Dental Caries

Soft drink effects on
the periodontium

By: Jacquelynn Hill, Jacinda Martinez, Mary Ramirez, Kim my Nyguyen

Three new points of information

●Compared to caries, dental erosion seems to have a much stronger relationship with
soft drinks. The erosive potential of drinks is mainly represented by their pH and
the buffering capacity

●Rios et al. (2006) claim that because some toothpastes remove tooth's outer layer of
enamel, they actually make tooth wear worse. Dentine loss may increase using
non-fluoride toothpaste when compared to beverages alone.

●Studies showed that dental erosion was associated with certain drinking methods. A
more noticeable pH drop occurs when you hold the beverage in your mouth longer.
Drinking with an increasing flow rate and with decreasing outlet diameter could
increase the erosion depth.

How it assists in dental practice and treatments in the clinic
with patient care?

●Provides patient education on enamel erosion and tooth decay effects

●Introduces what products to use to better remineralize tooth structure with
at home patient care

●Provides what a DH should keep watch on a patient with a high CRA

●Discuss treatment plan for erosion, tooth decay, and hyperplasia-Good
education of what could happen to patient

●Patient care on “drinking methods” of soft drinks

Benefits and limitations of the Information in the
article

●Benefits

○This information benefits the clinician by providing evidence on the
impact of soft drinks cariogenicity.

○In return this evidence can help the clinician educate the patient on the
important of the intake of soft drinks and improving their oral hygiene
pattern if they are consuming an excessive intake of soft drinks.

●Limitations

○The information provided does not let us know the outcome of the
patients periodontium whether it improved or if the hygiene remained
poor, after the treatment plan.

○This article does not specify the effect of soft drinks on the periodontium
of children and was only test on a 25 year old.

Did the author use a combination of personal experience,
expert opinion, or research when writing the article?

●The author got clinical data on a patient for this article.

●A 25 year old man with severe worn-out maxillary teeth for the past 3 years. The man
drinks 0.5 - 0.75 L of cola for the past 3 years. In his 4th year, the man drank 1.5 L of cola
a day and other citric juices. He brushes and swishes his mouth only once in the morning.
Since he started drinking cola for the past 3 years, he has brushed once or twice daily.

●The author used his expert opinion to conclude that the patient who was researched on
had dental caries and enamel erosions due to drinking soft and acidic drinks long-term.

●For this research project, the author has used his opinion and other research articles when
writing this article.

Pictures of the patients Maxillary and Mandibular teeth during dental examination.

Front View

Right Buccal View

Left Buccal View

Incisor Palatal View

Multiple Choice

what is you

• you

• you

• you

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References

●Cheng, R., Yang, H., Shao, M. Y., Hu, T., & Zhou, X. D. (2009). Dental erosion and severe
tooth decay related to soft drinks: a case report and literature review. Journal of
Zhejiang University. Science. B, 10(5), 395–399. https://doi.org/10.1631/jzus.B0820245