J Korean Acad Oral Health.  2017 Sep;41(3):222-227. 10.11149/jkaoh.2017.41.3.222.

Effects of commercial tea beverages containing citric acid on tooth surfaces

Affiliations
  • 1Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry, Seoul, Korea. yspd8050@naver.com

Abstract


OBJECTIVES
The purpose of this study was to evaluate the erosive potential of tea beverages containing citric acid on tooth surfaces.
METHODS
Specimens of extracted bovine teeth enamel were embedded in resin and polished. The specimens were subjected to one of three treatments (n=10 per treatment group): mineral water, brewed black tea, or black tea beverage. Tooth specimens were exposed to the treatment for 30 minutes and then analyzed using Vickers surface hardness testing and scanning electron microscopy.
RESULTS
After 30 minutes of treatment, there were statistically significant differences between the hardness of the enamel pre- and post-treatment in both, the brewed black tea and black tea beverage groups (P<0.05). The differences in microhardness (ΔVHN) were "•71.49±14.99, "•9.05±10.25, and "•2.43±15.44 in the black tea beverage, brewed black tea, and mineral water groups, respectively. In the difference of microhardness (ΔVHN) between groups, the black tea beverage group showed significantly greater changes than the brewed black tea and mineral water groups (P<0.05). However, there was no significant difference between the brewed black tea group and the mineral water group (P>0.05).On observation using a scanning electron microscope, the tooth surfaces exposed to the black tea beverage containing citric acid were rougher than the tooth surfaces in the other two groups.
CONCLUSIONS
This study demonstrates the erosive potential of citric acid-containing tea beverages on tooth surfaces. Thus, there is need to caution people regularly consuming tea beverages containing citric acid, regarding the possibility of tooth surface erosion.

Keyword

Citric acid; Dental erosion; Tea beverage

MeSH Terms

Beverages*
Citric Acid*
Dental Enamel
Hardness
Hardness Tests
Microscopy, Electron, Scanning
Mineral Waters
Tea*
Tooth*
Citric Acid
Mineral Waters
Tea

Figure

  • Fig. 1. SEM images of bovine teeth surface after treatment (A: Mineral water group, B: Brewed black tea group, C: Black tea beverage group, 1: × 10,000, 2: ×50,000).


Reference

References

1. Han DH, Lee UJ, Kim DH, Kim MJ, Hwang SJ, Kim JB. Evaluation of fluoride concentration in tea drink and estimation of daily fluoride intake by tea drink in Korea. J Korean Acad Oral Health. 2010; 34:311–317.
2. Serafini M, Ghiselli A, Ferro-Luzzi A. In vivo antioxidant effect of green and black tea in man. Eur J Clin Nutr. 1996; 50:28–32.
3. MacKenzie T, Leary L, Brooks WB. The effect of an extract of green and black tea on glucose control in adults with type 2 diabetes mellitus: double-blind randomized study. Metabolism. 2007; 56:1340–1344.
Article
4. Matsumoto N, Okushio K, Hara Y. Effect of black tea polyphe-nols on plasma lipids in cholesterol-fed rats. J Nutr Sci Vitaminol. 1998; 44:337–342.
Article
5. Vinson JA, Dabbagh YA. Effect of green and black tea supplementation on lipids, lipid oxidation and fibrinogen in the hamster: mechanisms for the epidemiological benefits of tea drinking. FEBS lett. 1998; 433:44–46.
Article
6. Sakanaka S, Shimura N, Aizawa M, Kim M, Yamamoto T. Preventive effect of green tea polyphenols against dental caries in conventional rats. Biosci Biotech Biochem. 1992; 56:592–594.
Article
7. Ooshima T, Minami T, Aono W, Tamura Y, Hamada S. Reduction of dental plaque deposition in humans by oolong tea extract. Caries Res. 1994; 28:146–149.
Article
8. Eccles JD. Tooth surface loss from abrasion, attrition and erosion. Dental update. 1982; 9:373–381.
9. Mueninghoff LA, Johnson MH. Erosion: a case caused by unusual diet. J Am Dent Assoc. 1982; 104:51–52.
Article
10. Ehlen LA, Marshall TA, Qian F, Wefel JS, Warren JJ. Acidic beverages increase the risk of in vitro tooth erosion. Nutr Res. 2008; 28:299–303.
Article
11. Hunter ML, West NX, Hughes JA, Newcombe RG, Addy M. Erosion of deciduous and permanent dental hard tissue in the oral environment. J Dent. 2000; 28:257–263.
Article
12. West NX, Maxwell A, Hughes JA, Parker DM, Newcombe RG, Addy M. A method to measure clinical erosion: the effect of orange juice consumption on erosion of enamel. J Dent. 1998; 26:329–335.
Article
13. Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. Br Dent J. 2004; 196:283–286.
Article
14. Salas MM, Nascimento GG, Vargas-Ferreira F, Tarquinio SB, Huys-mans MC, Demarco FF. Diet influenced tooth erosion prevalence in children and adolescents: Results of a meta-analysis and meta-regression. J Dent. 2015; 43:865–875.
Article
15. Reddy A, Norris DF, Momeni SS, Waldo B, Ruby JD. The pH of beverages in the United States. J Am Dent Assoc. 2016; 147:255–263.
16. Youn HJ. Surface microhardness changes caused by commercial drinks on sound enamel of bovine teeth [master’s thesis]. Gwangju: Chonnam National University;2006. [Korean].
17. Johansson AK, Lingström P, Imfeld T, Birkhed D. Influence of drinking method on tooth surface pH in relation to dental erosion. Eur J Oral Sci. 2004; 112:484–489.
18. Sánchez GA, Fernandez De Preliasco MV. Salivary pH changes during soft drinks consumption in children. Int J Pediatr Dent. 2003; 13:251–257.
Article
19. Rytömaa II, Meurman JH, Koskinen J, Laakso T, Gharazi L, Turunen R. In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. Scand J Dent Res. 1988; 96:324–333.
20. Hendricks JL, Marshall TA, Harless JD, Hogan MM, Qian F, Wefel JS. Erosive potentials of brewed teas. Am J Dent. 2013; 26:278–282.
21. Kim KS. An experimental study on the effects of soft drinks on plaque pH [master’s thesis]. Seoul: Seoul National University;1993. [Korean].
22. Lee CY, Jung TS, Kim S. A study on the enamel erosion caused by orange juices. J Korean Acad Pediatr Dent. 2004; 31:617–623.
23. West NX, Hughes JA, Addy M. The effect of pH on the erosion of dentine and enamel by dietary acids in vitro. J Oral Rehabil. 2001; 28:860–864.
Article
24. Meurman JH, Härkönen M, Näveri H, Koskinen J, Torkko H, Rytö-maa I, et al. Experimental sports drinks with minimal dental erosion effect. Scand J Dent Res. 1990; 98:120–128.
Article
Full Text Links
  • JKAOH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr