Skip to main content
Log in

Vermeidung von Zahnhartsubstanzschäden durch eine zahngesunde Ernährung

  • Zahnärztliche Fortbildung
  • Published:
wissen kompakt Aims and scope

Zusammenfassung

Zahnhartsubstanzdefekte sind weit verbreitet und stellen eine Herausforderung für die moderne Zahnmedizin dar. Dabei sind kariöse Veränderungen von nichtkariösen Zahndefekten zu unterscheiden. Während die Zahnabnutzung im höheren Lebensalter ein natürliches Phänomen ist, treten zunehmend nichtkariöse Veränderungen an der Zahnhartsubstanz bereits in jüngeren Jahren auf. Als Ursache wird unter anderem der steigende Konsum säurehaltiger Nahrungsmittel angesehen. Der folgende Beitrag erläutert speziell die Zusammenhänge zwischen Ernährungsfaktoren und Zahnhartsubstanzdefekten, sowohl kariöser als auch nichtkariöser Natur. Konkrete Empfehlungen zur Ernährungslenkung und -beratung in der zahnärztlichen Praxis werden gegeben.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2

Literatur

  1. Arends J, Christoffersen J (1986) The nature of early caries lesions in enamel. J Dent Res 65:2–11

    Article  PubMed  Google Scholar 

  2. Korithoski B, Krastel K, Cvitkovitch DG (2005) Transport and metabolism of citrate by Streptococcus mutans. J Bacteriol 187:4451–4456

    Article  PubMed  Google Scholar 

  3. Hara AT, Zero DT (2010) The caries environment: saliva, pellicle, diet, and hard tissue ultrastructure. Dent Clin North Am 54:455–467

    Article  PubMed  Google Scholar 

  4. Meurman PK, Pienihäkkinen K (2010) Factor associated with caries increment: a longitudinal study from 18 month to 5 years of age. Caries Res 44:519–524

    Article  PubMed  Google Scholar 

  5. Koch MJ (1999) Zähne und Ernährung. In: Biesalski HK, Fürst P, Kasper H et al (Hrsg) Ernährungsmedizin. Thieme, Stuttgart, S 585–595

  6. Burt BA, Szpunar SM (1988) The Michigan study: the relationship between sugars intake and dental caries over three years. Int Dent J 44:230–240

    Google Scholar 

  7. Lingström P, Houte J van, Kashket S (2000) Food starches and dental caries. Crit Rev Oral Biol Med 11:366–380

    Article  PubMed  Google Scholar 

  8. Johannson I, Holgerson PL, Kressin NR et al (2010) Snacking habits and caries in young children. Caries Res 44:421–430

    Article  Google Scholar 

  9. Campus G, Cagetti MG, Sale S et al (2012) Six month high dose xylitol in high-risk caries subjects—a two year randomized, clinical trail. Clin Oral Investig (im Druck)

  10. Misra S, Raghuwanshi S, Gupta P, Saxena RK (2012) Examine growth inhibition pattern and lactic acid production in Streptococcus mutans using different concentrations of xylitol produced from Candida tropicalis by fermentation. Anaerobe 18:273–279

    Article  PubMed  Google Scholar 

  11. Das S, Das AK, Murphy RA et al (1992) Evaluation of the cariogenic potential of the intense natural sweeteners stevioside and rebaudioside. Caries Res 26:363–366

    Article  PubMed  Google Scholar 

  12. EFSA Panel on Food Additives and Nutrient Sources (ANS) (2010) Scientific opinion on the safety of steviol glycosides for the proposed uses as a food additive. EFSA J 8:1537

    Google Scholar 

  13. Koch MJ (1999) Zähne und Ernährung. In: Biesalski HK, Fürst P, Kasper H et al (Hrsg) Ernährungsmedizin. Thieme, Stuttgart, S 585–595

  14. Mundorff-Shrestha SA, Featherstone JDB, Eisenberg AD (1994) Cariogenic potenzial of food II. Relationship of food composition, plaque microbial counts, and salivary parameters to caries in the rat model. Caries Res 28:106–115

    Article  PubMed  Google Scholar 

  15. Jensen ME, Wefel JS (1990) Effects of processed cheese on human plaque pH and demineralization and remineralization. Am J Dent 3:217–223

    PubMed  Google Scholar 

  16. Gazzani G, Daglia M, Papetti A (2011) Food components with anticaries activity. Curr Opinion Biotech 23:1–7

    Google Scholar 

  17. Marquis RE (1995) Antimicrobial actions of fluoride for oral bacteria. Can J Microbiol 41:955–964

    Article  PubMed  Google Scholar 

  18. Tanaka K, Miyake Y, Sasaki S, Hirota Y (2012) Diary products and calcium intake during pregnancy and dental caries in children. Nutr J 11:33

    Article  PubMed  Google Scholar 

  19. Adegboye AR, Twetman S, Christensen LB, Heitmann BL (2012) Intake of diary calcium and tooth loss among adult Danish men and women. Nutrition 28:779–784

    Article  PubMed  Google Scholar 

  20. Caglar E, Sandalli N, Twetman S et al (2005) Effect of yogurt with Bifidobacterium DN-173 010 on salivary mutans streptococci and lactobacilli in young adults. Acta Odontol Scand 63:317–320

