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Medical Forum / General / Dentistry / September 2006

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Cariogenicity of DIET Mountain Dew

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Le Huart - 06 Jun 2004 04:07 GMT
Anyone have any info/ideas/speculations regarding heavy use (2 liters /day)
of said soft drink? Can the acid potentially cause caries in an otherwise
sugar-free diet? As an aside, what do you think about the caffeine content
vis ?  vis coffee in similar amounts?
Joel M. Eichen, D.D.S. - 06 Jun 2004 12:23 GMT
>Anyone have any info/ideas/speculations regarding heavy use (2 liters /day)
>of said soft drink? Can the acid potentially cause caries in an otherwise
>sugar-free diet?

I say no, others will say yes ......

JOEL

> As an aside, what do you think about the caffeine content
>vis à  vis coffee in similar amounts?
Dr. Steve - 06 Jun 2004 14:07 GMT
More caffeine.

You will keep your dentist very busy for a long time.

Signature

`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~
Stephen Mancuso, D.D.S.
Troy, Michigan   USA
=+=+=+=+=+=+=+=+=+=+=+=+=
.

> Anyone have any info/ideas/speculations regarding heavy use (2 liters /day)
> of said soft drink? Can the acid potentially cause caries in an otherwise
> sugar-free diet? As an aside, what do you think about the caffeine content
> vis à  vis coffee in similar amounts?
Shirley Gutkowski RDH - 06 Jun 2004 15:34 GMT
In dentistry up here in WI we have an unofficial term we use - Mountain Dew
Mouth.  Characterized by dental decay on the facial surfaces of the teeth,
usually near the gum line and works it way to towards the cutting surface of
the front teeth.  As that decay slowly progresses we also see poppyseed decay
appear between the front teeth. (looks like a poppyseed is really a hole)

Other parts of the country call it Pepsi Mouth, or Cola Mouth.  It's
devistating, and to repair can easily cost as much as a good used car.  If you
MUST drink it:

Drink it all in one sitting, drink it fast, use a straw

Brush 3x/day until all the stuff that looks or feels like paste is off your
teeth

Use topical fluoride at home

Don't rinse the toothpaste off your teeth when your done brushing

See your dental team four times a year

set aside a fund to pay for dental repairs

Get a power toothbrush

Shirley Gutkowski, RDH, BSDH
"Everbody wants to save the earth - nobody wants to help Mom to do the dishes."
    - P. J. O'Rourke
~~~~~~~~~
http://www.dentistry.com/poralhealth_02.asp
John Chewter - 07 Jun 2004 01:15 GMT
Mounting Drew?

> In dentistry up here in WI we have an unofficial term we use - Mountain Dew
> Mouth.  Characterized by dental decay on the facial surfaces of the teeth,
[quoted text clipped - 26 lines]
> ~~~~~~~~~
> http://www.dentistry.com/poralhealth_02.asp
W_B - 07 Jun 2004 16:44 GMT
>Mounting Drew?

Certainly a disease causing process.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Lets Connect - 07 Jun 2004 02:12 GMT
Caffeine-wise, Mountain Dew contains 37 mg per 8 oz, whereas coffee
contains 40-180 mg per 8 oz. Apparently, the average for brewed/drip
method is 85 mg, while the average for brewed/percolator is 80 mg.
Instant coffee is about 75 mg. In other words, 2 liters of mountain
dew equals approximately 1 liter of coffee.
I think Shirley might be referring to ordinary Mountain Dew in her
post, rather than the Diet variety? It's more likely to cause erosion
rather than decay, as far as I'm aware.
Shirley Gutkowski RDH - 07 Jun 2004 13:00 GMT
>I think Shirley might be referring to ordinary Mountain Dew in her
>post, rather than the Diet variety? It's more likely to cause erosion
>rather than decay, as far as I'm aware.

NOPE, both regular and diet.  Here's the chain:

Soda low pH (diet or regular)
Cariogenic bacteria thrive in low pH
Thriving bacteria produce more acids
Acids distroy enamel

It ain't about the sugar.  A tooth in a bag of sugar will remain in tact.
A tooth in a bath of any low pH liquid will disappear.

Shirley Gutkowski, RDH, BSDH
"Everbody wants to save the earth - nobody wants to help Mom to do the dishes."
    - P. J. O'Rourke
~~~~~~~~~
http://www.dentistry.com/poralhealth_02.asp
W_B - 07 Jun 2004 19:13 GMT
>It ain't about the sugar.  A tooth in a bag of sugar will remain in tact.
>A tooth in a bath of any low pH liquid will disappear.

Haven't seen 'Mythbusters' ?

They did this one using cola.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Peter Meiers - 07 Jun 2004 21:18 GMT
> It ain't about the sugar.  A tooth in a bag of sugar will remain in tact.

As long as it remains dry. Add water and you will see what happens.
Acid formed in the saliva might cause erosion. Bacterial plaque on the
teeth, nourished by sugar, will cause cavities -> dental caries.

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
-------------------------------------------------

Joel M. Eichen, D.D.S. - 07 Jun 2004 22:47 GMT
I do not think wet or dy, it matters .......... after all, its sugar!

JOEL

Wet sugar and/or dry sugar will follow the Second Law of
Thermodynamics with regards combining with other compounds. Entropy of
the closed system should not increase or decrease.

