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ADA Seal Product Report

ICE BREAKERS ICE CUBES Sugar Free Chewing Gum

The Hershey Company
ADA Seal Statement 
"The ADA Council on Scientific Affairs’ Acceptance of ICE BREAKERS ICE CUBES Sugar Free Chewing Gum is based on its finding that the physical action of chewing ICE BREAKERS ICE CUBES Sugar Free Chewing Gum for 20 minutes after eating, stimulates saliva flow, which helps to prevent cavities by reducing plaque acids and strengthening teeth."
Product Image 
Image: ICE BREAKERS ICE CUBES Sugar Free Chewing Gum
Basis for Acceptance 
A company earns the ADA Seal for its product by providing evidence that meets the ADA criteria for safety and efficacy.  The ADA Council on Scientific Affairs carefully evaluates the evidence according to the Guidelines for Participation in the ADA’s Seal of Acceptance Program and any individual product guidelines if they exist.  In addition, the ADA Council has adopted a specific guideline for this product category called Sugar Free Chewing Gums to Help Reduce-Prevent Cavities.  There are two ways a sugar-free chewing gum can demonstrate it meets the ADA Guidelines:

  • through Clinical Studies
  • using Surrogate Tests 
Both are valid for showing product safety and efficacy.  They are described below.

Clinical Studies:  One way sugar free gums that help prevent and reduce cavities can earn the Seal is by being used in clinical studies. The clinical studies compare actual reductions in cavities between two groups of tests subjects.  The first group chewed gum; the second group did not.  In these types of studies, the results need to show that the group chewing the gum developed significantly fewer cavities than the non-chewing group.  Seminal clinical studies were performed by the Wrigley Corporation.1  Those studies demonstrated that children who chewed sugar-free gum for 20 minutes, 3 times a day following meals had significantly fewer cavities than children who did not chew sugar-free gum.

  1  The effect of chewing sugar-free gum after meals on clinical caries incidence. Beiswanger BB, Boneta AE, Mau BS Katz BP, Proskin HM, Stookey GK. JADA 1998; 129:1623-1626.

Effect of After-meal Sucrose-free Gum-chewing on Clinical Caries. Szoke J, Banoczy J, and Proskin HM, (2001) J Dent Res 80(8):1725-1729, 2001.

Surrogate Tests:  Another valid method that can be used to establish efficacy of sugar free gums for helping to reduce decay is surrogate tests. These tests measure surrogates that have been shown to correlate with the development of cavities.  For sugar free gums, these surrogate tests include effect on salivary flow (i.e. how much saliva is produced by chewing gum), effect on salivary pH (i.e. a measure of saliva acidity) and the ability of salvia to remineralize teeth (i.e. make them more resistant to tooth decay).  Well-designed surrogate tests are much quicker and easier to do than clinical studies, but are just as good at showing product effectiveness.  The surrogate tests for Acceptance of sugar free gums are detailed in the ADA Guidelines for Sugar Free Gums to Help Reduce/Prevent Cavities (2010).

Acceptance of ICE BREAKERS ICE CUBES Sugar Free Gum was awarded based on the results of surrogate tests given in the ADA Guidelines for Sugar Free Gums to Help Reduce /Prevent Cavities to earn the ADA Seal of Acceptance.
Brief Description of Product, Indications and Directions for Use 
  • Long lasting flavor
  • Available in Peppermint, Spearmint and Strawberry Smoothie flavors
Ingredients 
Active Ingredients:
N/A

Inactive Ingredients:
Peppermint: Xylitol, gum base, maltitol syrup, mannitol, contains 2% or less of: natural and artificial flavor, soy lecithin, maltodextrin, artificial color (Blue 1 Lake, Blue 1), aspartame*, gum acacia, gelatin, acesulfame potassium, BHT (to maintain freshness), neotame, sucralose----- Spearmint: Xylitol, gum base, maltitol syrup, mannitol, contains 2% or less of: natural and artificial flavor, gum acacia, maltodextrin, soy lecithin, artificial color (Blue 1 Lake, Yellow 5 Lake, Blue 1, Yellow 5), aspartame*, gelatin, acesulfame potassium, neotame, BHT (to maintain freshness), sucralose----- Strawberry Smoothie: Xylitol, gum base, maltitol syrup, mannitol, contains 2% or less of: natural and artificial flavor, artificial color (Red 40 Lake, Red 40), soy lecithin, citric acid, malic acid, gum acacia, aspartame*, acesulfame potassium, gelatin, neotame, BHT (to maintain freshness), sucralose ----- *PHENYLKETONURICS: CONTAINS PHENYLALANINE
Company Information 
Additional information about the product, including whether coupons or promotions are available, is available on the company's web site.
The Hershey Company 100 Crystal A Drive Hershey, PA 17033 Ph: 800-468-1714 www.hersheys.com