ASSESSMENT OF THE IMPACT OF CONSUMPTION OF CARBONATED BEVERAGES, CITRUS FRUITS, AND OTHER ACIDIC PRODUCTS ON DENTAL ENAMEL EROSION

Dental enamel erosion is an irreversible loss of tooth structure caused by chemical dissolution from non-bacterial acids. This cross-sectional study aimed to evaluate the prevalence and severity of enamel erosion and its association with the consumption of acidic foods and beverages. A total of 248 adults aged 18–45 years were examined using the Basic Erosive Wear Examination (BEWE) index and completed a validated dietary questionnaire. Statistical analysis was performed using Chi-square tests, ANOVA, and multivariable logistic regression. Dental erosion was identified in 64.5% of participants, while 22.6% showed moderate to severe erosive wear (BEWE ≥ 9). Daily consumption of carbonated beverages and frequent intake of citrus fruits were significantly associated with higher BEWE scores (p < 0.001). Logistic regression revealed that daily consumption of carbonated drinks (aOR = 3.42; 95% CI: 1.89–6.17) and acidic fruit juices (aOR = 2.78; 95% CI: 1.54–5.02) were independent predictors of moderate-to-severe enamel erosion. Frequent intake of acidic dietary products significantly increases the risk of dental enamel erosion. Preventive strategies should include dietary counseling and public health measures aimed at reducing excessive acid exposure and preserving long-term oral health.

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