ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Energy Drinks Cause Enamel Erosion at Much Higher Degrees Than Other Drink Options
Clinical Question In healthy patients, do carbonated energy drinks cause enamel erosion and dentinal hypersensitivity to a higher degree than other drink options?
Clinical Bottom Line Consuming energy drinks will cause erosion of tooth structure to a much higher degree than other drink options such as water or juices. Dentinal hypersensitivity is a common sequela of enamel erosion.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 19083423Ehlen/2008Healthy extracted human teeth.Laboratory Study
Key resultsThe teeth were placed in different beverages for 25 continuous hours and then removed and examined with a microscope for erosive lesions. The teeth placed in high-energy drinks needed the most amount of base (1 mol/L of KOH) to bring the teeth back to a neutral pH. The depth of root and enamel lesions was higher in sports and energy drinks than in juices and soft drinks.
#2) 23422044Pinto/2013Healthy extracted human teeth placed in 10 groups.Laboratory Study
Key resultsTwo different methods were used to test the energy drinks, a topical application of 5 minutes and a frictional method of brushing the teeth after the 5 minute immersion. The topical application did not show much difference statistically with the control group (water). The frictional application showed big differences between the control group and many of the energy drinks (p<0.05), which caused a high rate of dentin exposure and enamel erosion.
#3) 22623458Jain/2012In-vitro multiple exposure models.Laboratory Study
Key resultsThis study used models to look at the enamel erosion, pH, titratable acidity, and the fluoride levels after being exposed to energy drinks and soft drinks. Five of the energy drinks tested were found to have the highest titratable acidity. This also caused them to dissolve enamel at higher rates than the other drinks, even at a rate two times higher than after exposure to sports drinks.
Evidence Search "energy drinks, "drinks ,"dental enamel ,"dental”AND “erosion”
Comments on
The Evidence
The first two studies were in-vitro studies done on extracted human teeth. The last study, also in-vitro, was done on artificial tooth models that resembled actual tooth structures. All groups were similar at the start with 100% completion rate since they were laboratory studies. There were no competing interests.
Applicability These laboratory studies show that energy drinks do in fact cause enamel erosion, which leads to the detrimental effect of dentinal hypersensitivity. Patients should be advised of the harmful effects that energy drinks could have on their dentition.
Specialty/Discipline (General Dentistry)
Keywords energy drinks, erosion
ID# 2659
Date of submission: 03/03/2014spacer
E-mail Hernandeza19@uthscsa.edu
Author Alisha Hernandez
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Mark L. Littlestar, DDS
Faculty mentor/Co-author e-mail Littlestarm@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
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Comments on the CAT
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