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Polyakova M, Egiazaryan A, Doroshina V, Zaytsev A, Malashin A, Babina K, Novozhilova N. The Effect of Oral Care Foams and a Spray on Salivary pH Changes after Exposure to Acidic Beverages in Young Adults. Dent J (Basel) 2024; 12:93. [PMID: 38668005 PMCID: PMC11049306 DOI: 10.3390/dj12040093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Revised: 03/29/2024] [Accepted: 04/01/2024] [Indexed: 04/28/2024] Open
Abstract
Soft drinks may have a deleterious effect on dental health due to a high titratable acidity and a low pH that could be sufficient to induce tooth demineralization. The use of oral care products immediately after acidic challenge may diminish the erosive potential of soft drinks. We assessed the effect of oral care foams and a spray on salivary pH changes after exposure to Coca-Cola® in young adults. Thirty-three consenting eligible patients were recruited in this double-blind, randomized, crossover study performed in six visits. Baseline examination included unstimulated salivary flow rate, stimulated salivary buffer capacity, and the simplified oral hygiene index (OHI-S) assessment. Salivary pH and time for pH recovery were registered after exposure to Coca-Cola® alone or that followed by the application of each of the studied products (an oral foam containing hydroxyapatite and probiotics, an oral foam containing amino fluoride, an alkaline oral spray, and tap water). Thirty-two patients completed the entire study protocol and were included in the final analysis. The mean minimum salivary pH and the mean oral clearance rate after rinsing with Coca-Cola® were 6.3 and 27 min, respectively. Further rinsing with any one of the tested solutions, including tap water, resulted in a significant improvement in these parameters. When the pH curves were plotted, the oral care products demonstrated a lower area under the curve that differed significantly from the area under the curve for Coca-Cola®; tap water did not differ significantly from Coca-Cola® and oral care products. Minimum salivary pH correlated positively with salivary buffer capacity and salivation rate, while salivary clearance correlated with OHI-S plaque scores. In conclusion, the effect of oral care foams and a spray on minimum salivary pH and salivary clearance after exposure to Coca-Cola® did not differ significantly among the tested products and tap water. Trial registration NCT06148662. Funding: none.
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Affiliation(s)
- Maria Polyakova
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia; (M.P.); (A.E.); (V.D.); (N.N.)
| | - Anna Egiazaryan
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia; (M.P.); (A.E.); (V.D.); (N.N.)
| | - Vladlena Doroshina
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia; (M.P.); (A.E.); (V.D.); (N.N.)
| | - Alexandr Zaytsev
- Institute of Linguistics and Intercultural Communication, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia;
| | | | - Ksenia Babina
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia; (M.P.); (A.E.); (V.D.); (N.N.)
| | - Nina Novozhilova
- Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia; (M.P.); (A.E.); (V.D.); (N.N.)
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Augusto MG, Scaramucci T, Campos TMB, Aoki IV, Schlueter N, Borges AB. Film-Forming Polymers for Tooth Erosion Prevention. Polymers (Basel) 2022; 14:polym14194225. [PMID: 36236172 PMCID: PMC9573524 DOI: 10.3390/polym14194225] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/20/2022] [Accepted: 09/22/2022] [Indexed: 11/16/2022] Open
Abstract
Different agents have been proposed to prevent the progression of acid induced dental substance losses, which are called erosive tooth wear (ETW), such as fluorides, calcium, and phosphate-based products; however, there is a need for a further increase in efficacy. Recently, the ability of polymers to interact with the tooth surface, forming acid resistant films, has come into the focus of research; nevertheless, there is still the need for a better understanding of their mode of action. Thus, this article provides an overview of the chemical structure of polymers, their mode of action, as well as the effect of their incorporation into oral care products, acid beverages, and antacid formulations, targeting the prevention of ETW. Recent evidence indicates that this may be a promising approach, however, additional studies are needed to confirm their efficacy under more relevant clinical conditions that consider salivary parameters such as flow rate, composition, and clearance. The standardization of methodological procedures such as acid challenge, treatment duration, and combination with fluorides is necessary to allow further comparisons between studies. In conclusion, film-forming polymers may be a promising cost-effective approach to prevent and control erosive demineralization of the dental hard tissue.
