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Effect of starch on the cariogenic potential of sucrose

Published online by Cambridge University Press:  08 March 2007

Cecilia C. C. Ribeiro ,
Cínthia P. M. Tabchoury ,
Altair A. Del Bel Cury ,
Livia M. A. Tenuta ,
Pedro L. Rosalen  and
Jaime A. Cury
Cecilia C. C. Ribeiro
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
Cínthia P. M. Tabchoury
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
Altair A. Del Bel Cury
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
Livia M. A. Tenuta
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
Pedro L. Rosalen
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
Jaime A. Cury*
Affiliation:
Faculty of Dentistry of Piracicaba, University of Campinas, Av. Limeira 901, CEP 13414-903, Piracicaba, São Paulo, Brazil
*
*Corresponding author: Professor Jaime A. Cury, fax +55 19 3412 5218, email jcury@fop.unicamp.br
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Abstract

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Since in vitro and animal studies suggest that the combination of starch with sucrose may be more cariogenic than sucrose alone, the study assessed in situ the effects of this association applied in vitro on the acidogenicity, biochemical and microbiological composition of dental biofilm, as well as on enamel demineralization. During two phases of 14 d each, fifteen volunteers wore palatal appliances containing blocks of human deciduous enamel, which were extra-orally submitted to four groups of treatments: water (negative control, T1); 2 % starch (T2); 10 % sucrose (T3); and 2 % starch+10 % sucrose (T4). The solutions were dripped onto the blocks eight times per day. The biofilm formed on the blocks was analysed with regard to amylase activity, acidogenicity, and biochemical and microbiological composition. Demineralization was determined on enamel by cross-sectional microhardness. The greatest mineral loss was observed for the association starch+sucrose (P<0·05). Also, this association resulted in the highest lactobacillus count in the biofilm formed (P<0·05). In conclusion, the findings suggest that a small amount of added starch increases the cariogenic potential of sucrose.

Keywords

StarchSucroseDental biofilmDemineralizationEnamel
Type
Research Article
Information
British Journal of Nutrition , Volume 94 , Issue 1 , July 2005 , pp. 44 - 50
Copyright
Copyright © The Nutrition Society 2005

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