Erosive effects of pediatric liquid medicinal syrups on primary enamel: An in vitro comparative study

Abstract

Context:The use of liquid medicinal syrups in childhood is high owing to the reasons that children suffer from illness quite often. The acidic component in the formulations may cause erosion to the dental tissues.Aims:The aim of this study is to evaluate the erosive potential of pediatric liquid medicinal syrups on the deciduous teeth.Subjects and Methods:A total of sixty extracted/exfoliated noncarious deciduous molars were used. Four medical syrups were used (viz., 1 – artificial saliva [control], 2 – Ferium XT, 3 – Crocin syrup, 4 – Ambrolite-D) and the teeth were equally divided into the four groups (n = 15) for the immersion cycle, following which the teeth were examined for surface microhardness at 7, 14, 21, and 28 days.Statistical Analysis Used:ANOVA and post hoc analysis were applied.Results:The time and immersion media interaction demonstrated that antitussives produced a significant and gradual loss of surface microhardness on all days (viz., 7, 14, 21, and 28 days), but a statistically significant difference was seen only between 7th and 28th day (P < 0.05).Conclusions:The knowledge of the erosive potential of commonly used syrups is mandatory as erosion in children teeth may be associated with dental hypersensitivity, loss of the occlusal vertical dimension, eating difficulties, poor esthetics, pulp exposure, and abscesses. Mouth rinsing with water after taking the medication; addition of calcium, fluoride, or phosphate to formulations; and consumption of the medication at meal times have been recommended to avoid tooth damage that is caused by the regular use of medication.

Evaluation of Change in Microhardness by Application of MI Varnish on Primary Tooth Enamel, Affected by Use of Frequently Prescribed Paediatric Syrups: An In Vitro Study

“…In the current study, it was observed that all of the syrups used caused a significant decrease in the microhardness on all the days with a p value of <0.001 and also there is a difference in the values of microhardness in all the syrups on the same days also. This is in agreement with a study done by Kulkarni et al, where they have concluded that Ferium XT, Crocin syrup, and Ambrolite-D had a significant and gradual loss of surface microhardness on all days (7, 14, 21 and 28 days) [9].…”

An in Vitro Evaluation of Erosive Effect of Some Commonly Prescribed Antibiotics on Primary Enamel Integrity

“…Dental erosion is a chronic and localized pathological chemical process that causes irreparable and progressive loss of hard tooth structure due to acid dissolution without bacterial causes (1,2). It starts with softening of the enamel surface.…”

Nano‐hydroxyapatite preparation for the remineralization of primary tooth enamel surface subjected to liquid medication: An observational study

“…Additionally, their consequent harmful effects on oral structures are exacerbated by their long‐term use, leading to sustained negative outcomes. 2 …”

“…Additionally, their consequent harmful effects on oral structures are exacerbated by their long-term use, leading to sustained negative outcomes. 2 Acid exposure leads to the progressive dissolution of minerals, which results in the loss of dental hard tissues. Therefore, the best way to prevent tooth erosion is to minimize the amount and frequency of contact with acidic syrups and suspensions routinely used by children for medical purposes, thereby increasing acid resistance by the remineralization of the enamel surface.…”

“…The use of antibiotic and analgesic medications in children is unavoidable. Additionally, their consequent harmful effects on oral structures are exacerbated by their long‐term use, leading to sustained negative outcomes 2 …”