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Affiliation(s)
- Marina Gullo Augusto
- Institute of Science and Technology, Department of Restorative Dentistry, São Paulo State University-UNESP, São José dos Campos 12245-000, Brazil
- School of Dentistry, Centro Universitário de Cascavel–UNIVEL, Av. Tito Muffato, 317-Santa Cruz, Cascavel 85806-080, Brazil
| | - Tais Scaramucci
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo-USP, São Paulo 12245-000, Brazil
| | | | - Idalina Vieira Aoki
- Department of Chemical Engineering, Polytechnic School, University of São Paulo-USP, São Paulo 12245-000, Brazil
| | - Nadine Schlueter
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, 30625 Hannover, Germany
| | - Alessandra Bühler Borges
- Institute of Science and Technology, Department of Restorative Dentistry, São Paulo State University-UNESP, São José dos Campos 12245-000, Brazil
- Correspondence: ; Tel.: +55-12-3947-9374
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Velagala D, Reddy VN, Achanta A, Snehika G, Ramavath BN, Mareddy RA. Enamel Erosion: A Possible Preventive Approach by Casein Phosphopeptide Amorphous Calcium Phosphate-An In Vitro Study. Int J Clin Pediatr Dent 2021; 13:486-492. [PMID: 33623334 PMCID: PMC7887166 DOI: 10.5005/jp-journals-10005-1827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Context Several efforts were made in order to alter the compositions of acidic food items concerning their properties to be able to reduce their erosivity potential. The addition of combinations of calcium and phosphate salts to these food products has grabbed great interest. Aim In vitro evaluation of the effect of the addition of 0.2% w/v casein phosphopeptide–amorphous calcium phosphate (CPP–ACP) to four commonly available beverages (of which two were carbonated) on enamel erosion. Materials and methods Sound-extracted human third molar teeth were taken, and enamel sections (n = 270) were made and polished. Acid-resistant nail varnish was painted to create an exposed enamel window of 1 mm2, followed by testing of the four soft drinks and distilled deionized water (DDW). Every drink was evaluated with and without the addition of 0.2% w/v CPP–ACP. The enamel specimens were kept in 50 mL solution at 37°C for 30 minutes, rinsed, and then varnish was removed. All samples were then profiled using white-light profilometer, and erosive depths were recorded. Statistical analysis One-way analysis of variance test and post hoc Tukey test. Results Enamel erosion was created by all the soft drinks tested, but the addition of 0.2% w/v CPP–ACP has remarkably reduced (p value < 0.05) erosive depths in all test solutions compared to solutions without CPP–ACP. The erosive depths for solutions with DDW did not vary much from those with 0.2% CPP–ACP. Conclusion Addition of 0.2% w/v CPP–ACP to the soft drinks has remarkably reduced their erosivity potential. How to cite this article Velagala D, Reddy VN, Achanta A, et al. Enamel Erosion: A Possible Preventive Approach by Casein Phosphopeptide Amorphous Calcium Phosphate—An In Vitro Study. Int J Clin Pediatr Dent 2020;13(5):486–492.
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Affiliation(s)
- Daneswari Velagala
- Department of Pedodontics and Preventive Dentistry, Mamata Dental College, Khammam, Telangana, India
| | - Venugopal N Reddy
- Department of Pedodontics, Mamata Dental College, Khammam, Andhra Pradesh, India
| | - Alekhya Achanta
- Department of Pedodontics, Mamata Dental College, Khammam, Andhra Pradesh, India
| | - Ghanta Snehika
- Department of Pedodontics, Mamata Dental College, Khammam, Andhra Pradesh, India
| | | | - Reddy Ajay Mareddy
- Department of Pedodontics, Mamata Dental College, Khammam, Andhra Pradesh, India
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Manaswini YH, Uloopi KS, Vinay C, Chandrasekhar R, RojaRamya KS. Impact of Calcium Glycerophosphate-supplemented Carbonated Beverages in Reducing Mineral Loss from the Enamel Surface. Int J Clin Pediatr Dent 2020; 13:1-5. [PMID: 32581469 PMCID: PMC7299895 DOI: 10.5005/jp-journals-10005-1705] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Y Hasita Manaswini
- Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - KS Uloopi
- Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - C Vinay
- Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - Rayala Chandrasekhar
- Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - Kakarla Sri RojaRamya
- Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
- Kakarla Sri RojaRamya, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India, Phone: +91 8985774540, e-mail:
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Buzalaf MAR, Magalhães AC, Rios D. Prevention of erosive tooth wear: targeting nutritional and patient-related risks factors. Br Dent J 2018; 224:371-378. [PMID: 29495031 DOI: 10.1038/sj.bdj.2018.173] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2017] [Indexed: 02/07/2023]
Abstract
This article provides an overview of the nutritional and patient-related risk factors involved in the aetiology of erosive tooth wear (ETW) and the preventive strategies to counteract them. The first step is to diagnose clinical signs of ETW and to recognise causal factors. Low pH and high buffer capacity of foods/drinks are the major risk factors, while the calcium concentration is the main protective factor. Reduction of frequency of consumption and contact time of erosive foods/drinks with the teeth, use of straws appropriately positioned and consumption of dairy products are advisable. Oral hygiene has a role in the development of ETW, however, postponing toothbrushing is not clinically advisable. In cases of drug abuse, chronic alcoholism, GERD or bulimia, the patient must be referred to a doctor. Immediately after vomiting, patients might be advised to rinse the mouth. Saliva has an important protective role and patients with reduced salivary flow can benefit from the use of chewing gum. Recent studies have focused on improving the protective capacity of the acquired pellicle as well as on the role of protease inhibitors on dentine erosion. However, the degree of evidence for these preventive measures is low. Clinical trials are necessary before these measures can be recommended.
