Analysis of Chemical Properties of Fermented Milk Beverages Containing Probiotics and Influence on Enamel Demineralization: An in Vitro Study

Authors

  • Dayse Andrade Romão
  • Ingrid Nazaré Araújo de Oliveira Santos
  • Letícia Ramalho Paes
  • Maria Rakel de Cerqueira Santos
  • Gessica Brito Lima Caju
  • Valdeci Elias dos Santos Júnior
  • Rafaela Andrade de Vasconcelos
  • Raphaela Farias Rodrigues
  • Douglas Ferreira da Silva

Keywords:

Tooth Erosion, Cultured Milk Products, Dental Enamel, Probiotics

Abstract

Objective: To evaluate the properties of fermented milk beverages containing probiotics and their potential demineralization on enamel after consumption. Material and Methods: Seven fermented milks were analyzed by titratable acidity and pH, and five were considered for erosive cycling. The beverages' calcium (Ca) and Phosphorus (P) were measured. For measurement of potential erosive, bovine dental enamel blocks (n=8) were individually treated (2 min - 4x/day for five days) with 1% citric acid solution pH 3.5 (control) and strawberry, grape, traditional, and orange fermented milk beverages. At treatment intervals, the blocks were immersed in artificial saliva (1h). The samples were evaluated by profilometry and scanning electron microscopy (SEM) at the end of cycling. The results were submitted to ANOVA and 5% Tukey tests. Results: For titratable acidity, the traditional flavor had the lowest value, 3.36 ± 0.46mmoles, and the grape flavor had the highest value, 10.7 ± 0.1mmoles. The lowest pH value was the strawberry flavor at 3.61 ± 0.07, and the highest was the orange flavor at 4.10 ± 0.07. The orange flavor showed the highest values of Ca (48.19%) and P (9.69%). The fermented milk beverages promoted surface loss; however, citric acid promoted higher values. Conclusion: Fermented milk is an acidic beverage with variations in inorganic components. Their erosive potential is lower compared with citric acid.

References

Lee ES, Song EJ, Nam Y Do, Lee SY. Probiotics in human health and disease: From nutribiotics to pharmabiotics. J Microbiol 2018; 56(11):773-782. https://doi.org/10.1007/s12275-018-8293-y

Shiby VK, Mishra HN. Fermented milks and milk products as functional foods-A review. Crit Rev Food Sci Nutr 2013; 53(5):482-496. https://doi.org/10.1080/10408398.2010.547398

Seminario-Amez M, López-López J, Estrugo-Devesa A, Ayuso-Montero R, Jané-Salas E. Probiotics and oral health: A systematic review. Med Oral Patol Oral Cir Bucal 2017; 22(3):e282-e288. https://doi.org/10.4317/medoral.21494

Meurman JH, Stamatova I. Probiotics: Contributions to oral health. Oral Dis 2007; 13(5):443-451. https://doi.org/10.1111/j.1601-0825.2007.01386.x

Kok CR, Hutkins R. Yogurt and other fermented foods as sources of health-promoting bacteria. Nutr Rev 2018; 76(Suppl 1):4-15. https://doi.org/10.1093/nutrit/nuy056

Lee YK. What could probiotic do for us? Food Science and Human Wellness 2014; 3(2):47-50. https://doi.org/10.1016/j.fshw.2014.06.001

Ladokun O, Oni S. Fermented milk products from different milk types. Food Nutr Sci 2014; 05(13):1228-1233. https://doi.org/10.4236/fns.2014.513133

Lodi CS, Sassaki KT, Fraiz FC, Delbem ACB, Martinhon CCR. Evaluation of some properties of fermented milk beverages that affect the demineralization of dental enamel. Braz Oral Res 2010; 24(1):95-101. https://doi.org/10.1590/S1806-83242010000100016

Lussi A, Schlueter N, Rakhmatullina E, Ganss C. Dental erosion - An overview with emphasis on chemical and histopathological aspects. Caries Res 2011; 45(Suppl 1):2-12. https://doi.org/10.1159/000325915

Schlueter N, Amaechi T, Bartlett D, Buzalaf MAR, Carvalho TS, Ganss C, et al. Terminology of erosive tooth wear: Consensus Report of a Workshop Organized by the ORCA and the Cariology Research Group of the IADR. Caries Res 2020; 54(1):2-6. https://doi.org/10.1159/000503308

Lodi CS, Manarelli MM, Sassaki KT, Fraiz FC, Delbem ACB, Martinhon CCR. Evaluation of fermented milk containing probiotic on dental enamel and biofilm: In situ study. Arch Oral Biol 2010; 55(1):29-33. https://doi.org/10.1016/j.archoralbio.2009.10.009

Pimentel Lopes De Oliveira GJ, Bomfim Da Silva MA, Chaves De Souza JA, Santos Alves Pereira M, Mendonça Cavalcante A, Limeira Dos Reis JI, et al. The effect of fermented milk on the deciduous enamel in the presence and absence of fluoride: in vitro study. Minerva Stomatol 2013; 62(7-8):289-294.

