Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지

STUDY ON THE PRIMARY TOOTH ENAMEL EROSION CAUSED BY CHILDREN BEVERAGE

어린이 음료수에 의한 유치 법랑질 침식에 대한 연구

  • Shin, Yun-Hye (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Dental Research Institute, Seoul National University)
  • 신윤혜 (서울대학교 치과대학 소아치과학교실) ;
  • 김영재 (서울대학교 치과대학 소아치과학교실 및 치학연구소)
  • Published : 2009.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to examine the acidity of beverages that are sold for children in the market and to estimate by experiment the degree of the enamel erosion of deciduous teeth that is attributed to the beverages. The pH value of children beverages among top sale list in Seoul and Gyeonggi province were measured. And 7 beverages with the pH value of 3.5 or lower were selected. The enamel erosion of deciduous teeth by the children beverages for 1, 5, 10, and 30 minutes respectively was examined. The results were as follows: 1. The acidity of most of the children beverages examined in this study was the pH level of 5.5 or lower that can cause the tooth erosion. 2. The microhardness value of the enamel of deciduous teeth was lower as exposing it to children beverages. The reduction of surface microhardness value was significant from 1 minute after the exposure, and the reduction was continuously observed until 30 minutes has passed. 3. The higher the acidity of beverages, the larger the reduction in microhardness value caused after the exposure of 30 minutes to the beverages. There was no significant relation between the acidity of beverages and the reduction rate of surface microhardness value. The other factors such as calcium, phosphorus, and fluorine or buffering of the beverages may affect the enamel erosion.

본 연구의 목적은 시중 어린이 음료의 산성도를 조사하고, 수 종 어린이 음료에 의한 유치 법랑질 침식정도를 실험적으로 평가하는 것이었다. 서울 시내 및 경기도 지역에서 판매순위가 비교적 높은 수 종의 어린이 음료를 표집하여 pH를 측정하고, 그 중에서도 pH 3.5 이하의 어린이 음료 7개를 선별하였다. 탈락기의 건전한 법랑질 표면을 가진 유치를, 어린이 음료에 1분, 5 분, 10 분, 15 분, 30 분 동안 노출시켜 인공적으로 법랑질 침식을 유도하였을 때 나타나는 양상을 표면미세경도측정법으로 분석하여 다음과 같은 결론을 얻었다. 1. 본 연구에서 조사한 시중 어린이 음료의 대부분은 치아 침식을 유발할 수 있는 산성도인 pH 5.5 이하의 산성도를 갖고 있었다. 2. 어린이 음료에 대한 노출 후의 법랑질 표면미세경도는 대조군에 비해 모든 시료에서 낮아졌다(p<0.05). 노출 후 1 분이 경과되었을 때부터 표면미세경도의 유의한 감소 양상을 보였으며. 30 분이 경과되었을 때까지 표면미세경도의 감소가 계속 관찰되었다(p<0.05). 3. 음료의 산성도가 높을수록, 시편을 30 분간 노출시켰을 때의 표면미세경도가 유의하게 감소했다(p<0.05). 그러나 음료의 산성도와 표면미세경도의 감소정도 사이에 유의한 비례관계는 찾을 수 없었다(p>0.05).

