수종시판 청량음료가 법랑질 표면에 미치는 영향

The Effect of Acid Beverages Purchased on the Retail Market upon the Surface of Tooth Enamel

  • 안용순 (을지대학교 보건과학대학 치위생학과) ;
  • 김은하 (을지대학교 보건과학대학 치위생학과) ;
  • 민지혜 (을지대학교 보건과학대학 치위생학과) ;
  • 민수지 (을지대학교 보건과학대학 치위생학과) ;
  • 박현숙 (을지대학교 보건과학대학 치위생학과) ;
  • 서시내 (을지대학교 보건과학대학 치위생학과) ;
  • 이선민 (을지대학교 보건과학대학 치위생학과) ;
  • 이지은 (을지대학교 보건과학대학 치위생학과) ;
  • 박미애 (을지대학교 보건과학대학 치위생학과) ;
  • 한금아 (을지대학교 보건과학대학 치위생학과) ;
  • 홍주희 (을지대학교 보건과학대학 치위생학과) ;
  • 임도선 (을지대학교 보건과학대학 치위생학과)
  • Ahn, Yong-Soon (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Kim, Eun-Ha (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Min, Ji-Hye (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Min, Su-Ji (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Park, Hyun-Sook (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Seo, Si-Nae (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Lee, Sun-Min (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Lee, Ji-Eun (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Park, Mi-Ae (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Han, Keum-A (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Hong, Ju-Hee (Department of Dental Hygiene, College of Health Science, Eulji University) ;
  • Lim, Do-Seon (Department of Dental Hygiene, College of Health Science, Eulji University)
  • 투고 : 2010.11.10
  • 심사 : 2010.12.16
  • 발행 : 2010.12.31

초록

본 연구는 건전한 상악 제 3대구치 법랑질을 1군:콜라(pH 2.39), 2군:박카스(pH 2.69), 3군:요구르트(pH 3.49), 4군:오렌지쥬스(pH 3.85), 5군:우유(pH 6.64)에 30분, 60분, 120분간 노출시킨 후 주사전자현미경으로 관찰하여 다음과 같은 결론을 얻었다. 1. 대조군과 우유를 제외한 4종 음료의 pH는 평균 3.105로서 치아 표면의 법랑질 탈회를 유발시키기 충분한 수준이었고, 대부분의 시료에서 탈회 현상을 관찰할 수 있었다. 2. 산성음료에 노출되는 시간에 따른 법랑질 탈회 정도가 다르게 나타났다. 30분 동안 노출된 치아보다 60분, 120분 동안 노출된 치아에서 법랑질 탈회가 심하게 나타났고, 60분과 120분 시료의 차이는 크지 않았다. 3. 칼슘과 인의 함유량이 많은 제품에서는 유사한 pH를 갖는 음료와 비교해 볼 때, 법랑질표면의 탈회 정도가 덜 하였다.

It is well known that most of the beverages on sale contain acid. Among these beverages, one of the most typically purchased products is Coca-Cola ($Coke^{(R)}$), which affects the demineralization of the tooth enamel surface. However other beverages also affect the erosion of the tooth enamel surface. Therefore, the aim of this study was to observe the influence that acid containing beverages have upon the tooth enamel surface. In this study, 30 enamel specimens were obtained from extracted maxillary third molars without cracks. The study measured the pH concentrations and the Ca and P concentration levels of the acidic beverages. The control without exposure was kept in distilled water, and each enamel specimen was stored for 30-min, 60-min, and 120-min. The erosion effect of the enamel surface was observed by SEM. The results obtained from this study can be summarized as follows: 1. The pH concentration of acidic beverages, without milk, was 3.105 on average. The beverages eroded the enamel surface and the erosion degree was determined by the pH concentration of beverages. 2. The erosion degree significantly increased by as the exposure time increased. The difference in the erosion degree between the 30-min group and the 60-min and the 120-min group was significant, but the erosion degree of the 120-min group was significantly less than that of the initial group. 3. When compared with the beverages containing similar pH concentrations, the demineralization degree of the beverages containing higher concentrations of Ca and P was lower.

