Demineralization level of human tooth enamel after exposure to alcoholic and non-alcoholic beverages: A scanning electron microscopic study
DOI:
https://doi.org/10.3329/bsmmuj.v17i1.70826Keywords:
demineralization, human enamel, alcoholic and non-alcoholic beverage, scanning electron microscopeAbstract
Background: In any beverage, human tooth enamel dissociates into its ionic products at a threshold pH of beverage <5.5. This study was done to illustrate and compare the demineralization level of enamel after exposure to alcoholic (beer, wine, distilled spirit) and non-alcoholic (carbonated beverage, apple cider vinegar, commercial fruit juice) beverages.
Methods: Prior to starting this quasi-experimental study of beverage exposure, buccal surface of enamel was scanned under scanning electron microscope to examine the existing score of enamel samples. Twenty-four non-demineralized samples were randomly flushed with attributed beverage and saliva simultaneously for three minutes by a digital automatic flusher. Samples were further scanned under scanning electron microscope after 30 exposures.
Results: pH levels of all beverages were <5.5. After exposure to beverages, all samples were demineralized and 66.6% of samples had the demineralization score of 3. Demineralization score of 2 was observed in 33.3% of samples. The demineralization mean score in non-alcoholic beverages was 3.0 compared to alcoholic beverages 2.3 (P=0.02).
Conclusion: All tested beverages had potential to demineralize the enamel structure. The enamel demineralization capacity of non-alcoholic beverages was higher compared to alcoholic beverages. The demineralization capacity of beverages is inversely proportional to their pH.
Downloads
21
10 HTML
1 Peer Review File
2
References
Mulic A, Skudutyte-Rysstad R, Tveit AB, Skaare AB. Risk indicators for dental erosive wear among 18-yr-old subjects in Oslo, Norway. Eur J Oral Sci. 2012 Dec;120(6):531-538. DOI: https://doi.org/10.1007/s40368-017-0317-5.
Li H, Zou Y, Ding G. Dietary factors associated with dental erosion: a meta-analysis. PLoS One. 2012;7(8):e42626. DOI: https://doi.org/10.1371/journal.pone.0042626.
Habib M, Hottel TL, Hong L. Prevalence and risk factors of dental erosion in American children. J Clin Pediatr Dent. 2013 Winter;38(2):143-148. . DOI: https://doi.org/10.17796/jcpd.38.2.4300111x4321l313.
Swahn MH, Culbreth R, Salazar LF, Tumwesigye NM, Jernigan DH, Kasirye R, Obot IS. The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda. Int J Environ Res Public Health. 2020 Apr 3;17(7):2451. DOI: https://doi.org/10.3390/ijerph15061061.
Hekmatfar S, Piraneh H, Jafari K. Evaluation of the relationship between pH and titrable acidity of five different of iron supplements with the absorption of iron ions in the anterior primary teeth (an in vitro study). Dent Res J (Isfahan). 2018 Sep-Oct;15(5):367-371. DOI: https://doi.org/10.4103/1735-3327.240473.
Zimmer S, Kirchner G, Bizhang M, Benedix M. Influence of various acidic beverages on tooth erosion. Evaluation by a new method. PLoS One. 2015 Jun 2;10(6):e0129462. DOI: https://doi.org/10.1371/journal.pone.0129462.
O'Toole S, Bernabé E, Moazzez R, Bartlett D. Timing of dietary acid intake and erosive tooth wear: A case-control study. J Dent. 2017 Jan;56:99-104. DOI: https://doi.org/10.1016/j.jdent.2016.11.005.
Schlueter N, Amaechi BT, Bartlett D, Buzalaf MAR, Carvalho TS, Ganss C, Hara AT, Huysmans MDNJM, Lussi A, Moazzez R, Vieira AR, West NX, Wiegand A, Young A, Lippert F. 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. DOI: https://doi.org/10.1159/000503308.
Buzalaf MAR, Magalhães AC, Rios D. Prevention of erosive tooth wear: targeting nutritional and patient-related risks factors. Br Dent J. 2018 Mar 9;224(5):371-378. DOI: https://doi.org/10.1038/sj.bdj.2018.173.
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. DOI: https://doi.org/10.1159/000455376.
Matar, Moustafa, Darwish, Sherif, Salma, Rehab S. Erosive potential of some beverages on the enamel surface of primary molars. Journal of Dental and Medical Sciences 2021;20(2):43-46. DOI: https://doi.org/10.9790/0853-2002114346.
Silva JG, Martins JP, de Sousa EB, Fernandes NL, Meira IA, Sampaio FC, de Oliveira AF, Pereira AM. Influence of energy drinks on enamel erosion: In vitro study using different assessment techniques. J Clin Exp Dent. 2021 Nov 1;13(11):e1076-e1082. DOI: https://doi.org/10.4317/jced.57788.
He NX, Bayen S. An overview of chemical contaminants and other undesirable chemicals in alcoholic beverages and strategies for analysis. Compr Rev Food Sci Food Saf. 2020 Nov;19(6):3916-3950. DOI: https://doi.org/10.1111/1541-4337.12649.
Tyl C, Sadler GD. pH and Titratable Acidity. In: Nielsen, S.S. (eds) Food Analysis. Food Science Text Series. Springer, Cham 2017. DOI: https://doi.org/10.1007/978-3-319-45776-5_22.
Dewan G, Chowdhury F. Alcohol Use and Alcohol Use Disorders in Bangladesh. Asia Pacific Journal of Medical 12. Toxicology 2015. DOI: https://doi.org/10.22038/apjmt.2015.5091.
13. Inchingolo AM, Malcangi G, Ferrante L, Del Vecchio G, Viapiano F, Mancini A, Inchingolo F, Inchingolo AD, Di Venere D, Dipalma G, Patano A. Damage from Carbonated Soft Drinks on Enamel: A Systematic Review. Nutrients. 2023 Apr 6;15(7):1785. DOI: https://doi.org/10.3390/nu15071785.
Pachori A, Kambalimath H, Maran S, Niranjan B, Bhambhani G, Malhotra G. Evaluation of Changes in Salivary pH after Intake of Different Eatables and Beverages in Children at Different Time Intervals. Int J Clin Pediatr Dent. 2018 May-Jun;11(3):177-182. DOI: https://doi.org/10.5005/jp-journals-10005-1507.
Silva JG, Martins JP, de Sousa EB, Fernandes NL, Meira IA, Sampaio FC, de Oliveira AF, Pereira AM. Influence of energy drinks on enamel erosion: In vitro study using different assessment techniques. J Clin Exp Dent. 2021 Nov 1;13(11):e1076-e1082. DOI: https://doi.org/10.4317/jced.57788.
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. DOI: https://doi.org/10.1159/000455376.
Melo ESP, Melo E, Arakaki D, Michels F, Nascimento VA. Methodology to Quantify and Screen the Demineralization of Teeth by Immersing Them in Acidic Drinks (Orange Juice, Coca-Cola™, and Grape Juice): Evaluation by ICP OES. Molecules. 2021 Jun 1;26(11):3337. DOI: https://doi.org/10.3390/molecules26113337.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rozina Akter, Mohammad Ali Asgor Moral, AKM Bashar, Md Khalequzzaman, Mir Md. Mofazzal Hossain, Md Helal Uddin
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
