Comparison of the Erosive Potential of Commercially Available Beverages on Human Enamel: An in vitro Study

Sujal Mitul Parkar, Krupal Thakkar, Abhishek Sharma

Abstract


Objective: To assess and compare the erosive potential of commercially available beverages and to evaluate the relationship between mineral loss and physiochemical properties (pH and titratable acidity) of different beverages. Material and Methods: Seven commercially available beverages [4 soft drinks, 1 chlorhexidine mouthwash and 2 controls (Amul milk and human saliva)] were tested. The pH and tritratable acidity of the beverages was determined. Fifty-six human premolars were sectioned into enamel and root surface (total 112 specimens) by using diamond-cutting machine. The specimens were immersed in each beverage for 24-hour intervals at 370C. The weight loss of the specimens and mineral loss (calcium, phosphorus and fluoride) was determined at pre and post immersion and was subjected to statistical analysis at p<0.05 level of significance. Results: All beverages included in this were acidic. Nimbooz exhibited significant (p<0.05) weight loss compared to all other beverages. Fanta shows significantly (p<0.05) high loss of phosphorus and calcium for enamel and root surface respectively. There was a week correlation with pH and tritratable acidity and loss of minerals. Conclusion: The erosive potential of Fanta and Nimbooz was significant compared to other beverages. However, it must be considered that there are numerous factors, which may influence the erosion rate in the intra oral environment; hence the result of this in vitro study should be applied with caution.


Keywords


Tooth Erosion; Hydrogen-Ion Concentration; Carbonated Beverages

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References


Cairns AM, Watson M, Creanor SL, Foye RH. The pH and titratable acidity of a range of diluting drinks and their potential effect on dental erosion. J Dent 2002; 30(7-8):313-17. doi: 10.1016/S0300-5712(02)00044-1.

Imfeld T. Dental erosion. Definition, classification and links. Eur J Oral Sci 1996; 104(2):151-5. doi: 10.1111/j.1600-0722.1996.tb00063.x.

Seow WK, Thong KM. Erosive effects of common beverages on extracted premolar teeth. Aust Dent J 2005; 50(3):173-8. doi: 10.1111/j.1834-7819.2005.tb00357.x.

Arnadottir IB, Sæmundsson SR, Holbrook WP. Dental erosion in Icelandic teenagers in relation to dietary and lifestyle factors. Acta Odontol Scand 2003; 61(1):25-8.

Meurman JH, ten Cate JM. Pathogenesis and modifying factors of dental erosion. Eur J Oral Sci 1996; 104(2):199-206. doi: 10.1111/j.1600-0722.1996.tb00068.x.

Zero DT. Etiology of dental erosion-extrinsic factors. Eur J Oral Sci 1996; 104(2):162-77. doi: 10.1111/j.1600-0722.1996.tb00065.x.

Lussi A, Jaeggi T, Zero D. The role of diet in the etiology of dental erosion. Caries Res 2004; 38(Suppl 1):34-44. doi: 10.1159/000074360.

Scaramucci T, Hara AT, Zero DT, Ferreira SS, Aoki IV, Sobral MA. In vitro evaluation of the erosive potential of orange juice modified by food additives in enamel and dentine. J Dent 2011; 39(12):841-8. doi: 10.1016/j.jdent.2011.09.004.

Benjakul P, Chuenarrom C. Association of dental enamel loss with the pH and titratable acidity of beverages. J Dent Sci 2011; 6(3):129-33. doi: 10.1016/j.jds.2011.05.001.

Willershausen B, Schulz-Dobrick B. In vitro study on dental erosion provoked by various beverages using electron probe microanalysis. Eur J Med Res 2004; 9(9):432-38.

Rees J, Loyn T, Hunter L, Sadaghiani L, Gilmour A. The erosive potential of some flavoured waters. Eur J Dent 2007; 1(1):5-9.

Hughes JA, West NX, Parker DM, van den Braak MH, Addy M. Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. J Dent 2000; 28 (2):147-52. doi: 10.1016/S0300-5712(99)00060-3.