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Affiliation(s)
- M A R Buzalaf
- Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, Brazil 17,012-901
| | - A C Magalhães
- Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, Brazil 17,012-901
| | - D Rios
- Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, São Paulo, Brazil 17,012-901
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Batista GR, Rocha Gomes Torres C, Sener B, Attin T, Wiegand A. Artificial Saliva Formulations versus Human Saliva Pretreatment in Dental Erosion Experiments. Caries Res 2016; 50:78-86. [PMID: 26870948 DOI: 10.1159/000443188] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 12/04/2015] [Indexed: 11/19/2022] Open
Abstract
The aim of this study was to evaluate the erosion-preventive effect of different artificial saliva formulations and human saliva in vitro compared to human saliva in situ. In the in vitro experiment, bovine enamel and dentin specimens were stored in artificial saliva (4 different formulations, each n = 20), deionized water (n = 20) or human saliva (n = 6 enamel and dentin specimens/volunteer) for 120 min. In the in situ experiment, each of the 6 enamel and dentin specimens was worn intraorally by 10 volunteers for 120 min. The specimens were then eroded (HCl, pH 2.6, 60 s). Half of the specimens were subjected to microhardness analysis (enamel) and the determination of calcium release into the acid (enamel and dentin), while the other half were again placed in the respective medium or worn intraorally, respectively, for 120 min before a second erosion was performed. Knoop microhardness of enamel and the calcium release of enamel and dentin into the acid were again determined. Statistical analysis was conducted by two-way repeated-measures ANOVA or two-way ANOVA (α = 0.05). Enamel microhardness was not significantly different between all test groups after the first and the second erosive challenge, respectively. Enamel calcium loss was significantly lower in situ compared to the in vitro experiment, where there was no significant difference between all test groups. Dentin calcium loss was significantly lower than deionized water only after the first and than all except one artificial saliva after the second erosion. Under the conditions of this experiment, the use of artificial saliva formulations and human saliva in vitro does not reflect the intraoral situation in dental erosion experiments adequately.
