P. Lingstrom et al., EFFECT OF FREQUENT CONSUMPTION OF STARCHY FOOD ITEMS ON ENAMEL AND DENTIN DEMINERALIZATION AND ON PLAQUE PH IN-SITU, Journal of dental research, 73(3), 1994, pp. 652-660
The aim of this cross-over study was to determine the cariogenic poten
tial of starchy food items as between-meal snacks. This was done by me
asuring demineralization of human enamel and dentin as well as the pH
of dental plaque in situ. Eight volunteers with complete dentures carr
ied two enamel and two dentin specimens, mounted in the molar regions
of their mandibular prostheses. There were three test periods, each la
sting for 21 days, followed in a randomized order: (1) consumption of
starchy food products, 12-15 times a day, in addition to the normal di
et (starch period); (2) consumption of sucrose products, 12-15 times a
day, in addition to the normal diet (sucrose period); and (3) no addi
tion of test products to the normal diet (control period). Both the st
arch and the sucrose diets increased the demineralization of enamel an
d dentin compared with the control period. However, only the sucrose p
eriod resulted in significant demineralization of dentin compared with
the control period. The plaque pH, followed during 60 min alter a one
-minute mouthrinse with 10% sucrose, was lower at all time points afte
r both the starch and the sucrose periods compared with the control pe
riod.