Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.727
Index Copernicus  – 166.39
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 6, November-December, p. 1313–1319

doi: 10.17219/acem/62323

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Evaluation of the Erosive Potential of Selected Isotonic Drinks: In Vitro Studies

Aneta Ostrowska1,A,B,C,D,E,F, Witold Szymański2,A,B,C,D, Łukasz Kołodziejczyk2,B,C,D, Elżbieta Bołtacz-Rzepkowska1,C,E,F

1 Department of Conservative Dentistry, Medical University of Lodz, Poland

2 Institute of Materials Science and Engineering, Lodz University of Technology, Polska

Abstract

Background. Isotonic drinks are an important component of the diet of athletes. Sports drinks cause the body to maintain proper hydration and supplement minerals which are lost in sweat during excessive exercising. Aside from the benefits of isotonic drinks, it is important to be aware of the harmful effects of citric acid within the products, which could cause enamel erosion.
Objectives. The aim of the study was to evaluate the erosive potential of sports drinks using confocal scanning laser microscopy (CLSM).
Material and Methods. The studies measured the change of surface roughness of the dental enamel after etching using Isostar, Powerade and Gatorade drinks, and Fortuna orange juice. Measurements were repeated after 1, 2 and 3 h of exposure to the selected liquid. The evaluation of calcium compound contents was carried out using the complexonometric method.
Results. The surface roughness measurements of dental enamel showed that the lowest values of the parameters Ra and Rz were obtained for Isostar and orange juice. The research of the calcium content in the selected beverages showed the highest value in Isostar (320.0 mg/L) and the lowest in Powerade (40.0 mg/L) and Gatorade (21.0 mg/L).
Conclusion. Our study confirms that Isostar is the safest sports drink, among the analyzed beverages, for athletes, because it causes the least erosive changes in dental enamel. It is recommended to supplement beverages to reduce their potential for erosion using calcium compounds.

Key words

dental erosion, athletes, soft drinks, scanning laser confocal microscopy

References (25)

  1. Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and athletic performance. J Am Diet Assoc 2000, 100, 1543–1556.
  2. Jarvinen VK, Rytomaa II, Heinonen OP: Risk factors in dental erosion. J Dent Res 1991, 70, 942–947.
  3. Sirimaharaj V, Brearley Messer L, Morgan MV: Acidic diet and dental erosion among athletes. Aust Dent J 2002, 47, 228–236.
  4. Ostrowska A, Piatowska D: The effect of sports isotonic drinks on the prevalence of erosive lesions in teeth of athletes. Dent Forum 2011, 1, 35–40.
  5. Imfeld T: Dental erosion. Definition, classification and links. Eur J Oral Sci 1996, 104, 151–155.
  6. Cate JM, Imfeld T: Dental erosion, Summary. Eur J Oral Sci 1996, 104, 241–244.
  7. Barlett DW: The role of erosion in tooth wear: Etiology, prevention and management. Int Dent J 2005, 55, 277–284.
  8. Lussi A: Erosive tooth wear: A multifactorial condition of growing concern and increasing knowledge. In: Lussi A (ed.). Dental erosion. From diagnosis to therapy. Monographs in oral science Basel, Karger, Switzerland 2006, 1–8.
  9. Erickson PR, Alevizos DL, Rindelaub DJ: Soft drinks: Hard on teeth. Northwest Dent 2001, 80, 15–19.
  10. Moynihan P: Diet and dental erosion. Nutrition 2002, 18, 780–781.
  11. Lussi A, Jaeggi T, Zero D: The role of diet in the etiology of dental erosion. Caries Res 2004, 20, 223–227.
  12. Ostrowska A, Piatowska D, Boltacz-Rzepkowska E: Evaluation of oral hygiene and dietary habits in athletes in terms of dental erosion. Probl Hig Epidemiol 2013, 94, 253–257.
  13. Ostrowska A, Piatowska D, Boltacz-Rzepkowska E: Investigation of saliva in athletes with regard to exposure to dental erosion. J Stoma 2013, 66, 663–671.
  14. Hall A, Buchanan CA, Millett DT, Creanor SL, Strang R, Foye RH: The effect of saliva on enamel and dentin erosion. J Dent 1999, 27, 333–339.
  15. Hovis DB, Heuer AH: The use of laser scanning confocal microscopy (LSCM) in materials science. J Microsc 2010, 240, 173–180.
  16. Meurman JH, Harkonen M, Naveri H, Koskinen J, Torkko H, Rytomaa I: Experimental sports drinks with minimal dental erosion effect. Scand J Dent Res 1990, 98, 120–128.
  17. Asher C, Read MJ: Early enamel erosion in children associated with the excessive consumption of citric acid. Br Dent J 1987, 162, 384–387.
  18. Owens BM, Kitchens M: The erosive potential of soft drinks on enamel surface substrate: An in vitro scanning electron microscopy investigation. J Contemp Dent Pract 2007, 8, 11–20.
  19. Hooper SM, Hughes JA, Newcombe RG, Addy M, West NX: A methodology for testing the erosive potential of sports drinks. J Dent 2005, 33, 343–348.
  20. Davis RE, Marshall TA, Qian F, Warren JJ, Wefel JS: In vitro protection against dental erosion afforded by commercially available, calcium-fortified 100 percent juices. J Am Dent Assoc 2007, 138, 1593–1598.
  21. Manton DJ, Cai F, Yuan Y, Walker GD, Cochrane NJ, Reynolds C: Effect of casein phosphopeptide-amorphous calcium phosphate added to acidic beverages on enamel erosion in vitro. Aust Dent J 2010, 55, 275–279.
  22. Attin T, Weiss K, Becker K, Buchalla W, Wiegand A: Impact of modified acidic soft drinks on enamel erosion. Oral Dis 2005, 11, 7–12.
  23. Jensdottir T, Bardow A, Holbrook P: Properties and modification of soft drinks in relation to their erosive potential in vitro. J Dent 2005, 33, 569–575.
  24. Wegehaupt F, Günthart N, Sener B, Attin T: Prevention of erosive/abrasive enamel wear due to orange juice modified with dietary supplements. Oral Diseases 2011, 17, 508–514.
  25. Cochrane NJ, Yuan Y, Walker GD, Shen P, Chang C, Reynolds C: Erosive potential of sports beverages. Aust Dent J 2012, 57, 359–364.