Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Caries Res. 2012;46(1):55-61. doi: 10.1159/000335572. Epub 2012 Jan 26.
The aim of this study was to evaluate the erosive potential of orange juice modified with food-approved additives: 0.4 g/l of calcium (Ca) from calcium lactate pentahydrate, 0.2 g/l of linear sodium polyphosphate (LPP) or their combination (Ca+LPP) were added to a commercially available orange juice (negative control, C-). A commercially available calcium-modified orange juice (1.6 g/l of calcium) was the positive control (C+). These juices were tested using a short-term erosion in situ model, consisting of a five-phase, single-blind crossover clinical trial involving 10 subjects. In each phase, subjects inserted custom-made palatal appliances containing 8 bovine enamel specimens in the mouth and performed erosive challenges for a total of 0 (control), 10, 20, and 30 min. Two specimens were randomly removed from the appliances after each challenge period. Enamel surface microhardness was measured before and after the clinical phase and the percentage of surface microhardness change (%SMC) was determined. Before the procedures, in each phase, the subjects performed a taste test, where the juice assigned to that phase was blindly compared to C-. Overall, C+ showed the lowest %SMC, being the least erosive solution (p < 0.05), followed by Ca+LPP and Ca, which did not differ from each other (p > 0.05). LPP and C- were the most erosive solutions (p < 0.05). Taste differences were higher for C+ (5/10 subjects) and Ca (4/10 subjects), but detectable in all groups, including C- (2/10 subjects). Calcium reduced the erosive potential of the orange juice, while no protection was observed for LPP.
在市售橙汁(阴性对照,C-)中添加 0.4 g/L 的乳酸钙五水合物钙(Ca)、0.2 g/L 的线性多聚磷酸钠(LPP)或两者的组合(Ca+LPP)。市售的钙改性橙汁(1.6 g/L 钙)为阳性对照(C+)。使用短期原位侵蚀模型测试这些果汁,该模型由五个阶段的单盲交叉临床试验组成,涉及 10 名受试者。在每个阶段,受试者将含有 8 个牛牙釉质标本的定制腭器械插入口腔,并进行总共 0(对照)、10、20 和 30 分钟的侵蚀挑战。每次挑战期后,从器械中随机取出两个标本。在临床阶段前后测量牙釉质表面显微硬度,并确定表面显微硬度变化的百分比(%SMC)。在程序之前,在每个阶段,受试者进行味觉测试,其中盲法比较该阶段分配的果汁与 C-。总体而言,C+显示出最低的 %SMC,是腐蚀性最小的溶液(p < 0.05),其次是 Ca+LPP 和 Ca,它们彼此之间没有差异(p > 0.05)。LPP 和 C-是腐蚀性最强的溶液(p < 0.05)。C+(5/10 名受试者)和 Ca(4/10 名受试者)的味觉差异更高,但在所有组中,包括 C-(2/10 名受试者),都能检测到差异。钙降低了橙汁的腐蚀性潜力,而 LPP 未观察到保护作用。