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by Dr. Harold Katz, Founder California Breath Clinics
NEW Article - June 12, 2002
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- Harold Katz, DDS
| ½ÃÆÇÁßÀÎ ±¸°¼¼Á¤Á¦ | pH | »ê µµ |
| The 'Natural' Dentist | 3.2 | More Acidic (»êµµ ³ôÀ½) ^ | | | | | v Less Acidic (»êµµ ³·À½) |
| Prevention - 2 phase | 3.5 |
| Peroxyl | 3.7 |
| Listerine | 4.3 | |
| Breath-Rx | 4.7 | |
| Scope | 5.4 | |
| TriOral - 2 phase | 5.7 | |
| Rembrandt | 6.5 | |
| ¹° (Áß¼º) | 7.0 | |
| TheraBreath | 8.2 | Á¦»ê¼º ±¸°¼¼Á¤Á¦ÀÓ! |
The Journal of Clinical
Periodontology, 2001 Apr;28(4):319-24
The erosive effects of some mouthrinses on enamel. A study in situ.
by Pontefract H, Hughes J, Kemp K, Yates R, Newcombe RG, Addy M.
Division of Restorative Dentistry, Dental School, Bristol, UK.
BACKGROUND: There are both anecdotal clinical and laboratory experimental
ata suggesting that low pH mouthrinses cause dental erosion. This evidence is
particularly relevant to acidified sodium chlorite (ASC) formulations since they
have plaque inhibitory properties comparable to chlorhexidine but without
the well known local side effects.
AIM: Studies in situ and in vitro were planned to measure enamel erosion
by low pH mouthrinses. The study in situ measured enamel erosion by ASC,
essential oil and hexetidine mouthrinses over 15-day study periods. The study
was a 5 treatment, single blind cross over design involving 15 healthy subjects
using orange juice, as a drink, and water, as a rinse, as positive and negative
controls respectively. 2 enamel specimens from unerupted human third molar
teeth were placed in the palatal area of upper removable acrylic appliances
which were worn from 9 a.m. to 5 p.m., Monday to Friday for 3 weeks. Rinses
were used 2x daily and 250 ml volumes of orange juice were imbibed 4x daily.
Enamel loss was determined by profilometry on days 5, 10 and 15. The study
in vitro involved immersing specimens in the 4 test solutions together with a
reduced acid ASC formulation for a period of 4 h under constant stirring;
Enamel loss was measured by profilometry every hour.
RESULTS: Enamel loss was in situ progressive over time with the 3 rinses
and orange juice but negligible with water. ASC produced similar erosion
to orange juice and significantly more than the two proprietary rinses and
water. The essential oil and hexetidine rinses produced similar erosion and
significantly more than water. Enamel loss in vitro was progressive over time,
and the order from low to high erosion was reduced acid ASC, ASC, Essential
oil, and hexetidine mouthrinses and orange juice.
CONCLUSION: Based on the study in situ, it is recommended that low pH
mouthrinses should not be considered for long term or continuous use and
never as pre-brushing rinses. In view of the plaque inhibitory efficacy of ASC,
short- to medium-term applications similar to those of chlorhexidine would be
envisaged.
Copyright, Dr. Harold Katz & Fresh Start LLC.
All international rights reserved.
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