Chapter 9: Acidic Beverages and Foods Associated with Dental Erosion and Erosive Tooth Wear.
Level 5 - mechanism / opinion, no new human data
Narrative review and mechanistic overview without primary human data or systematic synthesis methodology in this chapter
PubMed 31940633 · doi:10.1159/000455376
What was done
This narrative review synthesized the chemical and physical determinants of dental erosion and erosive tooth wear (ETW). It reviewed the roles of chemical parameters (pH, buffer capacity, titratable acidity, viscosity, and ion concentrations of calcium, phosphate, and fluoride), drinking behaviors (such as swishing drinks), and summarized dietary risk and protective factors identified in recent literature.
What was found
The abstract reports qualitative associations without providing numerical effect sizes or quantitative data. Frequent intake of carbonated or soft drinks was identified as the main dietary factor linked to ETW. Frequent consumption of natural fruit juices, acidic snacks, sweets, and vitamin C was also significantly associated with ETW. Higher consumption of milk and yoghurt was identified as a protective factor. Chemically, undersaturated substances characterized by low pH, high titratable acidity, and high buffer capacity displayed greater erosive potential, whereas high calcium and phosphate concentrations limited demineralisation.
Why it matters
It consolidates the chemical principles and key dietary drivers of erosive tooth wear, assisting dental clinicians in conducting targeted dietary risk assessments and advising patients on protective dietary modifications.
Limits
As a narrative review chapter, it does not employ a systematic literature search or formal risk-of-bias grading. No specific sample sizes, effect estimates, or statistical values are reported in the abstract.
Cited by
- supports Sipping acidic beverages like sparkling water, soda, coffee, tea, or lemon drinks strips minerals from teeth and softens enamel.