Document Detail


In vitro enamel erosion associated with commercially available original-flavor and sour versions of candies.
MedLine Citation:
PMID:  19571054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Exposure to acidic foods and beverages is thought to increase the risk of developing dental erosion. The authors hypothesized that the erosion potential of sour candies was greater than the erosion potential of original-flavor versions of the candies.
METHODS: The authors measured the pH and titratable acidity of candies dissolved in artificial saliva or water. They then measured the lesion depths of enamel surfaces exposed to candy slurries for 25 hours. Statistical analyses included two-sample t tests and Wilcoxon rank-sum tests to identify differences between original-flavor and sour candies, as well as correlations to identify relationships between lesion depths, pH and titratable acidity.
RESULTS: The study results show that lesion depths generally were greater after exposure of enamel to sour candies than they were after exposure of enamel to original-flavor candies, as well as for candies dissolved in water compared with those dissolved in artificial saliva. Lesion depths were negatively associated with the initial slurry pH and positively associated with titratable acidity.
CONCLUSIONS: Both original-flavor and sour versions of candies are potentially erosive, with sour candies being of greater concern. Although saliva might protect against the erosive effects of original-flavor candies, it is much less likely to protect against the erosive effects of sour candies.
CLINICAL IMPLICATIONS: People at risk of developing candy-associated erosion, particularly those with a high intake of candy, pocketing behaviors or decreased salivary flow, should receive preventive guidance regarding candy-consuming habits.
Authors:
Stephanie N Wagoner; Teresa A Marshall; Fang Qian; James S Wefel
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the American Dental Association (1939)     Volume:  140     ISSN:  1943-4723     ISO Abbreviation:  J Am Dent Assoc     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-02     Completed Date:  2009-10-28     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  7503060     Medline TA:  J Am Dent Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  906-13     Citation Subset:  D; IM    
Affiliation:
Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa 52242-1010, USA.
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MeSH Terms
Descriptor/Qualifier:
Acids / adverse effects*,  chemistry
Candy / adverse effects*,  analysis
Dental Enamel Solubility
Humans
Hydrogen-Ion Concentration
Saliva, Artificial / chemistry
Statistics, Nonparametric
Tooth Erosion / chemically induced*
Grant Support
ID/Acronym/Agency:
T32 DE014678-05/DE/NIDCR NIH HHS; T32 DEO14678-05//PHS HHS
Chemical
Reg. No./Substance:
0/Acids; 0/Saliva, Artificial
Comments/Corrections

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