Step 5: Communication

Conclusion: After further discussion with Sophie's family, everyone is in agreement to try the xylitol gum. Several months later, Sophie returns to the clinic for her 7 year old well-child check. She has not had any recurrent episodes of otitis media, but now chews the gum only 3 or 4 times a week. She had no side effects from the gum, but "got tired" of chewing it so much.