Synopsis

Source of validity: Scientific
Rating (out of 5): 4

Hydrogenated Starch Hydrolysate (HSH) is a sugar alcohol used as a bulk sweetener in a variety of food products, including those formulated for oral health. Scientific evidence supports its use in products intended to support dental health, primarily because HSH is non-cariogenic, meaning it does not contribute to tooth decay. Unlike sucrose and other fermentable carbohydrates, HSH is not readily metabolized by oral bacteria to produce acids that erode tooth enamel and cause cavities. Multiple studies and reviews, including those from dental health organizations, have found that sugar alcohols like HSH, xylitol, and sorbitol are associated with a lower risk of dental caries when used as sugar substitutes. The American Dental Association and other expert groups recognize the role of non-cariogenic sweeteners in caries prevention.

HSH is commonly found in sugar-free chewing gums, candies, and oral care products. Its ability to provide sweetness without promoting cariogenic bacterial activity is well documented. However, HSH is considered less effective than xylitol in actually preventing caries, as xylitol has additional anti-cariogenic properties. Still, the use of HSH in place of fermentable sugars represents a scientifically supported approach to reducing the risk of dental caries and supporting the overall health of the teeth.

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