Energy Drinks and Your Child’s Teeth. Should You Worry?

The hard clack of cleats echo about as your “little” sports hero rushes to get out of the house … soon to be late for practice. Armed with all they’ll need for a day in the sun, their equipment bag is packed and slung awkwardly over one shoulder, bursting at the seams with untold numbers of pads and dirty gear. And after making a final beeline through the kitchen to raid your refrigerator of a 64oz bottle or two of rainbow-colored sustenance, they’re off for what will no doubt be another grueling practice session. You’re proud of your kids – they’re growing up. And yet you wonder as you stare at the door that just shut behind them. Are those techni-colored drinks they’re drinking every day hurting them?

The truth, unfortunately, is yes. While they may keep your children energized and awake for the next few hours, the bad news is, they’re secretly eating away at their teeth - and fast. 

Why Are Energy Drinks Such a Threat to Teeth?

The crux of the problem is the double-whammy that comes from an exceedingly high sugar content and citric acid pH that can be as low as 2.9. Now, we understand pH can be a tricky thing to understand, so to help put that number in perspective, a bit, consider this: battery acid has a pH of 0.0 (so, a lower number means a higher acid content). Stomach acid (which we can imagine as being quite acidic, at least!) has a pH that fluctuates between 1.0 and 3.0.  A lemon, in contrast, comes in at around 2.0, a grapefruit at 3.0, and tomato juice at 4.0. 

The real distinction though is in knowing that with each increase in numerical value, the acid intensity increases 10-fold. So, in the example above, a lemon ends up being 10 times more acidic than a grapefruit, and 100 times more acidic than tomato juice - a sensation you can certainly taste if you bite into one!  In contrast, milk and water have a pH of 7.0, so, it's easy to see the difference in the numbers - they're huge.

The Science

What all this means to your child’s teeth is the real question, though, and precisely what researchers at Southern Illinois University set out to discover in 2012.  The results, which surprised even the research team, showed considerable damage to tooth enamel after only five days of steady consumption. Five days. 

To determine the effect of these drinks on our teeth, the research team looked at 22 popular sports and energy drinks, and exposed artificial tooth enamel to the beverages for 15 minutes at a time, four times daily. This schedule was chosen because it mirrors the consumption habits of many users who drink these beverages every few hours - a particularly common habit among those who consume sports drinks, particularly when your kids are involved in sports.  After each 15-minute exposure, the enamel was then placed into an artificial saliva solution for two hours to mimic what would happen once consumption stopped.  After only five days on this schedule, the enamel showed a 1.5% loss with sports drinks, and a shocking 3% loss with energy drinks.

The Critics

While critics in the beverage industry suggest the time used to expose the enamel to the drinks may have been excessive, it's widely known that snacking, as well as regular sipping of any beverage other than water, creates acidic activity in the mouth that promotes tooth decay. Of course, adults also need to be careful, and if you’re the weekend warrior type, or are pulling shifts and consuming these beverages throughout the day, the time of exposure might actually not be long enough.  The sweet spot is in the middle-ground, and that's basically the advice we're going to offer today.

There is no doubt that these beverages are not good for our teeth. They're also not good for our stomach, and esophagus if one is prone to acid reflux.

The Middle Ground -- It's about being Informed

We're not asking you to force your kids to give up their sports beverages and energy drinks. However, it is wise to know the risks, and to understand how you can help your kids combat some of their side-effects. Here are two quick tips that will help if they can't shake the habit:

• Have them keep water nearby so they sip on it to dilute the acid covering their teeth. This also increases saliva production to help protect tooth enamel.
• Suggest that they don't brush immediately after consuming such beverages.  Why? Because in the thirty minutes to an hour after consumption, tooth enamel will be slightly softer, and brushing in this window of time literally ends up spreading the acid around to other parts of the teeth. Not good.  If brushing is desired, save it for an hour or so after.

Lastly, here is the breakdown of most caustic to least caustic drinks as found by the researchers.

