Acidic beverages increase the risk of in vitro tooth erosion

Abstract

Acidic beverages are thought to increase the potential for dental erosion. We report pH and titratable acidities (i.e., quantity of base required to bring a solution to neutral pH) of beverages popular in the United States and lesion depths in enamel and root surfaces following beverage exposure, and we describe associations among pH, titratable acidity and both enamel and root erosive lesion depths. The pH of 100% juices, regular sodas, diet sodas and sports drinks upon opening, and the titratable acidity both upon opening and after 60 minutes of stirring were measured. Enamel and root surfaces of healthy permanent molars and premolars were exposed to individual beverages (4 enamel and 4 root surfaces per beverage) for 25 hours and erosion was measured. Statistical analyses included twosample t-tests, analyses of variance with post hoc Tukey's studentized range test; and Spearman rank correlation coefficients. All beverages were acidic; the titratable acidity of energy drinks was greater than regular sodas and diet sodas which were greater than 100% juices and sports drinks (P<0.05). Enamel lesion depths following beverage exposures were greatest for Gatorade® followed by Red Bull® and Coke® which were greater than Diet Coke® and 100% apple juice (P <0.05). Root lesion depths were greatest for Gatorade® followed by Red Bull®, Coke®, 100% apple juice and Diet Coke® (P<0.05). Lesion depths were not associated with pH or titratable acidity. Beverages popular in the United States can produce dental erosion.

The Association of Posttraumatic Stress Disorder with Fast Food and Soda Consumption and Unhealthy Weight Loss Behaviors Among Young Women

“…In addition to increasing the risk of weight gain, drinking more sugary soda may be detrimental to the health of women with PTSD, as it increases the risk of developing dental erosion and dental cavities. 10,11 There is evidence that increased consumption of sugary drinks and soda may also contribute to an increased risk of developing diabetes and gout. [12][13][14] Overindulgence in sugary substances, such as soda, has also been linked to an increased risk of developing addiction to other substances, such as alcohol and narcotics.…”

In Vitro assessment of dentin erosion after immersion in acidic beverages: surface profile analysis and energy-dispersive X-ray fluorescence spectrometry study

“…The beverages evaluated in the study were those considered to be most popular in the country (2) and are present in Table 1. All beverages used presented an acid pH, and Coca-Cola had the lowest pH value.…”

“…Erosion is typically progressive and results in the wear of exposed tooth surface, initially the enamel followed by dentin. In Europe and the Middle East, dental erosion is considered as a significant oral disease (2).…”

The Application of the Potentiometric Stripping Analysis to Determine Traces of M(II) Metals (Cu, Zn, Pb and Cd) in Bioinorganic and Similar Materials

“…Most of them contain carbon-dioxide, artificial sweeteners, preservatives and other additives and supplements, which enhance their taste. Frequent and constant consumption of these drinks, as well as of sour-tasting food, can have harmful effects on the mineral structure of teeth (Cairns et al, 2002;Attin et al, 2003;Ehlen et al, 2008). This analysis was carried out with the aim of identifying the effects of consuming sour-tasting food and refreshing drinks on the bone tissue of teeth among teenagers.…”