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Carbohydrate-electrolyte drinks exhibit risks for human enamel surface loss
Mary Anne Sampaio de Melo, Vanara Florêncio Passos, Juliana Paiva Marques Lima, Sérgio Lima Santiago, Lidiany Karla Azevedo Rodrigues
Restor Dent Endod 2016;41(4):246-254.   Published online August 16, 2016
DOI: https://doi.org/10.5395/rde.2016.41.4.246
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this investigation was to give insights into the impact of carbohydrate-electrolyte drinks on the likely capacity of enamel surface dissolution and the influence of human saliva exposure as a biological protective factor.

Materials and Methods

The pH, titratable acidity (TA) to pH 7.0, and buffer capacity (β) of common beverages ingested by patients under physical activity were analyzed. Then, we randomly distributed 50 specimens of human enamel into 5 groups. Processed and natural coconut water served as controls for testing three carbohydrate-electrolyte drinks. In all specimens, we measured surface microhardness (Knoop hardness numbers) and enamel loss (profilometry, µm) for baseline and after simulated intake cycling exposure model. We also prepared areas of specimens to be exposed to human saliva overnight prior to the simulated intake cycling exposure. The cycles were performed by alternated immersions in beverages and artificial saliva. ANOVA two-way and Tukey HDS tests were used.

Results

The range of pH, TA, and β were 2.85 - 4.81, 8.33 - 46.66 mM/L and 3.48 - 10.25 mM/L × pH, respectively. The highest capacity of enamel surface dissolution was found for commercially available sports drinks for all variables. Single time human saliva exposure failed to significantly promote protective effect for the acidic attack of beverages.

Conclusions

In this study, carbohydrate-electrolyte drinks usually consumed during endurance training may have a greater capacity of dissolution of enamel surface depending on their physicochemical proprieties associated with pH and titratable acidity.

Citations

Citations to this article as recorded by  
  • Evaluation of developmentally hypomineralised enamel after surface pretreatment with Papacarie Duo gel and different etching modes: an in vitro SEM and AFM study
    Y.-L. Lee, K. C. Li, C. K. Y. Yiu, D. H. Boyd, M. Ekambaram
    European Archives of Paediatric Dentistry.2022; 23(1): 117.     CrossRef
  • Is the consumption of beverages and food associated to dental erosion? A cross-sectional study in Portuguese athletes
    M.-R.G. Silva, M.-A. Chetti, H. Neves, M.-C. Manso
    Science & Sports.2021; 36(6): 477.e1.     CrossRef
  • Assessment of surface roughness changes on orthodontic acrylic resin by all-in-one spray disinfectant solutions
    Kuei-ling Hsu, Abdulrahman A. Balhaddad, Isadora Martini Garcia, Fabricio Mezzomo Collares, Louis DePaola, Mary Anne Melo
    Journal of Dental Research, Dental Clinics, Dental Prospects.2020; 14(2): 77.     CrossRef
  • Nitrate-rich beetroot juice offsets salivary acidity following carbohydrate ingestion before and after endurance exercise in healthy male runners
    Mia C. Burleigh, Nicholas Sculthorpe, Fiona L. Henriquez, Chris Easton, Yi-Hung Liao
    PLOS ONE.2020; 15(12): e0243755.     CrossRef
  • Dental erosion’ prevalence and its relation to isotonic drinks in athletes: a systematic review and meta-analysis
    Pedro Henrique Pereira de Queiroz Gonçalves, Ludmila Silva Guimarães, Fellipe Navarro Azevedo de Azeredo, Letícia Maira Wambier, Lívia Azeredo A. Antunes, Leonardo Santos Antunes
    Sport Sciences for Health.2020; 16(2): 207.     CrossRef
  • Atomic force microscopy analysis of enamel nanotopography after interproximal reduction
    Shadi Mohebi, Nazila Ameli
    American Journal of Orthodontics and Dentofacial Orthopedics.2017; 152(3): 295.     CrossRef
  • 1,832 View
  • 14 Download
  • 6 Crossref
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Effect of acidic solutions on the microhardness of dentin and set OrthoMTA and their cytotoxicity on murine macrophage
Soram Oh, Hiran Perinpanayagam, Yoon Lee, Jae-Won Kum, Yeon-Jee Yoo, Sang-Min Lim, Seok Woo Chang, Won-Jun Shon, Woocheol Lee, Seung-Ho Baek, Kee-Yeon Kum
Restor Dent Endod 2016;41(1):12-21.   Published online December 1, 2015
DOI: https://doi.org/10.5395/rde.2016.41.1.12
AbstractAbstract PDFPubReaderePub
Objectives

To evaluate the effects of three acids on the microhardness of set mineral trioxide aggregate (MTA) and root dentin, and cytotoxicity on murine macrophage.