>> It ain't about the sugar.  A tooth in a bag of sugar will remain in tact.
>
>As long as it remains dry. Add water and you will see what happens.
>Acid formed in the saliva might cause erosion. Bacterial plaque on the
>teeth, nourished by sugar, will cause cavities -> dental caries.
Peter Meiers - 08 Jun 2004 14:51 GMT
> I do not think wet or dy, it matters .......... after all, its sugar!

Sometimes I DO think :-)

Peter

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
-------------------------------------------------

Joel M. Eichen, D.D.S. - 08 Jun 2004 22:09 GMT
>> I do not think wet or dy, it matters .......... after all, its sugar!
>
>Sometimes I DO think :-)
>
>Peter

...therefore ... .you are.
W_B - 08 Jun 2004 22:34 GMT
>>> I do not think wet or dy, it matters .......... after all, its sugar!
>>
[quoted text clipped - 3 lines]
>
>...therefore ... .you are.

But only sometimes.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen, D.D.S. - 08 Jun 2004 23:06 GMT
>>>> I do not think wet or dy, it matters .......... after all, its sugar!
>>>
[quoted text clipped - 5 lines]
>>
>But only sometimes.

Cogito Ergo Pepsi.
carabelli - 09 Jun 2004 02:09 GMT
> >>> I do not think wet or dy, it matters .......... after all, its sugar!
> >>
[quoted text clipped - 8 lines]
>
> W_B

Only if you're online.

carabelli
enk243 - 10 Sep 2006 04:12 GMT
I think I can settle the question about diet vs. sugared colas.   When my son
was in 7th grade, he did a science fair project on the effects of chemicals
on teeth.  I drove to two oral surgeon's offices where my son collected
twelve teeth.  The teeth all looked like molars to my untrained eye, and were
approximately the same size.  At home my son filled one glass half full of
water, one with Coke, one with Diet Coke, and one with Real Lemon brand lemon
juice.  He then dropped three teeth into each of the glasses.  Lemon juice
completely dissolved the teeth in about three days.  No surprise.  In about
ten days the teeth in Coke and Diet Coke got soft an mushy, although they did
not completely disolve.  My son (and I) expected the teeth in Coke to fall
apart faster than the ones in Diet Coke, but that was not the case.  Coke and
Diet Coke are equally bad for teeth.  Dentists could set up this experiment
in their waiting rooms, (or photos of it), to educate patients.
Peter Meiers - 07 Jun 2004 23:15 GMT
> It ain't about the sugar.  A tooth in a bag of sugar will remain in tact.

Sure.
In tact, up and down, singing "toothie in the bag - oobie-doobie-doo
baby - toothie in the bag ...."

Signature

-History of fluorine, fluoride and fluoridation-:
--- http://PMeiers.bei.t-online.de/index.htm ---
-------------------------------------------------

Le Huart - 08 Jun 2004 02:58 GMT
Then the group would seem to concur that DIET soft drinks are as cariogenic
as regular soft drinks. I thought that the bacteria needed a substrate i.e.
sugar and then generated their own low pH. Any cariologists out there?
Joel M. Eichen, D.D.S. - 08 Jun 2004 10:52 GMT
The cariologists are all at a heart convention .......... they misread
the flyer and sent their money in too quickly.

JOEL

PS- I agree with you. Without bacteria, no problem!

>Then the group would seem to concur that DIET soft drinks are as cariogenic
>as regular soft drinks. I thought that the bacteria needed a substrate i.e.
>sugar and then generated their own low pH. Any cariologists out there?
Dr Steve - 09 Jun 2004 18:16 GMT
If you have a perfectly clean mouth,,,,, no, soda pop will not rot your
teeth.  But, if you have a bit of dental plaque stuck to your teeth which is
not being removed daily, then soda pop will greatly accelerate the decay
process.  Many soda pops have a pH almost identical to vinegar.  Ever do the
lab experiment where you soak a raw egg in vinegar overnight, then push it
through the neck of a pop bottle with out breaking it?  Bacterial plaque
create decay by metabolizing carbohydrates, such as glucose, into various
compounds and excreting an acid.  The acid eats a hole in the tooth.  Soak
the plaque in lots of strong acid, and there is just much more acid there to
do the work.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

> The cariologists are all at a heart convention .......... they misread
> the flyer and sent their money in too quickly.
[quoted text clipped - 6 lines]
> >as regular soft drinks. I thought that the bacteria needed a substrate i.e.
> >sugar and then generated their own low pH. Any cariologists out there?
Joel M. Eichen, D.D.S. - 09 Jun 2004 19:03 GMT
>If you have a perfectly clean mouth,,,,, no, soda pop will not rot your
>teeth.  But, if you have a bit of dental plaque stuck to your teeth which is
>not being removed daily, then soda pop will greatly accelerate the decay
>process.  Many soda pops have a pH almost identical to vinegar.  Ever do the
>lab experiment where you soak a raw egg in vinegar overnight, then push it
>through the neck of a pop bottle with out breaking it?

Wow. Is that how they do that? Someone told me they had the chicken
sitting on  top of the soda bottle when she hatched the egg.

JOEL

> Bacterial plaque
>create decay by metabolizing carbohydrates, such as glucose, into various
>compounds and excreting an acid.  The acid eats a hole in the tooth.  Soak
>the plaque in lots of strong acid, and there is just much more acid there to
>do the work.
Steven Fawks - 08 Jun 2004 13:41 GMT
No.

'Course I may not be in the group<G>.

Fawks

> Then the group would seem to concur that DIET soft drinks are as cariogenic
> as regular soft drinks.
 
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