Keywords

References

  1. Mahoney EK, Kilpatrick NM : Dental erosion: part 1. Aetiology and prevalence of dental erosion. N Z Dent J. 99:33-41, 2003.
  2. Shaw L, O Sullivan E : Diagnosis and prevention of dental erosion in children. Int J Paediatr Dent 10:356-365, 2000. https://doi.org/10.1046/j.1365-263x.2000.010004356.x
  3. Imfeld T : Dental erosion. Definition, classification and links. Eur J Oral Sci. 104:151-5, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00063.x
  4. Moss SJ : Dental erosion. Int Dent J. 48:529-39, 1998. https://doi.org/10.1111/j.1875-595X.1998.tb00488.x
  5. Linnett V, Kim Seow W : Dental erosion in children: A literature review. Pediatr Dent 23:36-43, 2001.
  6. Scheutzel P : Etiology of dental erosion-intrinsic factors. Eur J Oral Sci, 104: 178-90, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00066.x
  7. Zero DT : Etiology of dental erosion-extrinsic factors. Eur J Oral Sci, 104:162-77, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00065.x
  8. 최정희 : 시장동향 II- 음료시장 I. 식품세계, 4:90-96, 2003.
  9. Sorvari R, Rytomaa I : Drinks and dental health. Proc Finn Dent Soc, 87: 621-31. 1991.
  10. 한국식품공업협회 보도자료 : 생산량 기준 국민 다소비 식품순위, 2006. (www.kfia.or.kr)
  11. Edwards M, Creanor SL, Foye RH, et al. : Buffering capacities of soft drinks: the potential influence on dental erosion. J Oral Rehabil, 26:923-7, 1999. https://doi.org/10.1046/j.1365-2842.1999.00494.x
  12. Mathew T, Casamassimo PS, Hayes JR : Relationship between sports drinks and dental erosion in 304 university athletes in Columbus, Ohio, USA. Caries Res, 36:281-7, 2002. https://doi.org/10.1159/000063927
  13. Rees J, Loyn T, McAndrew R : The acidic and erosive potential of five sports drinks. Eur J Prosthodont Restor Dent, 13:186-90, 2005.
  14. 안호영, 이광희, 김대업 : 산성 음료에 의한 법랑질의 침식과 인공타액에 의한 재광화. 대한소아치과학회지, 29:84-90, 2002.
  15. 이창윤, 김 신, 정태성 : 오렌지쥬스의 치아 법랑질 침식효과에 대한 연구. 대한소아치과학회지, 31:617-624, 2004.
  16. 심정호, 정태성, 김 신 : 수종 유산균 발효유의 법랑질 침식 효과에 대한 연구. 대한소아치과학회지, 31:555-562, 2004.
  17. 한국소비자보호원 보도자료. 2002. 7. 29. (www.cpb.or.kr)
  18. Asher C, Read MJF : Early enamel erosion in children associated with the excessive consumption of citric acid. Br Dent J, 162:384-387, 1987. https://doi.org/10.1038/sj.bdj.4806141
  19. 한국소비자보호원 보도자료. 2005. 12. 21. (www.cpb.or.kr)
  20. 송주현, 한세현, 장기택 등 : 칫솔질에 의한 레진 표면 강화재의 마모. 대한소아치과학회지, 33:633-641, 2006.
  21. Rytomaa I, Meurman J, Koskinen Jea : In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. Scand J Dent Res, 96: 324-333, 1988.
  22. Gregory-Head B, Curtis D : Erosion caused by gas­troesophageal reflux diagnostic considerations. J Prosthodont, 6:278-285, 1997. https://doi.org/10.1111/j.1532-849X.1997.tb00108.x
  23. 한국소비자보호원 보도자료. 2000. 5. (www.cpb.or.kr)
  24. Featherstone JD : Consensus conference on intraoral models Evaluation techniques. J Dent Res, 71:955-956, 1992.
  25. Larsen MJ, Nyvad B : Enamel erosion by some soft drinks and orange juices relative to their pH, buffer­ing effect and contents of calcium phosphate. Caries Res, 33:81-87, 1999. https://doi.org/10.1159/000016499
  26. Carins AM, Watson M, Creanor SL, et al. : The pH and titratable acidity of a range of diluting drinks and their potential effect on dental erosion. J Dent, 30:313-317, 2002. https://doi.org/10.1016/S0300-5712(02)00044-1
  27. Lussi A, Jaggi T, Scharer S : The influence of different factors on in vitro enamel erosion. Caries Res, 27:387-393. 1993. https://doi.org/10.1159/000261569
  28. Zero D : Etiology of dental erosion - extrinsic factors. Eur J Oral Sci, 104: 162-177, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00065.x
  29. West NX, Hughes JA, Addy M : Erosion of dentine and enamel in vitro by dietary acids the effect of temperature, acid character, concentration and exposure time. J Oral Rehabil, 27:875-880, 2000. https://doi.org/10.1046/j.1365-2842.2000.00583.x
  30. Meurman JH, Frank RM : Scanning electron microscopic study of the effect of salivary pellicle on enamel erosion. Caries Res, 25:1-6, 1991. https://doi.org/10.1159/000261335
  31. Amaechi BT, Higham SM : Eroded enamel lesion remineralization by saliva as a possible factor in the site-specificity of human dental erosion. Arch Oral Biol. 46:697-703, 2001. https://doi.org/10.1016/S0003-9969(01)00034-6
  32. Woltgens J.H.M, Vingergling P, de Blieckhogervorst J. M. A, et al. : Enamel erosion and saliva. Clinical preventive Dent, 7:8-10, 1985.
  33. Tahmassebi JF, Duggal MS : The effect of different methods of drinking on the pH of dental plaque in vivo. Int J Paediatr Dent. 7:249-254. 1997. https://doi.org/10.1046/j.1365-263X.1997.00054.x
  34. Millward A, Shaw L, Smith A, et al. : The distribution and severity of tooth wear and the relationship between erosion and dietary constituents in a group of children. Int J Paediatric Dent, 4: 152-157. 1994.
  35. Nemcovsky CE, Artzi Z : Erosion-abrasion lesions revisited. Compend Contin Educ Dent, 17:416-8, 1996.
  36. Rytomaa I, Meurman JH, Koskinen J, et al. : In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. Scand J Dent Res, 96:324-333, 1988.
  37. Karoiwa M, Kodaka T, Kuroiwa M : Microstructural changes of human enamel surfaces by brushing with and without dentifrice containing abrasive. Caries Res, 27:1-3, 1993.
  38. Vieira A, Overweg E, Ruben JL, et al. : Toothbrush abrasion, simulated tongue friction and attrition of eroded bovine enamel in vitro. J Dent, 34:336-42, 2006. https://doi.org/10.1016/j.jdent.2005.07.010
  39. Sognnaes RF : Dental hard tissue destruction with special reference to idiopathic erosions; in Scognnaes RF(ed) : Mechanisms of Hard Tissue Destruction. Washington, Association of the Advancement of Science, 91-153, 1963.
  40. Attin T : Effect of rinsing with sodium fluoride on brushing abrasion of eroded enamel. Acta Med Dent Helv, 2:165-172, 1997.
  41. David WB, Winter PJ : The effect of abrasion on enamel and dentine after exposure to dietary acid. Br Dent J. 148:253-256, 1980. https://doi.org/10.1038/sj.bdj.4804430
  42. Noack MJ : REM-Untersuchungen an Erosionen der Zahnhartsubstanzen in vivo. Dtsch Zahnarztl Z 44:517-212, 1989.
  43. Attin T, Buchalla W, Gollner M, et al. : Use of variable remineralization periods to improve the abrasion resistance of previously eroded enamel. Caries Res, 34:48-52, 2000. https://doi.org/10.1159/000016569
  44. Attin T, Knofel S, Buchalla W, et al. : In situ evaluation of different remineralization periods to decrease brushing abrasion of demineralized enamel. Caries Res, 35:216-22, 2001. https://doi.org/10.1159/000047459
  45. Jaeggi T. Lussi A : Dental erosion-the problem and some practical solutions. Brit Dent J, 186:115-118, 1998.