Zamzam Rouaa, Karkoutly Mawia, Bshara Nada
Pediatric Dentistry Department, Faculty of Dentistry, Damascus University, Damascus, Syria.
BDJ Open. 2023 Sep 13;9(1):44. doi: 10.1038/s41405-023-00170-8.
This study aimed to evaluate salivary pH changes after consuming three types of milk in children aged 3-5 years. The null hypothesis was that no statistically significant difference would be noted in the salivary pH between high-protein, full-fat, and sweetened milk groups at different time points.
This was a double-blind, pilot randomized controlled crossover trial. 30 Children have undergone three experimental sessions with a 1-week washout period. Each child was given 250 mL of one of the following types of milk: high-protein, full-fat, or sweetened milk. The salivary pH was measured at the baseline (t) after 5 (t), 10 (t), 15 (t), 30 (t), and 60 (t) minutes of milk consumption, using a pH saliva indicator strip.
There is a sharp drop in salivary pH after 5 min of sweetened (P < 0.05) and full-fat milk consumption (p < 0.05). However, the initial drop in the salivary pH was found to remain above the critical level. For the high-protein milk group, salivary pH decreased slightly after 5 min but was similar to that at the baseline (p = 0.573). In the high-protein milk group (p < 0.05), the salivary pH was slightly greater than the baseline value at t.
The study shows an initial suggestion that milk is a non-cariogenic beverage, even when sugar is added. Furthermore, high-protein milk has a protective effect from dental caries.
本研究旨在评估3至5岁儿童饮用三种类型的牛奶后唾液pH值的变化。无效假设是在不同时间点,高蛋白、全脂和甜牛奶组之间的唾液pH值无统计学显著差异。
这是一项双盲、先导性随机对照交叉试验。30名儿童接受了三个实验阶段,中间有1周的洗脱期。每个儿童被给予250毫升以下类型的牛奶之一:高蛋白、全脂或甜牛奶。在饮用牛奶后5分钟(t)、10分钟(t)、15分钟(t)、30分钟(t)和60分钟(t)时,使用pH唾液试纸条在基线(t)测量唾液pH值。
饮用甜牛奶(P < 0.05)和全脂牛奶(p < 0.05)5分钟后,唾液pH值急剧下降。然而,发现唾液pH值的初始下降仍高于临界水平。对于高蛋白牛奶组,饮用5分钟后唾液pH值略有下降,但与基线时相似(p = 0.573)。在高蛋白牛奶组(p < 0.05)中,t时刻的唾液pH值略高于基线值。
该研究初步表明,即使添加了糖,牛奶也是一种非致龋性饮料。此外,高蛋白牛奶对龋齿有保护作用。