Human enamel dissolution in citric acid as a function of pH in the range 2.30< or =pH< or =6.30--a nanoindentation study.

The objective of this study was to investigate the dissolution of human enamel in citric acid solutions over a wide range of pH. The in vitro conditions are considered to be relevant to soft drink-induced enamel erosion. Nanoindentation was used to investigate changes in the nanomechanical properties of polished enamel surfaces after exposure to citric acid solutions. Solutions used had 38.1 mmol l-1 citric acid and pH greater than 2.3 but less than 6.3 (2.30 < or = pH < or = 6.30). Samples were exposed to rapidly stirred, constant composition solutions for 120 s. Statistically significant changes in enamel hardness and reduced elastic modulus were observed after exposure to all solutions. There was an approximately linear dependence of enamel hardness on solution pH for 2.90 < or = pH < or = 6.30. Below pH 2.90, enamel is thought to have reached the lowest possible hardness value. The reduction in enamel dissolution caused by an increase in pH of a soft drink is likely to be small. Product modification to reduce the erosive potential of drinks may require additional methods such as addition of calcium salts.

[1]  H. Näveri,et al.  Experimental sports drinks with minimal dental erosion effect. , 1990, Scandinavian journal of dental research.

[2]  D. Zero,et al.  Etiology of dental erosion--extrinsic factors. , 1996, European journal of oral sciences.

[3]  R. Kent,et al.  Kinetics of Enamel Demineralization in vitro , 1999, Journal of dental research.

[4]  A. V. von Recum,et al.  Collagen types I and III at the implant/tissue interface. , 1993, Journal of biomedical materials research.

[5]  H. Margolis,et al.  Kinetics of hydroxyapatite dissolution in acetic, lactic, and phosphoric acid solutions , 1992, Calcified Tissue International.

[6]  M. Feldman,et al.  Relationships between the acidity and osmolality of popular beverages and reported postprandial heartburn. , 1995, Gastroenterology.

[7]  F. Lagerlöf,et al.  Salivary clearance of citric acid after an oral rinse. , 1995, Journal of dentistry.

[8]  J. Christoffersen,et al.  Kinetics of growth and dissolution of fluorapatite , 1996 .

[9]  Mehmet Sarikaya,et al.  Nano-mechanical properties profiles across dentin–enamel junction of human incisor teeth , 1999 .

[10]  N X West,et al.  The effect of pH on the erosion of dentine and enamel by dietary acids in vitro. , 2001, Journal of oral rehabilitation.

[11]  Klaus D. Jandt,et al.  Mechanical properties of in situ demineralised human enamel measured by AFM nanoindentation , 2001 .

[12]  R Turunen,et al.  In vitro erosion of bovine enamel caused by acidic drinks and other foodstuffs. , 1988, Scandinavian journal of dental research.

[13]  M. Munawar Chaudhri,et al.  Accurate determination of the mechanical properties of thin aluminum films deposited on sapphire flats using nanoindentations , 1999 .

[14]  T. P. Weihs,et al.  Nanoindentation mapping of the mechanical properties of human molar tooth enamel. , 2002, Archives of oral biology.

[15]  R. Newcombe,et al.  Development and evaluation of a low erosive blackcurrant juice drink. 2. Comparison with a conventional blackcurrant juice drink and orange juice. , 1999, Journal of dentistry.

[16]  A. Lussi,et al.  Erosion on abraded dental hard tissues by acid lozenges: an in situ study , 1998, Clinical Oral Investigations.

[17]  M. Buonocore,et al.  Effect of Organic Ions on Solubility of Enamel and Dentin in Acid Buffers , 1961 .

[18]  Jandt,et al.  The Early Stages of Native Enamel Dissolution Studied with Atomic Force Microscopy. , 2000, Journal of colloid and interface science.

[19]  R. Newcombe,et al.  Development and evaluation of a low erosive blackcurrant juice drink in vitro and in situ. 1. Comparison with orange juice. , 1999, Journal of dentistry.

[20]  K. Jandt,et al.  Enamel dissolution as a function of solution degree of saturation with respect to hydroxyapatite: a nanoindentation study. , 2003, Journal of colloid and interface science.

[21]  G. Willems,et al.  Hardness and Young's modulus determined by nanoindentation technique of filler particles of dental restorative materials compared with human enamel. , 1993, Journal of biomedical materials research.

[22]  F. Lagerlöf,et al.  Effect of citric acid clearance on the saturation with respect to hydroxyapatite in saliva. , 1996, Caries research.

[23]  J. Christoffersen,et al.  The kinetics of dissolution of calcium hydroxyapatite in water at constant pH , 1978 .

[24]  J. A. Gray Kinetics of the Dissolution of Human Dental Enamel in Acid , 1962, Journal of dental research.

[25]  S. Dorozhkin,et al.  Surface Reactions of Apatite Dissolution , 1997, Journal of colloid and interface science.

[26]  G W Marshall,et al.  Mechanical properties of human dental enamel on the nanometre scale. , 2001, Archives of oral biology.

[27]  R. Newcombe,et al.  Development and evaluation of a low erosive blackcurrant juice drink. 3. Final drink and concentrate, formulae comparisons in situ and overview of the concept. , 1999, Journal of dentistry.

[28]  P. S. Chen,et al.  Microdetermination of Phosphorus , 1956 .

[29]  George M. Pharr,et al.  Substrate effects on nanoindentation mechanical property measurement of soft films on hard substrates , 1999 .

[30]  Y. Kadoma,et al.  Comparative Reduction of Enamel Demineralization by Calcium and Phosphate in vitro , 2000, Caries Research.

[31]  M. Duggal,et al.  Effect of addition of 0.103% citrate to a blackcurrant drink on plaque pH in vivo. , 1995, Caries research.

[32]  N X West,et al.  Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. , 2000, Journal of dentistry.

[33]  P. Anderson,et al.  Critical pH in resting and stimulated whole saliva in groups of children and adults. , 2008, International journal of paediatric dentistry.

[34]  G. Pharr,et al.  An improved technique for determining hardness and elastic modulus using load and displacement sensing indentation experiments , 1992 .

[35]  L Shaw,et al.  Continuous monitoring of salivary flow rate and pH at the surface of the dentition following consumption of acidic beverages. , 1997, Caries research.

[36]  W. Higuchi,et al.  Quantitation of Enamel Demineralization Mechanisms: III. A Critical Examination of the Hydroxyapatite Model , 1969, Journal of dental research.

[37]  J. Arends,et al.  Microhardness of sound, decalcified and etched tooth enamel related to the calcium content. , 1974, Caries research.

[38]  M. Eisenburger,et al.  Evaluation of pH and erosion time on demineralisation , 2001, Clinical Oral Investigations.

[39]  A Holt,et al.  The hardness and modulus of elasticity of primary molar teeth: an ultra-micro-indentation study. , 2000, Journal of dentistry.

[40]  T. Grenby Lessening dental erosive potential by product modification. , 1996, European journal of oral sciences.