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Affiliation(s)
- Graziela Ribeiro Batista
- Department of Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zurich, Switzerland
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Santos LFTF, Torres CRG, Caneppele TMF, Magalhães AC, Borges AB. Effect of home-bleaching gels modified by calcium and/or fluoride and the application of nano-hydroxyapatite paste on in vitro enamel erosion susceptibility. Acta Odontol Scand 2015; 74:121-6. [PMID: 26083582 DOI: 10.3109/00016357.2015.1053150] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE This in vitro study compared the effect of bleaching agents modified by the addition of calcium and/or fluoride and the application of a nano-hydroxyapatite paste after bleaching, on the susceptibility of enamel to erosion. MATERIALS AND METHODS Bovine enamel cylindrical samples (3 mm diameter) were assigned to six groups (n = 20 specimens/group) according to the bleaching agent: no bleaching (C-control), 7.5% hydrogen peroxide gel (HP), HP with 0.5% calcium gluconate (HP+Ca), HP with 0.2% sodium fluoride (HP+F), HP with calcium and fluoride (HP+Ca+F) and HP followed by the application of a nano-hydroxyapatite agent (HP+NanoP). The gels were applied on the enamel surface (1 h) followed by cyclic erosive challenges (Sprite Zero®-2 min), for 14 days. The paste was applied after bleaching for 5 min (HP+NanoP). The enamel surface alteration was measured by contact profilometry (µm) (after 7 and 14 days). RESULTS C-control (mean ± SD: 2.29 ± 0.37 at 7 days/4.86 ± 0.72 at 14 days) showed significantly lower loss compared to the experimental groups. HP+Ca (3.34 ± 0.37/6.75 ± 1.09) and HP+F (4.49 ± 0.92/7.61 ± 0.90) presented significantly lower enamel loss than HP (4.18 ± 0.50/10.30 ± 1.58) only for 14 days and HP+Ca+F (4.92 ± 1.03/8.12 ± 1.52) showed values similar to the HP+F group. The HP+NanoP (5.51 ± 1.04/9.61 ± 1.21) resulted in enamel loss similar to the HP after 14 days. CONCLUSIONS It was found that 7.5% hydrogen peroxide increased the susceptibility of enamel to erosion. The addition of calcium or fluoride to the bleaching gel reduced the erosion effect, while the nano-hydroxyapatite agent did not provide any protective effect.
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Affiliation(s)
| | - Carlos Rocha Gomes Torres
- a 1 Department of Restorative Dentistry, Institute of Science and Technology, Univ Estadual Paulista UNESP , São José dos Campos, SP, Brazil
| | - Taciana Marco Ferraz Caneppele
- a 1 Department of Restorative Dentistry, Institute of Science and Technology, Univ Estadual Paulista UNESP , São José dos Campos, SP, Brazil
| | - Ana Carolina Magalhães
- b 2 Department of Biological Sciences, Bauru School of Dentistry, USP , Bauru, SP, Brazil
| | - Alessandra Buhler Borges
- a 1 Department of Restorative Dentistry, Institute of Science and Technology, Univ Estadual Paulista UNESP , São José dos Campos, SP, Brazil
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Influence of fruit consumption and fluoride application on the prevalence of caries and erosion in vegetarians—a controlled clinical trial. Eur J Clin Nutr 2015; 69:1156-60. [DOI: 10.1038/ejcn.2015.20] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 12/22/2014] [Accepted: 01/05/2015] [Indexed: 12/16/2022]
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Stefański T, Postek-Stefańska L. Possible ways of reducing dental erosive potential of acidic beverages. Aust Dent J 2014; 59:280-8. [PMID: 24912931 DOI: 10.1111/adj.12201] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/31/2013] [Indexed: 11/30/2022]
Abstract
Frequent consumption of acidic beverages is related to excessive tooth wear, namely dental erosion. Preventive measures may involve reduction or elimination of acidic drink consumption. However, the success of this approach is difficult to achieve as it is highly dependent on patient compliance. Therefore, a practical way of minimizing the erosive potential of popular acidic drinks may be their chemical modification. The aim of this article was to review the different methods of modification and their shortcomings. The available literature demonstrates that the erosive potential of most acidic beverages could be reduced. To date, the effectiveness of soluble calcium salts supplementation is the best established. However, modification can reduce the sensorial quality of the drink and shorten its shelf-life. There is also a need to evaluate the lowest effective and safe dose of the additive.
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Affiliation(s)
- T Stefański
- Academic Centre for Dentistry, Bytom, Poland
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Borges AB, Guimaräes CA, Bresciani E, Ramos CJ, Borges ALS, Rocha Gomes Torres C. Effect of incorporation of remineralizing agents into bleaching gels on the microhardness of bovine enamel in situ. J Contemp Dent Pract 2014; 15:195-201. [PMID: 25095843 DOI: 10.5005/jp-journals-10024-1514] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM This study evaluated the effect of adding calcium or fluoride to 35% hydrogen peroxide (HP) bleaching gel and the effect of human saliva on the microhardness of sound and demineralized enamel, using an in situ model. MATERIALS AND METHODS Cylindrical bovine enamel specimens (3 × 2 mm) were divided into two groups (n = 30): sound enamel (SE) and demineralized enamel (DE). Each group was divided into three subgroups, according to the bleaching gel: 35% HP; 35% HP + calcium; 35% HP + fluoride. After bleaching therapy, the specimens were fixed to intraoral devices worn by 10 volunteers for 7 days. Surface enamel microhardness (SMH) was measured before and after bleaching procedures, and after 1 and 7 days of saliva exposure. Data were analyzed by Repeated Measures ANOVA (5%). RESULTS The variable time resulted in significant differences for SE and DE groups (p = 0.001). For SE, significantly lower SMH was detected for control at post-bleaching period in comparison to the baseline and after 7 days. For DE, the lowest mean values were obtained before bleaching, and the addition of calcium to the peroxide significantly increased enamel SMH. The exposure to human saliva resulted in increased SMH. CONCLUSION The addition of potential remineralizing agents into bleaching gels might play an important role in maintaining the microhardness of sound enamel and in inducing remineralization of artificially demineralized enamel right after bleaching, and the remineralizing action of human saliva might minimize the deleterious effects of bleaching gels on enamel. Clinical significance: The incorporation of calcium into HP bleaching gel might be beneficial for the initial phases of the bleaching procedure.
