA.G., H.J. S, M.I. M, A.S. A, D.A. ED: Impact of Maternal Xylitol Consumption on Mutans Streptococci, Plaque and Caries Levels in Children. The Journal of Pediatric Dentistry 2012, 37(2):163–166.
24.
go back to reference Alanen P, Isokangas P, Gutmann K. Xylitol candies in caries prevention results of a field study in Estonian children. Community Dent Oral Epidemiol. 2000;28:218–24.CrossRef Alanen P, Isokangas P, Gutmann K. Xylitol candies in caries prevention results of a field study in Estonian children. Community Dent Oral Epidemiol. 2000;28:218–24.CrossRef
25.
go back to reference Beiswanger BB, Boneta AE, Mau MS, Katz BP, Proskin HM, Stookey GK. The effect of chewing sugar-free gum after meals on clinical caries incidence. J Am Dent Assoc. 1998;129(11):1623–6.CrossRef Beiswanger BB, Boneta AE, Mau MS, Katz BP, Proskin HM, Stookey GK. The effect of chewing sugar-free gum after meals on clinical caries incidence. J Am Dent Assoc. 1998;129(11):1623–6.CrossRef
26.
go back to reference Burt BA. The use of sorbitol- and xylitolsweetened chewing gum in caries control. J Am Dental Assoc. 2006;137(2):190–6.CrossRef Burt BA. The use of sorbitol- and xylitolsweetened chewing gum in caries control. J Am Dental Assoc. 2006;137(2):190–6.CrossRef
27.
go back to reference Campus G, Cagetti MG, Sale S, Petruzzi M, Solinas G, Strohmenger L, Lingstrom P. Six months of high-dose xylitol in high-risk caries subjects–a 2-year randomised, clinical trial. Clin Oral Investig. 2013;17(3):785–91.CrossRef Campus G, Cagetti MG, Sale S, Petruzzi M, Solinas G, Strohmenger L, Lingstrom P. Six months of high-dose xylitol in high-risk caries subjects–a 2-year randomised, clinical trial. Clin Oral Investig. 2013;17(3):785–91.CrossRef
28.
go back to reference Deshpande A, Jadad AR. The impact of polyol-containing chewing gums on dental caries: a systematic review of original randomized controlled trials and observational studies. J Am Dent Assoc. 2008;139(12):1602–14.CrossRef Deshpande A, Jadad AR. The impact of polyol-containing chewing gums on dental caries: a systematic review of original randomized controlled trials and observational studies. J Am Dent Assoc. 2008;139(12):1602–14.CrossRef
29.
go back to reference Dos Santos APP, de Oliveira BH, Nadanovsky P. A systematic review of the effects of supervised toothbrushing on caries incidence in children and adolescents. Int J Paediatr Dent. 2018;28(1):3–11.CrossRef Dos Santos APP, de Oliveira BH, Nadanovsky P. A systematic review of the effects of supervised toothbrushing on caries incidence in children and adolescents. Int J Paediatr Dent. 2018;28(1):3–11.CrossRef
30.
go back to reference Machiulskiene V, Nyvad B, Baelum V. Caries preventive effect of sugar-substituted chewing gum. Community Dent Oral Epidemiol. 2001;29:278–88.CrossRef Machiulskiene V, Nyvad B, Baelum V. Caries preventive effect of sugar-substituted chewing gum. Community Dent Oral Epidemiol. 2001;29:278–88.CrossRef
31.
go back to reference Peng B, Petersen PE, Bian Z, Tai B, Jiang H. Can school-based oral health education and a sugar-free chewing gum program improve oral health? Results from a two-year study in PR China. Acta Odontol Scand. 2004;62(6):328–32.CrossRef Peng B, Petersen PE, Bian Z, Tai B, Jiang H. Can school-based oral health education and a sugar-free chewing gum program improve oral health? Results from a two-year study in PR China. Acta Odontol Scand. 2004;62(6):328–32.CrossRef
32.
go back to reference Tao D, Shu C, Lo E, Lu H, Feng X. A randomized trial on the inhibitory effect of chewing gum containing tea polyphenol on caries. J Clin Pediatr Dent. 2013;38(1):67–70.CrossRef Tao D, Shu C, Lo E, Lu H, Feng X. A randomized trial on the inhibitory effect of chewing gum containing tea polyphenol on caries. J Clin Pediatr Dent. 2013;38(1):67–70.CrossRef
33.
go back to reference Mickenautsch S, Yengopal V. Effect of xylitol versus sorbitol: a quantitative systematic review of clinical trials. Int Dent J. 2012;62(4):175–88.CrossRef Mickenautsch S, Yengopal V. Effect of xylitol versus sorbitol: a quantitative systematic review of clinical trials. Int Dent J. 2012;62(4):175–88.CrossRef
34.
go back to reference Riley P, Moore D, Ahmed F, Sharif MO, HV. W: Xylitol-containing products for preventing dental caries in children and adults. Cochrane Database Syst Rev 2015, 26(3):CD010743. Riley P, Moore D, Ahmed F, Sharif MO, HV. W: Xylitol-containing products for preventing dental caries in children and adults. Cochrane Database Syst Rev 2015, 26(3):CD010743.
35.
go back to reference Huan J, Yeke W, Hui L. Investigation on college students’ oral health consciousness and diet habits. Int J Stomatol. 2013;40(1):20–7. Huan J, Yeke W, Hui L. Investigation on college students’ oral health consciousness and diet habits. Int J Stomatol. 2013;40(1):20–7.
36.
go back to reference Shi Z: Marketing strategy research on Gum market of Wrigley Confectionery (China) Company. Anhui University, MA thesis, 2016. [In Chinese] Shi Z: Marketing strategy research on Gum market of Wrigley Confectionery (China) Company. Anhui University, MA thesis, 2016. [In Chinese]
37.
go back to reference Yan JF, Zhang X, Chen HL, Li G, Guo J, Jiang WK, Wang SC. An investigation on the status of oral health behaviors of armymen and cadets. China J Conserv Dent. 2018;28(8):466–70 ([In Chinese]). Yan JF, Zhang X, Chen HL, Li G, Guo J, Jiang WK, Wang SC. An investigation on the status of oral health behaviors of armymen and cadets. China J Conserv Dent. 2018;28(8):466–70 ([In Chinese]).
38.
go back to reference Jiang CZ: Wrigley’S Chewing Gum Products, Market Research and Marketing Strategies——Wenjiang Regional Markets Based on The Findings. Sichuang normal university, MA thesis, 2014. [In Chinese] Jiang CZ: Wrigley’S Chewing Gum Products, Market Research and Marketing Strategies——Wenjiang Regional Markets Based on The Findings. Sichuang normal university, MA thesis, 2014. [In Chinese]
Metadata
Title
The economic benefits of increased sugar-free chewing gum in China: a budget impact analysis
Authors
Shuo Du
Chunzi Zhang
Wenhui Wang
Jian Liu
Chao Yuan
Yizhen Yu
Qing Chang
Shanshan Zhang
Yan Si
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01786-8

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