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Effect of nonfluoridated milk and fluoridated milk on acidic dental plaque
Affiliation:1. Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand;2. Dental Department, Bangkok Hospital Phitsanulok, Phitsanulok, Thailand;3. Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand;1. Faculty of Dentistry, Mansoura University, Mansoura, Egypt;2. Faculty of Dentistry, Thamar University, Yemen;1. Bursa Uludağ University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Bursa, Turkey;2. Ankara University, Faculty of Dentistry, Oral and Maxillofacial Surgery Department, Ankara, Turkey;3. Gazi University, Faculty of Dentistry, Department of Oral Pathology, Ankara, Turkey;1. Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, PO Box 30621, Damascus, Syria;2. Department of Pediatrics, Faculty of Medicine, Damascus University, Damascus, Syria;1. Dental Department, Makarak Hospital, Kanchanaburi, Thailand;2. Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand;3. Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand;4. Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand;1. Division of Pediatric Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;2. Okamoto Pedodontics and Orthodontics Clinic, Nishinomiya, Japan;3. Department of Pediatric Dentistry, Kagashima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
Abstract:PurposeRecovering the acidic plaque pH to its resting value as soon as possible after exposure to a sugary beverage might reduce the risk of dental caries. Milk contains nutrients that help to buffer acid. Adding fluoride to milk might enhance this effect. Accordingly, this study investigates the effect of milk and fluoridated milk on acidic dental plaque.MethodsThe study was a randomized crossover design. Ten subjects were asked to rinse for 2 min with the following solutions: (1) water, (2) 10% sucrose, (3) milk, (4) fluoridated milk, (5) 10% sucrose followed by water, (6) 10% sucrose followed by milk, or (7) 10% sucrose followed by fluoridated milk. The supra-gingival plaque was collected before rinsing and every 5 min after rinsing to measure the plaque pH.ResultsThe results showed that rinsing with 10% sucrose caused acidic dental plaque. After rinsing with 10% sucrose followed by milk, fluoridated milk, or water, the maximum plaque pH dropped and the area under the curve was significantly less than that after rinsing with 10% sucrose alone (p = 0.001). The maximum change in the plaque pH and the area under the curve in the group challenged with 10% sucrose followed by fluoridated milk were significantly lower than those in the group followed by nonfluoridated milk (p = 0.04).ConclusionRinsing with milk could raise the acidic plaque pH to the resting value faster than individual's natural capacity to do so. Adding fluoride to milk can enhance this effect.
Keywords:Milk  Fluoridated milk  Plaque pH  Sucrose
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