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Affiliation(s)
- Alessandra Bühler Borges
- Assistant Professor, Department of Restorative Dentistry, UNESP-Univ Estadual Paulista, Institute of Science and Technology, Säo José dos Campos, Säo Paulo, Brazil
| | - Carolina Anne Guimaräes
- Graduate Student, Department of Restorative Dentistry, UNESP-Univ Estadual Paulista, Institute of Science and Technology, Säo José dos Campos, Säo Paulo, Brazil
| | - Eduardo Bresciani
- Assistant Professor, Department of Restorative Dentistry, UNESP-Univ Estadual Paulista, Institute of Science and Technology, Säo José dos Campos, Säo Paulo, Brazil
| | - Carolina Judica Ramos
- Adjunct Assistant Professor, Department of Social Dentistry and Pediatric Clinics, UNESP-Univ Estadual Paulista, Institute of Science and Technology Säo José dos Campos, Säo Paulo, Brazil
| | - Alexandre Luiz Souto Borges
- Assistant Professor, Department of Dental Materials and Prosthodontics, UNESP-Univ Estadual Paulista, Institute of Science and Technology Säo José dos Campos, Säo Paulo, Brazil
| | - Carlos Rocha Gomes Torres
- Associate Professor, Department of Restorative Dentistry, UNESP-Univ Estadual Paulista, Institute of Science and Technology, Säo José dos Campos, Säo Paulo, Brazil
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Affiliation(s)
- Xiaojie Wang
- Department of Operative, Preventive and Paediatric Dentistry, University of Bern, Bern, Switzerland
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Barbosa CS, Montagnolli LG, Kato MT, Sampaio FC, Buzalaf MAR. Calcium glycerophosphate supplemented to soft drinks reduces bovine enamel erosion. J Appl Oral Sci 2012; 20:410-3. [PMID: 23032201 PMCID: PMC3881819 DOI: 10.1590/s1678-77572012000400004] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Accepted: 08/25/2011] [Indexed: 05/26/2023] Open
Abstract
Objective This in vitro study evaluated the effect of calcium
glycerophosphate (CaGP) supplemented to soft drinks on bovine enamel erosion. Material and methods Four pH-cycles were performed, alternating demineralization by the beverage and
remineralization in artificial saliva. Results Mean wear (±SD, µm) was 7.91±1.13, 7.39±1.01, 7.50±0.91 and 5.21±1.08 for
Coca-ColaTM without CaGP or containing CaGP at 0.1, 1.0 or 2.0 mM,
respectively, while no wear was detected for CaGP at 5.0 and 10.0 mM.
Corresponding figures for Sprite ZeroTM without CaGP or containing CaGP
at 0.1, 1.0, 2.0, 5.0 or 10.0 mM were 8.04±1.30, 7.84±0.71, 7.47±0.80, 4.96±0.81,
3.99±0.10 and 1.87±0.12, respectively. Conclusion Supplementation of both beverages with CaGP seems to be an alternative to reduce
their erosive potential.
