Menu
Back to Journals » Clinical, Cosmetic and Investigational Dentistry » Volume 9
Acidic oral moisturizers with pH below 6.7 may be harmful to teeth depending on formulation: a short report
Authors Delgado AJ, Olafsson VG
Received 23 April 2017
Accepted for publication 14 July 2017
Published 3 August 2017 Volume 2017:9 Pages 81—83
DOI https://doi.org/10.2147/CCIDE.S140254
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Professor Christopher E. Okunseri
Alex J Delgado,1 Vilhelm G Olafsson2,3
1Department of Restorative Dental Sciences, University of Florida, Gainesville, FL, USA; 2Department of Operative Dentistry, Faculty of Odontology, University of Iceland and Private Practice, Reykjavic, Iceland; 3Department of Operative Dentistry, School of Dentistry at the University of North Carolina, Chapel Hill, NC, USA
Abstract: Xerostomia affects 30% of the population and manifests as a side effect of medications, systemic diseases, or cancer therapy. Oral moisturizers are prescribed to overcome the ailments of dry mouth and its symptoms. It is imperative that these products help to restore hyposalivation and that they do not present any secondary effect that can harm oral health. It has been shown in the literature that some oral moisturizers may have an erosive potential due to their acidic pH, which is below the critical pH of dentin and enamel. The purpose of this paper was to make clinicians aware of the erosive potential of these products and make recommendations to manufactures for future formulations avoiding acidic pH. For this reason, care should be taken to formulate these products with safe pH values for both enamel and root dentin which, based on specific formulation should be around 6.7 or higher.
Keywords: oral moisturizers, pH, erosion, caries, xerostomia, dry mouth
Disclosure
The authors report no conflicts of interest in this work.
References
Shay K. The evolving impact of aging America on dental practice. J Contemp Dent Pract. 2004;5:101–110. | ||
Thomson WM. Dental caries experience in older people over time: what can the large cohort studies tell us? Br Dent J. 2004;196:89–92; discussion 87. | ||
Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth – 2nd edition. Gerodontology. 1997;14:33–47. | ||
Dost F, Farah CS. Stimulating the discussion on saliva substitutes: a clinical perspective. Aust Dent J. 2013;58:11–17. | ||
Plemons JM, Al-Hashimi I, Marek CL. Managing xerostomia and salivary gland hypofunction: executive summary of a report from the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2014;145:867–873. | ||
Winston AE, Bhaskar SN. Caries prevention in the 21st century. J Am Dent Assoc. 1998;129:1579–1587. | ||
DePaola DP. Saliva: the precious body fluid. J Am Dent Assoc. 2008;139(Suppl):5S–6S. | ||
Surmount P, Martens, LC. Root surface caries: an update. Clin Prev Dent. 1989;11:14–20. | ||
Hoppenbrouwers PM, Driessens FC, Borggreven JM. The mineral solubility of human tooth roots. Arch Oral Biol. 1987;32:319–322. | ||
Sung YH, Son HH, Yi K, Chang J. Elemental analysis of caries-affected root dentin and artificially demineralized dentin. Restor dent Endod. 2016;41:255–261. | ||
Abou Neel EA, Aljabo A, Strange A, et al. Demineralization-remineralization dynamics in teeth and bone. Int J Nanomedicine. 2016;11:4743–4763. | ||
Delgado AJ, Olafsson VG, Donovan TE. pH and erosive potential of commonly used oral moisturizers. J Prosthodont. 2016;25:39–43. | ||
Jensdottir T, Holbrook P, Nauntofte B, et al. Immediate erosive potential of cola drinks and orange juices. J Dent Res. 2006;85:226–230. | ||
Barbour ME, Shellis RP. An investigation using atomic force microscopy nanoindentation of dental enamel demineralization as a function of undissociated acid concentration and differential buffer capacity. Phys Med Biol. 2007;52:899–910. | ||
Hannesson A, Thrastardottir RA, Arnadottir IB, Holbrook WP, Olafsson VG. Erosive capacity of dry mouth treatments in the Nordic countries. Iceland Dent J. 2016;34:6. | ||
Brand HS, Gambon DL, Van Dop LF, et al. The erosive potential of jawbreakers, a type of hard candy. Int J Dent Hyg. 2010;8:308–312. | ||
Pryanka Tayee AH, Messer R, De Rossi S, Ciarocca K, Rueggeberg F. Evaluation of pH Values of Products Managing Xerostomia. Dental College of Georgia, Augusta, GA, USA; 2015. | ||
Jensdottir T, Nauntofte B, Buchwald C, Bardow A. Effects of calcium on the erosive potential of acidic candies in saliva. Caries Res. 2007;41:68–73. |
© 2017 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.
By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.