    Article  PubMed  Google Scholar 

  21. Yen CE, Huang YC, Hu SW (2010) Relationship between dietary intake and dental caries in preschool children. Int J Vitam Nutr Res 80:205–215

    Article  PubMed  Google Scholar 

  22. Narotzki B, Reznick AZ, Aizenbud D, Levy Y (2012) Green tea: a promising natural product in oral health. Arch Oral Biol 57:429–435

    Article  PubMed  Google Scholar 

  23. Institut der Deutschen Zahnärzte (2006) Vierte Deutsche Mundgesundheitsstudie (DMS IV). http://www.bzaek.de/fileadmin/PDFs/presse/dms/brosch.pdf. Zugegriffen: 17. Sept. 2012

  24. Imfeld T (1996) Prevention of progression of dental erosion by professional and individual prophylactic measures. Caries Res 104:215–230

    Google Scholar 

  25. Bell EJ, Kaidonis J, Townsend G, Richards L (1998) Comparison of exposed dentinal surfaces resulting from abrasion and erosion. Aust Dent 43:362–366

    Article  Google Scholar 

  26. Ligh R, Fridgen J, Saxton C (2011) The effect of nutrition and diet on dental structure integrity. J Calif Dent Assoc 39:243–249

    PubMed  Google Scholar 

  27. Herman K, Czajczyńska-Waszkiewicz A, Kowalczyk-Zając M, Dobrzyński M (2011) Assessment of the influence of vegetarian diet on the occurrence of erosive and abrasive cavities in hard tooth tissues. Postepy Hig Med Dosw 65:764–769

    Article  Google Scholar 

  28. Beyer M, Reichert J, Bossert J et al (2011) Acids with an equivalent taste lead to different erosion of human dental enamel. Dent Mater 27:1017–1023

    Article  PubMed  Google Scholar 

  29. Hannig C, Hannig M, Attin T (2005) Enzymes in the acquired enamel pellicle. Eur J Oral Sci 113:2–13

    Article  PubMed  Google Scholar 

  30. Lussi A, Schaffner M, Jaeggi T, Grüninger A (2005) Erosionen. Schweiz Monatsschr Zahnmed 115:917–935

    Google Scholar 

  31. Sigusch BW, Beyer M, Heurich E, Jandt KD (2008) Erosion des Zahnhartgewebes. ZWR Dtsch Zahnarztebl 117:152–158

    Article  Google Scholar 

  32. Hellwig E, Lussi A (2011) Erosionen – eine neue Herausforderung für den Zahnarzt. ZBW Zahnarztebl Baden-Württemberg 1:1–5

    Google Scholar 

  33. Ligh RQ, Fridgen J, Saxton C (2011) The effect of nutrition and diet on dental structure integrity. J Calif Dent Assoc 39:243–249

    PubMed  Google Scholar 

  34. Tantbirojn D, Pintado MR, Versluis A et al (2012) Quantitative analysis of tooth surface loss associated with gastroesophageal reflux disease: a longitudinal clinical study. J Am Dent Assoc 143:278–285

    PubMed  Google Scholar 

  35. Mulic A, Tveit AB, Hove LH, Skaare AB (2011) Dental erosive wear among Norwegian wine tasters. Acta Odontol Scand 69:21–26

    Article  PubMed  Google Scholar 

  36. Millward A, Shaw L, Harrington E, Smith AJ (1997) Continous monitoring of salivary flow rate and pH at the surface of the dentition following consumption of acidic beverage. Caries Res 31:44–49

    Article  PubMed  Google Scholar 

  37. Richter A, Mensink GBM, Vohmann C et al (2008) Die aktuelle Nährstoffversorgung von Kindern und Jugendlichen in Deutschland. Ergebnisse aus EsKiMo – Teil 2. Ernahr Umschau 55:28–36

    Google Scholar 

  38. Lussi A, Megert B, Shellis RP, Wang X (2012) Analysis of the erosive effect of different dietary substances and medications. Br J Nutr 107:252–262

    Article  PubMed  Google Scholar 

  39. Larsen MJ, Nyvad B (1999) Enamel erosion by some soft drinks and orange juices relative to their pH, buffering effect and contents of calcium phosphate. Caries Res 33:81–87

    Article  PubMed  Google Scholar 

  40. Lussi A, Schaffner M, Jaeggi T, Grüninger A (2005) Erosionen. Schweiz Monatsschr Zahnmed 115:917–935

    Google Scholar 

  41. Ludwig TG, Bibby BG (1957) Acid production from different carbohydrate foods in plaque and saliva. J Dent Res 36:56–60

    Article  PubMed  Google Scholar 

  42. Jensen ME, Wefel JS (1990) Effects of processed cheese on human plaque pH and demineralization and remineralization. Am J Dent 3:217–223

    PubMed  Google Scholar 

Download references

Interessenkonflikt

Die korrespondierende Autorin gibt für sich und ihren Koautor an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. Staudte.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Staudte, H., Glockmann, E. Vermeidung von Zahnhartsubstanzschäden durch eine zahngesunde Ernährung. wissen kompakt 6, 15–26 (2012). https://doi.org/10.1007/s11838-012-0154-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11838-012-0154-7

Schlüsselwörter

Navigation