Int J Sports Med 2014; 35(10): 871-873
DOI: 10.1055/s-0033-1364021
Clinical Sciences
© Georg Thieme Verlag KG Stuttgart · New York

Mouthguard and Sports Drinks on Tooth Surface pH

Y. Maeda
1   Department of Prosthodontics, Gerodontolgy and Oral Rehabiliation, Osaka University Graduate School of Dentistry, Suita, Japan
,
T.-C. Yang
2   School of Dentistry, National Taiwan University, Taipei, Taiwan
,
H. Miyanaga
1   Department of Prosthodontics, Gerodontolgy and Oral Rehabiliation, Osaka University Graduate School of Dentistry, Suita, Japan
,
Y. Tanaka
1   Department of Prosthodontics, Gerodontolgy and Oral Rehabiliation, Osaka University Graduate School of Dentistry, Suita, Japan
,
K. Ikebe
1   Department of Prosthodontics, Gerodontolgy and Oral Rehabiliation, Osaka University Graduate School of Dentistry, Suita, Japan
,
N. Akimoto
1   Department of Prosthodontics, Gerodontolgy and Oral Rehabiliation, Osaka University Graduate School of Dentistry, Suita, Japan
› Author Affiliations
Further Information

Publication History



accepted after revision 05 December 2013

Publication Date:
06 March 2014 (online)

Abstract

The influence of sports drinks and mouthguards on the pH level of tooth surface was examined. A custom-made mouthguard was fabricated for each subject. The pH level was measured by electric pH meter with sensitivity of 0.01 up to 30 min. Sports drinks (pH=3.75) containing 9.4% sugar were used in this study. Measurements were performed on a cohort of 23 female subjects without a mouthguard (control), wearing a mouthguard only (MG), wearing a mouthguard after 30 ml sports drink intake (SD+MG), wearing a mouthguard during a 5-min jogging exercise (MG+EX) and wearing a mouthguard during jogging after sports drink intake (SD+MG+EX). For 7 male subjects, the same measurements were performed while a sports drink was taken over the mouthguard (MG+SD, MD+EX+SD). MG showed statistically higher pH level than control (p<0.05). SD+MG exhibited a significant decrease in pH level, and SD+MG+EX exhibited even below the critical level of pH 5.5 in some subjects. When sports drinks were taken over the mouthguard, no significant differences in pH level were observed among the different conditions.Within the limitations of this study, it was suggested that wearing a mouthguard during exercise is in itself not a possible risk factor for dental caries, while wearing a mouthguard after consuming sports drinks is.

 
  • References

  • 1 Azodo CC, Odai CD, Osazuwa-Peters N, Obuekwe ON. A survey of orofacial injuries among basketball players. Int Dent J 2011; 61: 43-46
  • 2 Chromiak JA, Smedley B, Carpenter W, Brown R, Koh YS, Lamberth JG, Joe LA, Abadie BR, Altorfer G. Effect of a 10-week strength training program and recovery drink on body composition, muscular strength and endurance, and anaerobic power and capacity. Nutrition 2004; 20: 420-427
  • 3 Coombes JS. Sports drinks and dental erosion. Am J Dent 2005; 18: 101-104
  • 4 Dibdin GH, Dawes C. A mathematical model of the influence of salivary urea on the pH of fasted dental plaque and on the changes occurring during a cariogenic challenge. Caries Res 1998; 32: 70-74
  • 5 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
  • 6 Hooper S, West NX, Sharif N, Smith S, North M, De’Ath J, Parker DM, Roedig-Penman A, Addy M. A comparison of enamel erosion by a new sports drink compared to two proprietary products: a controlled, crossover study in situ. J Dent 2004; 32: 541-545
  • 7 Järvinen VK, Rytömaa II, Heinonen OP. Risk factors in dental erosion. J Dent Res 1991; 70: 942-947
  • 8 Kitchens M, Owens BM. Effect of carbonated beverages, coffee, sports and high energy drinks, and bottled water on the in vitro erosion characteristics of dental enamel. J Clin Pediatr Dent 2007; 31: 153-159
  • 9 Maeda Y, Machi H, Tsugawa T. Influences of palatal side design and finishing on the wearability and retention of mouthguards. Br J Sports Med 2006; 40: 1006-1008
  • 10 Maeda Y, Kumamoto D, Yagi K, Ikebe K. Effectiveness and fabrication of mouthguards. Dent Traumatol 2009; 25: 556-564
  • 11 Mathew T, Casamassimo PS, Hayes JR. Relationship between sports drinks and dental erosion in 304 university athletes in Columbus, Ohio, USA. Caries Res 2002; 36: 281-287
  • 12 Meyerowitz C, Featherstone JD, Billings RJ, Eisenberg AD, Fu J, Shariati M, Zero DT. Use of an intra-oral model to evaluate 0.05% sodium fluoride mouthrinse in radiation-induced hyposalivation. J Dent Res 1991; 70: 894-898
  • 13 Milosevic A, Kelly MJ, McLean AN. Sports supplement drinks and dental health in competitive swimmers and cyclists. Br Dent J 1997; 182: 303-308
  • 14 Milgrom P, Zero DT, Tanzer JM. An examination of the advances in science and technology of prevention of tooth decay in young children since the Surgeon General's Report on Oral Health. Acad Pediatr 2009; 9: 404-409
  • 15 Owens BM, Kitchens M. The erosive potential of soft drinks on enamel surface substrate: an in vitro scanning electron microscopy investigation. J Contemp Dent Pract 2007; 8: 11-20
  • 16 Rees J, Loyn T, McAndrew R. The acidic and erosive potential of five sports drinks. Eur J Prosthodont Restor Dent 2005; 13: 186-190
  • 17 Rozenek R, Ward P, Long S, Garhammer J. Effects of high-calorie supplements on body composition and muscular strength following resistance training. J Sports Med Phys Fitness 2002; 42: 340-347
  • 18 Sirimaharaj V, Brearley Messer L, Morgan MV. Acidic diet and dental erosion among athletes. Aust Dent J 2002; 47: 228-236
  • 19 Tahmassebi JF, Duggal MS, Malik-Kotru G, Curzon ME. Soft drinks and dental health: a review of the current literature. J Dent 2006; 34: 2-11
  • 20 Woodmansey KF. Athletic mouth guards prevent orofacial injuries: a review. Gen Dent 1999; 47: 64-69