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Scaramucci T, Sobral M, Eckert G, Zero D, Hara A. In situ Evaluation of the Erosive Potential of Orange Juice Modified by Food Additives. Caries Res 2012; 46:55-61. [DOI: 10.1159/000335572] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2011] [Accepted: 12/06/2011] [Indexed: 11/19/2022] Open
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Scaramucci T, Hara AT, Zero DT, Ferreira SS, Aoki IV, Sobral MAP. In vitro evaluation of the erosive potential of orange juice modified by food additives in enamel and dentine. J Dent 2011; 39:841-8. [DOI: 10.1016/j.jdent.2011.09.004] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2011] [Revised: 09/08/2011] [Accepted: 09/09/2011] [Indexed: 10/17/2022] Open
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Barbosa CS, Kato MT, Buzalaf MAR. Effect of supplementation of soft drinks with green tea extract on their erosive potential against dentine. Aust Dent J 2011; 56:317-21. [DOI: 10.1111/j.1834-7819.2011.01338.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Wegehaupt F, Günthart N, Sener B, Attin T. Prevention of erosive/abrasive enamel wear due to orange juice modified with dietary supplements. Oral Dis 2011; 17:508-14. [PMID: 21332600 DOI: 10.1111/j.1601-0825.2011.01797.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the erosive/abrasive enamel wear after contact with orange juices modified with different dietary supplements. METHODS A total of 96 bovine enamel samples were prepared and allocated to eight groups (1-8; n = 12). Samples were eroded (120 s) in 200 ml of the following eight solutions: 1: water (control), 2: orange juice, 3: water + calcium effervescent tablet, 4: orange juice + calcium effervescent tablet, 5: water + 0.75 g acid/base regulating powder (Probase), 6: water + 0.375 g Probase, 7: orange juice + 0.75 g Probase and 8: orange juice + 0.375 g Probase. After erosion, the samples were brushed with 40 brushing strokes (load 2.5 N). Enamel wear was measured using surface profilometry after 20 and 40 cycles of erosion/abrasion respectively. RESULTS Highest mean enamel wear (± SD) after 20 and 40 cycles of erosion/abrasion was observed for the unmodified orange juice (group 2) (0.605 ± 0.240 μm; 1.375 ± 0.496 μm respectively). The enamel wear in all other groups (3-8) was significantly lower (P < 0.0001 respectively) with no significant difference within these groups and compared with water (control). CONCLUSION Erosive/abrasive enamel wear induces by orange juice and tooth brushing could be reduced significantly by modification with free available dietary supplements.
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Affiliation(s)
- Fj Wegehaupt
- Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zürich, Zürich, Switzerland.
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Quantifying and qualifying surface changes on dental hard tissues in vitro. J Dent 2010; 38:182-90. [DOI: 10.1016/j.jdent.2010.01.002] [Citation(s) in RCA: 85] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2009] [Revised: 12/11/2009] [Accepted: 01/06/2010] [Indexed: 11/23/2022] Open
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Magalhães AC, Wiegand A, Rios D, Honório HM, Buzalaf MAR. Insights into preventive measures for dental erosion. J Appl Oral Sci 2009; 17:75-86. [PMID: 19274390 PMCID: PMC4327581 DOI: 10.1590/s1678-77572009000200002] [Citation(s) in RCA: 110] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2008] [Accepted: 09/16/2008] [Indexed: 01/28/2023] Open
Abstract
Dental erosion is defined as the loss of tooth substance by acid exposure not involving bacteria. The etiology of erosion is related to different behavioral, biological and chemical factors. Based on an overview of the current literature, this paper presents a summary of the preventive strategies relevant for patients suffering from dental erosion. Behavioral factors, such as special drinking habits, unhealthy lifestyle factors or occupational acid exposure, might modify the extent of dental erosion. Thus, preventive strategies have to include measures to reduce the frequency and duration of acid exposure as well as adequate oral hygiene measures, as it is known that eroded surfaces are more susceptible to abrasion. Biological factors, such as saliva or acquired pellicle, act protectively against erosive demineralization. Therefore, the production of saliva should be enhanced, especially in patients with hyposalivation or xerostomia. With regard to chemical factors, the modification of acidic solutions with ions, especially calcium, was shown to reduce the demineralization, but the efficacy depends on the other chemical factors, such as the type of acid. To enhance the remineralization of eroded surfaces and to prevent further progression of dental wear, high-concentrated fluoride applications are recommended. Currently, little information is available about the efficacy of other preventive strategies, such as calcium and laser application, as well as the use of matrix metalloproteinase inhibitors. Further studies considering these factors are required. In conclusion, preventive strategies for patients suffering from erosion are mainly obtained from in vitro and in situ studies and include dietary counseling, stimulation of salivary flow, optimization of fluoride regimens, modification of erosive beverages and adequate oral hygiene measures.
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Affiliation(s)
- Ana Carolina Magalhães
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil.
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