BEVERAGE EFFECTS ON HUMAN TOOTH ENAMEL Frankie Vozza Central Catholic High School Grade 9 February 6,2010 PROBLEM Does the prolonged exposure of human teeth in a beverage effect the thickness of enamel? DENTAL PRINCIPLES The profession of diagnosing and treating conditions that occur in the tissues of the mouth Necessary for complete overall health THE HUMAN TOOTH TOOTH ANATOMY: ENAMEL Hardest and most mineralized substance of the body. 96 % percent mineral with 4% water and other organic material Often up to 3.1 millimeters thick TOOTH ANATOMY-DENTIN One of the four major components of teeth Covered by the enamel and surrounds the entire pulp. Less mineralized than enamel Necessary for the support of enamel. 70% percent of mineral, 20% percent organic material and 10% percent water. TOOTH ANATOMY- PULP Softest part of the tooth Lies in the root and extends all of the way to the top part of the tooth The pulp contains: blood vessels, nerves, and connective tissue Essential for supplying the tooth with nutrients and sensation. TOOTH ANATOMY- NERVE Contained in the pulp of the tooth. Send signals to the brain that convey where the teeth are in the mouth (If the mouth is open or closed). Supplies sensation of pain TOOTH ANATOMY PERIODONTAL LIGAMENT Specialized tissues that attach the tooth to the bone Acts as guard in which it detects the forces being placed on the teeth Supporting tissue and is about 0.2 millimeters in width Breakdown of Enamel Occurs within the deep grooves, pits, and fissures of enamel. These locations are impossible to reach with a toothbrush and allow for bacteria to reside Leads to the demineralization of enamel Breakdown of Enamel Sugars from candies, soft drinks, and juices play a significant role in tooth decay. pH in the mouth initially decreases from the ingestion of sugars Enamel is demineralized and left vulnerable for about 30 minutes. Enamel begins to demineralize and eventually the acid eats away into the thickness of the enamel ACIDITY OF USED BEVERAGES pH scale: a range of values that are used to express acidity or basicity of a solution. Describes a solution in which is lower than 7 is acidic and higher than 7 is basic. ( 7 is neutral) Beverage Acidity Level (Ph scale) Coke Classic 2.53 Milk, 2% 6.8 Orange Juice 3.30-4.15 Tap Water 4.0-7.0 Pure Water 7.0 PURPOSE/OBJECTIVE To determine if the prolonged exposure to a beverage has an effect on tooth enamel. Null Hypothesis Prolonged exposure of enamel in tested beverages will not significantly reduce enamel thickness. Alternative Hypothesis Prolonged exposure of enamel in tested beverages will cause significant reduction in enamel thickness. MATERIALS 1.Perioprobe 2. Dissecting Microscope 3. Experimental liquids ( 2% milk ,Coke Classic , orange juice, Tap water, distilled water) 4. Extracted and sterilized human teeth 5. Lab Materials (Plaster mixing equipment) PROCEDURE 1. Observed and recorded initial thickness of enamel 2. Precisely measured the amount of pure water to be put into plastic container with graduated cylinder (1 liter) 3. Sterilized the extracted teeth and visually examined, making sure no defects were present. 4. Mounted four teeth in each plaster trough. 5. Placed the teeth inside the plastic container completely submerged in liquid. 7. Let the teeth soak in pure water for twelve hours nonstop then removed teeth from liquid environment for 12 hours. 8. Repeated Step 6 for Four weeks daily. 8. After four weeks, teeth were removed and rinsed thoroughly. 9. Teeth were then sectioned with a diamond toothed cutting bur by dental student at Univ. of Pittsburgh Dental School. 