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Effect on oral pH changes and taste perception in 10-14-year-old children, after calcium fortification of a fruit
S Franklin1, S Masih2, A M Thomas2
1Department of Pediatric and Preventive Dentistry, Christian Dental College, Ludhiana, 41008, Punjab, India. franklinsachin@gmail.com.
Insights
Calcium fortification of fruit juice reduced its acidity, making it less harmful to teeth. This finding is crucial for developing healthier beverage options for children.
Area of Science:
- Oral health research
- Nutritional science
- Pediatric dentistry
Background:
- Fruit juices are popular among children but can be acidic, potentially harming dental health.
- Calcium fortification is a strategy to enhance the nutritional profile of beverages.
Purpose of the Study:
- To evaluate the impact of calcium fortification in mixed fruit juice on oral pH and taste perception in Indian children aged 10-14.
- To assess the cariogenic and erosive potential of fortified versus unfortified fruit juices.
Main Methods:
- A controlled, blinded, non-randomized clinical trial involving 100 healthy children (DMFT <3).
- Participants consumed three juices: original, calcium-fortified, and calcium + vitamin D fortified.
- Salivary and plaque pH were measured at intervals post-consumption; taste perception was also assessed.
Main Results:
- Calcium fortification led to a smaller drop in salivary and plaque pH compared to the original juice (p < 0.5).
- A significant reduction in perceived taste was noted with calcium-modified juices (p < 0.001).
Conclusions:
- Calcium-modified mixed fruit juices demonstrate reduced acidogenicity, suggesting lower cariogenic and erosive potential.
- Fortifying fruit juices with calcium may be a beneficial strategy for improving dental health outcomes in children.
Aim:
The aim was to determine the effect of calcium fortification of a commercially available mixed-fruit juice on oral pH changes and taste perception in a group of 10 to 14 year-old Indian children.
Method:
A controlled, blinded, non-randomised clinical trial was adopted, consisting of a sample of 100 healthy children (DMFT <3; age 10-14 years), who were exposed to three test juices one by one [Group A: original fruit juice (control group); Group B: calcium-fortified fruit juice and Group C: calcium + vitamin D fortified fruit juice]. Oral pH, collection of saliva and plaque sampling was undertaken, before and after the juice exposure by each subject at 0, 1, 5, 15, 30 and 45 min. The respective pH was measured with a digital pH meter. For taste perception, a scoring system was used after exposure of the juices to the subjects in a blind manner. The statistical evaluation was done using one-way ANOVA for salivary and plaque pH and Kruskal-Wallis test for buffer capacity and taste perception.
Results:
There was a smaller drop in salivary and plaque pH (p < 0.5) and a significant reduction in perceived taste (p < 0.001) by the subjects after calcium modification of fruit juice.
Conclusion:
The calcium-modified mixed fruit juices was less acidogenic compared with the unfortified juice, and hence will be less cariogenic and erosive towards teeth.
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