Department of Orthodontics and Dentofacial Orthopedics, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2021 Oct-Dec;32(4):505-513. doi: 10.4103/ijdr.IJDR_647_20.
The complications of soft drink consumption during orthodontic treatment includes degradation of enamel, reduction in the shear bond strength of orthodontic brackets, and also corrosion of orthodontic wires. The main objective of this review is to discuss the adverse effects of carbonated soft drink (CSD) consumption on patients undergoing fixed orthodontic treatment.
A search of studies in MEDLINE (via PubMed), the Cochrane library, Web of science, IndMED, EMBASE, Google scholar and limited grey literature on the effects of consumption of CSDs was conducted. All pertinent abstracts were reviewed for inclusion. Full articles were retrieved for abstracts or titles that met the initial inclusion criteria or lacked sufficient detail for immediate exclusion.
Out of the 4484 results obtained from search, 16 articles were selected based on title and 6 articles were eliminated after reading the abstracts. 10 articles were selected for systematic review which included 6 invitro studies, 1 animal study, 1 observational study and 2 invivo studies. Of these, six studies evaluated the effects of carbonated drinks on the shear bond strength of brackets on enamel of which two evaluated the microhardness of enamel, two studies evaluated the mechanical and chemical properties of wires, one evaluated tooth movement and one study focussed on white spot lesions. The results from the selected articles showed that with the consumption of carbonated drinks, there was reduced shear bond strength of orthodontic brackets, altered enamel characteristics, alteration of mechanical and physical properties of orthodontic wires and decrease in rate of orthodontic tooth movement.
Based on the available evidence, CSD consumption during orthodontic treatment definitely has an effect on orthodontic appliances, enamel and possibly on tooth movement.
在正畸治疗过程中饮用软饮料会产生一些并发症，包括牙釉质降解、正畸托槽的剪切粘结强度降低，以及正畸丝腐蚀。本综述的主要目的是讨论碳酸软饮料（CSD）消费对接受固定正畸治疗患者的不良影响。
通过 MEDLINE（PubMed）、Cochrane 图书馆、Web of science、IndMED、EMBASE、Google 学术和有限的灰色文献搜索有关 CSD 消费对影响的研究。审查所有相关摘要以纳入研究。对于符合初始纳入标准的摘要或缺乏即时排除的足够详细信息的摘要，检索全文。
从搜索中获得的 4484 个结果中，根据标题选择了 16 篇文章，并在阅读摘要后淘汰了 6 篇文章。选择了 10 篇文章进行系统评价，其中包括 6 项体外研究、1 项动物研究、1 项观察性研究和 2 项体内研究。其中，有 6 项研究评估了碳酸饮料对托槽在釉质上的剪切粘结强度的影响，其中 2 项评估了釉质的显微硬度，2 项研究评估了正畸丝的机械和化学性能，1 项评估了牙齿移动，1 项研究集中在白色斑点病变上。所选文章的结果表明，饮用碳酸饮料会降低正畸托槽的剪切粘结强度，改变釉质特性，改变正畸丝的机械和物理性能，并降低正畸牙齿移动的速度。
根据现有证据，正畸治疗期间饮用 CSD 肯定会对正畸器具、牙釉质，甚至对牙齿移动产生影响。