Materials and Methods

OrthoMTA (BioMTA) was mixed and packed into the human root dentin blocks of 1.5 mm diameter and 5 mm height. Four groups, each of ten roots, were exposed to 10% citric acid (CA), 5% glycolic acid (GA), 17% ethylenediaminetetraacetic acid (EDTA), and saline for five minutes after setting of the OrthoMTA. Vickers surface microhardness of set MTA and dentin was measured before and after exposure to solutions, and compared between groups using one-way ANOVA with Tukey test. The microhardness value of each group was analyzed using student t test. Acid-treated OrthoMTA and dentin was examined by scanning electron microscope (SEM). Cell viability of tested solutions was assessed using WST-8 assay and murine macrophage.

Results

Three test solutions reduced microhardness of dentin. 17% EDTA demonstrated severe dentinal erosion, significantly reduced the dentinal microhardness compared to 10% CA (p = 0.034) or 5% GA (p = 0.006). 10% CA or 5% GA significantly reduced the surface microhardness of set MTA compared to 17% EDTA and saline (p < 0.001). Acid-treated OrthoMTA demonstrated microporous structure with destruction of globular crystal. EDTA exhibited significantly more cellular toxicity than the other acidic solutions at diluted concentrations (0.2, 0.5, 1.0%).

Conclusions

Tested acidic solutions reduced microhardness of root dentin. Five minute's application of 10% CA and 5% GA significantly reduced the microhardness of set OrthoMTA with lower cellular cytotoxicity compared to 17% EDTA.

Citations

Citations to this article as recorded by  
  • Impact of calcium hydroxide and 2-hydroxyisocaproic acid on the microhardness of root dentine: an in vitro study
    Nandini T. Niranjan, Protim Ghosh Dastidar, Raghavendra Penukonda, Galvin Sim Siang Lin, Roopa Babannavar, Arun Jaysheel, Harshada Pattar
    Odontology.2024; 112(3): 711.     CrossRef
  • Evaluation of the Effect of Chitosan-Based Irrigation Solutions on the Bond Strength of Mineral Trioxide Aggregate to Bulk-Fill Composite
    Arzu Şahin Mantı, Bağdagül Helvacıoğlu Kıvanç
    Journal of Functional Biomaterials.2024; 15(12): 370.     CrossRef
  • Effect of Various Acid Solutions as an Aid in Removing the OrthoMTA-Based Root Canal Filling
    Naveen Chhabra, Abhishek Parolia
    Materials.2023; 16(13): 4535.     CrossRef
  • Effect of Glycolic Acid, Maleic Acid, and EDTA in the Removal of Smear Layer from Root Canal Dentin
    Tarini Mullick, Nidambur Vasudev Ballal
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2023;[Epub]     CrossRef
  • A comparative evaluation of the effect of various chelating agents on the microhardness of root canal dentin: An in vitro study
    Mineet Kaul, Zinnie Nanda, Kranthikumar Reddy, Rahul Deore, Divya Mandlecha, Esha Jaiswal
    Endodontology.2023; 35(3): 234.     CrossRef
  • Calcium hydroxide and niobium pentoxide treatment effects before MTA placement
    Kolli Sankeerthana, Kittappa Karthikeyan, Sekar Mahalaxmi
    Australian Endodontic Journal.2023; 49(1): 48.     CrossRef
  • Calcium silicate and calcium aluminate cements for dentistry reviewed
    Carolyn Primus, James L. Gutmann, Franklin R. Tay, Anna B. Fuks
    Journal of the American Ceramic Society.2022; 105(3): 1841.     CrossRef
  • Influence of Acidic Environmental Conditions on Push‐Out Bonding Strength of Four Calcium Silicate‐Based Materials to Root Dentin
    Beliz Özel, Raif Erişen, Boonlert Kukiattrakoon
    International Journal of Dentistry.2022;[Epub]     CrossRef
  • The effects of sodium hypochlorite and ethylenediaminetetraacetic acid on the microhardness of Mineral Trioxide Aggregate and TotalFill Bioceramic Putty
    Jacklyn H.R. Chu, Kalie Y. Chia, Alexander L. Qui, Alex Moule, William N. Ha
    Australian Endodontic Journal.2020; 46(1): 33.     CrossRef
  • Pre-application of dentin bonding agent prevents discoloration caused by mineral trioxide aggregate
    Yoo-Lim Choi, Young-Eun Jang, Bom Sahn Kim, Jin-Woo Kim, Yemi Kim
    BMC Oral Health.2020;[Epub]     CrossRef
  • Glycolic acid as the final irrigant in endodontics: Mechanical and cytotoxic effects
    Yuri Dal Bello, Hisadora Fracaro Porsch, Ana Paula Farina, Matheus Albino Souza, Emmanuel João Nogueira Leal Silva, Ana Karina Bedran-Russo, Doglas Cecchin
    Materials Science and Engineering: C.2019; 100: 323.     CrossRef
  • Carbohydrate-electrolyte drinks exhibit risks for human enamel surface loss
    Mary Anne Sampaio de Melo, Vanara Florêncio Passos, Juliana Paiva Marques Lima, Sérgio Lima Santiago, Lidiany Karla Azevedo Rodrigues
    Restorative Dentistry & Endodontics.2016; 41(4): 246.     CrossRef
  • 2,394 View
  • 13 Download
  • 12 Crossref
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