Sports Drinks:

• Filtered Ionozed Alkaline H2O – pH: 10.0
• Water – pH: 7.o
• Odwalla Carrot juice – pH: 6.2
• Odwalla Vanilla Monster – pH: 5.8
• Unflavored Pedialyte – pH: 5.4
• Vita coco – pH: 5.2
• Aquafina,Dasani, Smart water – pH: 4.0
• GU2O – pH: 4.29
• Powerade – pH: 3.89
• Accelerade – pH: 3.86
• Gatorade Endurance – pH:  3.22
• Monster – pH:  2.7

Energy Drinks:

• Red Bull – pH: 3.3
• AMP Energy – pH: 2.7
• Monster Energy – pH: 2.7
• Full Throttle  - pH: 1.45
• Rock Star – pH: 1.5

P.S. Don’t forget the mouthguard!

7 Oral Health Concerns for Those Over 50

When they say “age is all in your head,” they’re probably right. But then, your teeth ARE in your head -- so you likely can’t escape having to pay a little more attention to them after the age of 50. Although some oral health concerns are seen as common as we age, if you adopt a proactive mindset and educate yourself, these concerns do not have to be common for you. Anticipating and recognizing changes in your mouth can help you be on top of your health in this area -- so let’s take a look at the main ones you have to watch out for.

1. Dry Mouth: The most common oral health concern you’re likely to experience as you age is dry mouth. In the medical world, dry mouth goes by the name xerostomia, and can be brought on by a number of contributing factors, including the over-consumption of drying beverages like coffee and alcohol, as well as the frequent consumption of salty foods. Another big offender is the medication we take over a lifetime to treat various illness. And the list isn’t a short one – there are at least 400 medications that can contribute to xerostomia, including medications for high blood pressure and depression. 
2. Ill-fitting Dentures: First off, it’s important to note that the need for dentures is not a must as we age. Today, healthier living and better access to dental care has reduced the percentage of seniors wearing dentures to 27% from nearly 50% just a few decades ago. That said, should dentures be a part of your life, or that of a loved one, wearing properly-fitting dentures is critical.Sometimes, all that’s needed is a denture reline. Call Dr. Nijjar & Dr. Ruchi at 510-794-7058 to see if we can help. Dentures that cause pain or shift in the mouth tend to alter a person’s eating habits, which can lead to nutrition deficits if healthy, but hard-to-chew, foods are avoided. Ill-fitting dentures can also cause thrush.
3. Physical Obstacles to Good Oral Care: As we age, we sometimes find ourselves having to contend with physical ailments that limit our desire to maintain good oral care. Arthritis, vision loss, or injuries are a few of the most common. To combat these concerns, using a floss pick to get between teeth can be helpful, and the regular use of oral rinses can assist in dislodging difficult-to-remove food debris, while adding to the overall health of one’s mouth and gum tissue. Here’s how to choose the best mouth rinse for your needs!
4. Naturally Receding Gums: The old expression “long in the tooth” isn’t just a quaint idiom about how one accumulates wisdom with age – it also refers to how our teeth appear to “lengthen” as we age. In other words, it’s a fancy way of saying our gums are receding. While some degree of gum recession is indeed natural as we get up in years, this predisposes us to cavities along the root structure of the tooth where enamel doesn’t exist. So, as one ages, flossing, brushing and rinses are more important than ever.
5. Gum Disease: Natural gum recession is one thing, and a part of “growing up,” if you will. Gum disease, however, is preventable. So, if it’s been longer than six months since you’ve seen us, please do give us a call at 510-794-7058. Each of the above items in this list can contribute to gum disease, and good oral care can prevent it. Failing to do so can lead to a need for dentures at its most extreme, and pain and swollen gums at its least. We’d prefer you experience neither concern!
6. Tooth Loss: If a tooth is lost due to trauma or decay, and not replaced with an implant or other prosthetic, it can have serious complications for the health of the jawbone. Teeth can shift out of place and fall out, and bone tissue can be resorbed back into the body. Not a good thing.
7. Loss of Insurance Coverage: Retirees without dental coverage can sometimes cover the expense of dental care on their own; sometimes they cannot. But a lack of funds to take care of one’s teeth can be devastating to the health of our mouths, and our overall health. So we need to plan for two things: a care routine that allows us to take care of our teeth as much as humanly possible and some sort of financial backup plan for when problems do arise.

Bleeding gums linked to medical problems, not just gum disease

The mouth is a window into the rest of your body! 

Studies show that there are links between heart disease and poor dental health, diabetes and poor dental health, and even strokes and poor dental health.

Visit Dr. Nijjar and Dr. Ruchi regularly to make sure your dental health is not placing you at risk for other medical issues.