Davis RE, Marshall TA, Qian F, Warren JJ, Wefel JS. In vitro protection against dental erosion afforded by commercially available, calcium-fortified 100 percent juices. J Am Dent Assoc 2007; 138(12):1593-8. doi: 10.14219/jada.archive.2007.0109.

Hooper SM, Hughes JA, Newcombe RG, Addy M, West NX. A methodology for testing the erosive potential of sports drinks. J Dent 2005; 33(4):343-8. doi: 10.1016/j.jdent.2004.10.002.

Ehlen LA, Marshall TA, Qian F, Wefel JS, Warren JJ. Acidic beverages increase the risk of in vitro tooth erosion. Nutr Res 2008; 28(5):299-03. doi: 10.1016/j.nutres.2008.03.001.

Carr MH, Frank HA. Improved method for determination of calcium and magnesium in biologic fluids by EDTA titration. Am J Clin Pathol 1956; 26(10):1157-62.

Chen PS, Toribara TY, Warner H. Micro-determination of phosphorus. Anal Chem 1956; 28(11):1756-8. doi: 10.1021/ac60119a033.

Sener Y, Botsali MS, Kucukyilmaz E, Tosun G, Altunsoy M. Infuence of soft drinks on dental enamel: An in vitro study. J Pediatr Dent 2013; 1(2):42-5. doi: 10.4103/WKMP-0028.117445.

Pinto SC, Batitucci RG, Pinheiro MC, Zandim DL, Spin-Neto R, Sampaio JE. Effect of an acid diet allied to sonic tooth brushing on root dentin permeability: An in vitro study. Bra Dent J 2010; 21(5):390-95. doi: 10.1590/S0103-64402010000500002.

Attin T, Weiss K, Becker K, Buchalla W, Wiegand A. Impact of modified acidic soft drinks on enamel erosion. Oral Dis 2005; 11(1):7-12. doi: 10.1111/j.1601-0825.2004.01056.x.

Attin T, Koidl U, Buchalla W, Schaller HG, Kielbassa AM, Hellwig E. Correlation of microhardness and wear in differently eroded bovine dental enamel. Arch Oral Biol 1997; 42(3):243-50. doi: 10.1016/0003-9969(06)00073-2.

Lussi A, Jaeggi T, Jaeggi-Scharer S. Prediction of the erosive potential of some beverages. Caries Res 1995; 29(5):349-54. doi: 10.1159/000262091.

Hemingway CA, Parker DM, Addy M, Barbour ME. Erosion of enamel by non-carbonated soft drinks with and without tooth brushing abrasion. Br Dent J 2006; 201(7):447-50. doi: 10.1038/sj.bdj.4814073.

Feldman M, Barnett C. Relationships between the acidity and osmolality of popular beverages and reported postprandial heartburn. Gastroenterology 1995; 108(1):125-31.

Hannig C, Hamkens A, Becker K, Attin R, Attin T. Erosive effects of different acids on bovine enamel: Release of calcium and phosphate in vitro. Arch Oral Biol 2005; 50(6):541-52. doi: 10.1016/j.archoralbio.2004.11.002.

Barbour ME, Finke M, Parker DM, Hughes JA, Allen GC, Addy M. The relationship between enamel softening and erosion caused by soft drinks at a range of temperatures. J Dent 2006; 34(3):207-13. doi: 10.1016/j.jdent.2005.06.002.

Hara AT, Zero DT. Analysis of the erosive potential of calcium containing acidic beverages. Eur J Oral Sci 2008; 116(1):60-5. doi: 10.1111/j.1600-0722.2007.00513.x.

Nekrashevych Y, Stosser L. Protective influence of experimentally formed salivary pellicle on enamel erosion. An in vitro study. Caries Res 2003; 37(3):225-31. doi: 10.1159/000070449.




DOI: http://dx.doi.org/10.4034/PBOCI.2018.181.91

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