키워드

참고문헌

  1. Johnson GK, Sivers JE: Attrition, abrasion and erosion: Diangosis and therapy. Clin Prev Dent 9(5): 12-16, 1987.
  2. Ten Bruggen, Cate HJ: Dental erosion in industry. Br J Ind Med 25: 249-266, 1986.
  3. Centerwall BS et al.: Erosion of dental enamel among competitive swimmers at a gas-cholorinated swimming pool. Am J Epidemiol 123: 641-647, 1986. https://doi.org/10.1093/oxfordjournals.aje.a114283
  4. 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
  5. Meurman JH et al.: Salivary pH & glucose after consuming various beverages including sugar-containing drinks. Caries Res 21: 353-359, 1987. https://doi.org/10.1159/000261039
  6. Ryt maa I et al.: In vitro erosion of bovine enamel caused by acidic drinks & other foodstiffs. Scand J Dent Res 96: 226-231, 1988.
  7. Jarvinen VK, Ryt maa I, Heinonen OP: Risk factors in dental erosion. J Dent Res 70: 942-947, 1991. https://doi.org/10.1177/00220345910700060601
  8. Grenby TH et al.: Laboratory studies of the dental properties of soft drinks. Br J Nutr 62(2): 451-464, 1989. https://doi.org/10.1079/BJN19890045
  9. Dincer B, Hazar S, Sen BH: Scanning electron microscope study of the effects of soft drinks on etched and sealed enamel. Am J Orthod Dentofacial Orthop 122(2): 135-141, 2002. https://doi.org/10.1067/mod.2002.124458
  10. Youn HJ et al.: Surface microhardness changes caused by commercial drinks on sound enamel of bovine teeth. J Korean Acad Dent Health 30(1): 23-36, 2006.
  11. Seo DG et al.: Measurement of intra-plaque pH and recovery speed of soft drinks by telemetry. J Korean Acad Dent Health 30(2): 151-162, 2006.
  12. Choi DY, Shin SC: A study on pH of several beverages in Korea. J Korean Acad Dent Health 20: 399-410, 1996.
  13. 한국소비자보호원: 음료의 안전성 실태조사, 서울, 한국소비자 보호원, 2000.
  14. 식품의약품안정청: 식품 및 식품첨가물 생산실적 식품의약품안전청, 서울, 식품의약품안정청, 1998.
  15. 한국소비자보호원: 음료, 주의해서 섭취하지 않으면 치아손상 및 체중증가 우려, 서울, 한국소비자보호원, 2002.
  16. Prietsch JR, de Souza MA, Gomes AS: Unusual dental erosion caused by a cola drink. J Clin Orthod Oct 36(10): 549-552, 2002.
  17. Xhonga FA, Valdmanis S: Geographic comparisons of the incidence of dental erosion: a two centre study. J Oral Rehabil 10: 269-277, 1983. https://doi.org/10.1111/j.1365-2842.1983.tb00121.x
  18. Moss SJ: Dental erosion. Int Dent J 48: 529-539, 1998. https://doi.org/10.1111/j.1875-595X.1998.tb00488.x
  19. Meurman JH, ten Cate JM: Pathogenesis and modifying factors of dental erosion. Eur J Oral Sci 104: 199-206, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00068.x
  20. Levine RS: Fruit juice erosion: An increasing danger? J Dent 2: 85-88, 1974.
  21. 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
  22. Rytomaa I, Meurman J, Koskinea J: In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. Scand J Dent Res 96: 324-333, 1988.
  23. 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
  24. Xhonga FA, Valdmanis S: Geographic comparisons of the incidence of dental erosion: a two centre study. J Oral Rehabilitation 10: 269-277.
  25. Lussi A et al.: Dental erosion in a population of Swiss adults. Community Dent Oral Epidemiol 19: 286-290, 1991. https://doi.org/10.1111/j.1600-0528.1991.tb00169.x
  26. Millward A, Shaw L, Smith A: Dental erosion in four-yearold children from differing so-cioeconomic backgrounds. J Dent Child 61: 263-266, 1994.
  27. Milosevic A, Young PJ, Lennon MA: The prevalence of tooth wear in 14-year-old school children in Liverpool. Comm Dent Health 11: 83-86, 1993.
  28. Johansson AK et al.: Dental erosion, soft-drink intake, and oral health in young Saudi men, and the development of a system for assessing erosive anterior tooth wear. Acta Odontol Scand 54: 369-378, 1996. https://doi.org/10.3109/00016359609003554
  29. 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
  30. Cairns AM et al.: The pH and titravy 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
  31. 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
  32. Attin T et al.: Effect of mineral supplements to critic acid on enamel erosion. Arch Oral Biol 48: 753-759, 2003. https://doi.org/10.1016/S0003-9969(03)00156-0
  33. Meurman JH, Frank RM: Progressive and surface ultrastructure of in vitro caused erosive lesions in human and bovine enamel. Caries Res 25: 81-87, 1991. https://doi.org/10.1159/000261348
  34. Zero DT: 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
  35. Woltgens JHM et al.: Enamel erosion and saliva. Clinical preventive Dent 7: 8-10, 1985.
  36. Merurman JH, Frank RM: Scnning electron microscopic study of the effect of salivary pellicle on enamel erosion. Caries Res 25: 1-6, 1991. https://doi.org/10.1159/000261335
  37. Rytomaa L et al.: In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. Scand J Dent Res 96: 324-333, 1988.
  38. Tahmassebi JF, Duggal MS: The effect of different methods of drinking on the pH of dental plaque in vivo. Int J Paediatric Dent 7: 249-254, 1997.
  39. High AS: An unusual pattern of dental erosion. Br Dent J 143: 403-404, 1977. https://doi.org/10.1038/sj.bdj.4804012
  40. Harrison JL, Roeder LB: Dental erosion caused by cola beverages. Gen Dent 39: 23-24, 1991.
  41. Mackie JC, Hobson P: Case reports: Dental erosion associated with unusual drinking habits in childhood. J Paediatric Dent 2: 89-94, 1986.
  42. Smith AJ, Shaw L: Dental erosion. Br Dent J 178: 207, 1995 https://doi.org/10.1038/sj.bdj.4808710