10. Used a perioprobe (dental instrument) to measure the thickness of enamel at cusp tips using dissecting microscope provided by CCHS. 11. Recorded the data in a Record Book and computed averages. 12. Made general visual and tactile observations and recorded findings. 13. Repeated Steps 5-12 with each set of mounted teeth in their respective experimental liquid ( 2%Milk, Classic Coke, Orange Juice, Tap water). 14. Compared data charts together and analyzed results, making comparisons of enamel thickness measurements. INITIAL ENAMEL THICKNESS Beverage Trial 1 Trial 2 Trial 3 Trial 4 Average Water 3.0 3.0 3.1 2.9 3.0 Orange Juice 3.0 2.9 2.8 3.0 2.925 2% Milk 3.0 2.8 3.1 2.8 2.925 Tap Water 2.9 3.0 2.9 2.8 2.90 Classic Coke 3.0 2.8 3.1 2.8 2.95 Table 1. Thickness Recorded with perioprobe Final Enamel Thickness Beverage Trial 1 Trial 2 Trial 3 Trial 4 Average Water 3.0 3.0 3.1 2.9 3 Orange Juice 2.75 2.50 2.4 2.7 2% Milk 3.0 2.4 2.7 2.5 Tap Water 2.75 3.0 2.9 2.4 2.7625 No observable change Classic Coke 2.7 2.3 2.6 2.2 2.525 Observations No observable change 2.5625 Teeth appeared more translucent than control 2.65 No observable change Dark brown color extended deep into tooth with soft outer surface Table 2. Thicknesses of Enamel measured under dissecting microscope and general observations. Percent Change Between Initial and Final Enamel Thickness Beverage Trial 1 Trial 2 Trial 3 Trial 4 Average Changed Orange Juice 8.33% 16.66% 14.28% 13.33% 13.15% 2% Milk 0% 14.28% 14.81% 10.71%% 9.95% Tap Water 5.17% 3.44% 3.57% 14.28% 6.61%% Coke Classic 11.11% 17.85% 16.12% 21.42% 16.625% Percent changed by millimeters DECREASE OF ENAMEL THICKNESS 0.45 P= 0.001601 Enamel Thickness Changed 0.4 0.35 0.3 Average changed 0.25 0.2 0.15 0.1 0.05 0 Water Orange Juice Milk Tap Water Tested Beverages Pop ANOVA Analysis of variance Anova: Single Factor SUMMARY Groups Statistical test comparing variation within and between experimental groups Count Sum Average Variance Column 1 4 0 0 0 Column 2 4 1.45 0.3625 0.005625 Column 3 4 1.1 0.275 0.035833 Column 4 4 0.55 0.1375 0.035625 Column 5 4 1.9 0.475 0.015833 ANOVA If the P-value is lower than the value (.05), then the result is significant ( a result of the variable influence ) Source of Variation SS df MS Between Groups 0.55625 4 0.139063 Within Groups 0.27875 15 0.018583 0.835 19 Total F 7.483184 P-value 0.001601 F crit 3.055568 ENAMEL THICKNESS DUNNETT’S TEST T- CRITICAL= 3.70 Beverage T-Value Interpretation Orange Juice 1.75 Not Significant 2% Milk 1.42 Not Significant Tap Water .71 Not Significant Coke Classic 2.46 Not Significant CONCLUSIONS Rejected the alternative and accepted the null hypothesis No significant difference in enamel thickness Liquids alone cannot cause teeth to decay. Demineralization did occur but the enamel did not breakdown. LIMITATIONS, EXTENSIONS, AND FUTURE STUDIES Limitations Decay did not exactly occur because chemical, pathological, and mechanical factors were not all present. Not all teeth were identical. Extensions, and Future Studies Larger groups of teeth will be employed in the next series of testing. Mechanical Different breakdown will also be a factor acidic beverages will be tested BIBLIOGRAPHY Bauman, Robert W. Microbiology with Diseases by Taxonomy (2nd Edition) (The Microbiology Place Series). San Francisco: Benjamin Cummings, 2006. Print. Roberson, Theodore. Sturdevant's Art & Science of Operative Dentistry. Chicago: Mosby-Year Book, 2001. Print. Myers, P., R. Espinosa, C. S. Parr, T. Jones, G. S. Hammond, and T. A. Dewey. 2006. The Animal Diversity Web (online). Accessed January 29, 2010 at http://animaldiversity.org. http://www.webmd.com/oral-health/tc/tooth-decay-topicoverview