Jensdottir T, Bardow A, Holbrook P. Properties and modification of soft drinks in relation to their erosive potential in vitro. J Dent 2005; 33(7):569-575. https://doi.org/10.1016/j.jdent.2004.12.002

Scaramucci T, Sobral MAP, Eckert GJ, Zero DT, Hara AT. In situ evaluation of the erosive potential of orange juice modified by food additives. Caries Res 2012; 46(1):55-61. https://doi.org/10.1159/000335572

Hara AT, Zero DT. Analysis of the erosive potential of calcium-containing acidic beverages. Eur J Oral Sci 2008; 116(1):60-65. https://doi.org/10.1111/j.1600-0722.2007.00513.x

García-Burgos M, Moreno-Fernández J, Alférez MJM, Díaz-Castro J, López-Aliaga I. New perspectives on fermented dairy products and their health relevance. J Funct Foods 2020; 72. https://doi.org/10.1016/j.jff.2020.104059

Romão DA, Lima CP de, Lôbo MV, Silva LDR, Nóbrega DF, Santos NB dos. Erosive potential of powdered juice drinks on dental enamel. Gen Dent 2021; 69(1):44-49.

Schlueter N, Luka B. Erosive tooth wear - A review on global prevalence and on its prevalence in risk groups. Br Dent J 2018; 224(5):364-370. https://doi.org/10.1038/sj.bdj.2018.167

Schlueter N, Hara A, Shellis RP, Ganss C. Methods for the measurement and characterization of erosion in enamel and dentine. Caries Res 2011; 45(Suppl 1):13-23. https://doi.org/10.1159/000326819

Young A, Tenuta LMA. Initial erosion models. Caries Res 2011; 45(Suppl 1):33-42. https://doi.org/10.1159/000325943

Barbour ME, Lussi A. Erosion in relation to nutrition and the environment. Monogr Oral Sci 2014; 25:143-154. https://doi.org/10.1159/000359941

Larsen M, NYvad B. Enamel Erosion by some soft drinks and orange juices relative to their ph, buffering effect and contents of calcium phosphate. Caries Res 1999; 33(1):81-87. https://doi.org/10.1159/000016499

Watanabe FMF, Marques C, Farias FO, Ellendersen LN, Masson ML. Yacon-based beverage as non-dairy vehicle for bifidobacterium animalis ssp. Lactis: Stability and in vitro probiotic viability. Biointerface Res Appl Chem 2021; 11(4):11458-11472. https://doi.org/10.33263/BRIAC114.1145811472

Addy M, Shellis R. Interaction between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci 2006; 20:17-31. https://doi.org/10.1159/000093348

Shellis RP, Addy M. The interactions between attrition, abrasion, and erosion in tooth wear. Monogr Oral Sci 2014; 25:32-45. https://doi.org/10.1159/000359936

O’Sullivan E, Curzon M. A comparison of acidic dietary factors in children with and without dental erosion. ASDC J Dent Child 2000; 67(3):186-192.

Zhang Y, Wang X, Li H, Ni C, Du Z, Yan F. Human oral microbiota and its modulation for oral health. Biomed Pharmacother 2018; 99:883-893. https://doi.org/10.1016/j.biopha.2018.01.146

Pørksen CJ, Keller MK, Damholt A, Frederiksen AKS, Ekstrand KR, Markvart M, et al. The effect of a lozenge combining prebiotic arginine and probiotics on caries increment in children during 10–12 months, a randomized clinical trial. J Dent 2023; 135:104599. https://doi.org/10.1016/j.jdent.2023.104599

Invernici MM, Salvador SL, Silva PHF, Soares MSM, Casrin R, Palioto DB, et al. Effects of Bifidobacterium probiotic on the treatment of chronic periodontitis: A randomized clinical trial. J Clin Periodontol 2018; 45(10):1198-1210. https://doi.org/10.1111/jcpe.12995

Farias da Cruz M, Baraúna Magno M, Alves Jural L, Pimentel TC, Masterson Tavares Pereira Ferreira D, Almeida Esmerino E, et al. Probiotics and dairy products in dentistry: A bibliometric and critical review of randomized clinical trials. Food Research International 2022; 157:111228. https://doi.org/10.1016/j.foodres.2022.111228

Nadelman P, Magno MB, Masterson D, da Cruz AG, Maia LC. Are dairy products containing probiotics beneficial for oral health? A systematic review and meta-analysis. Clin Oral Investig 2018; 22(8):2763-2785. https://doi.org/10.1007/s00784-018-2682-9

Saads Carvalho T, Lussi A. Chapter 9: Acidic beverages and foods associated with dental erosion and erosive tooth wear. Monogr Oral Sci 2020; 28:91-98. https://doi.org/10.1159/000455376

Hong D wei, Lin X jiao, Wiegand A, Yu H. Does delayed toothbrushing after the consumption of erosive foodstuffs or beverages decrease erosive tooth wear? A systematic review and meta-analysis. Clin Oral Investig 2020; 24(12):4169-4183. https://doi.org/10.1007/s00784-020-03614-9

Downloads

Published

2024-11-07

How to Cite

Romão, D. A., Santos, I. N. A. de O., Paes, L. R., Santos, M. R. de C., Caju, G. B. L., Santos Júnior, V. E. dos, Vasconcelos, R. A. de, Rodrigues, R. F., & Silva, D. F. da. (2024). Analysis of Chemical Properties of Fermented Milk Beverages Containing Probiotics and Influence on Enamel Demineralization: An in Vitro Study. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 25, e230166. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/3787

Issue

Section

Original Articles