Today’s post is from guest blogger Robert Milton. He blogs for Austin Dental Center, an Austin dentist, who specializes in mercury-free fillings and dental implants.
I’m one of billions. I enjoy my cup of coffee in the morning like the majority of the world. Although I’ve learned through the years to limit myself to two cups (most days) and then move on to water. With our overworked and under-rested modern society, many feel they need coffee just to get their brain going before they can even think about starting their day. However, more people are reaching for energy drinks for a caffeine boost as evident by the millions of dollars in sales rising each year and variety available on the store shelves. What’s more troubling though is the amount being consumed with the belief that it’s a better choice than coffee or soda.
In the last few years, dentists have seen an increase in cases of tooth decay commonly referred to as “Mountain Dew Mouth”. Much like the defamed soda, energy drinks are becoming an all day beverage and wreaking havoc on the dental health of adolescents and adults. Bombarded with advertisements fronted by sports celebrities and marketing-speak promoting the added vitamins, there are many consumers who are unaware of possible health risks from sipping too many energy drinks.
Facts to Share with Your Patients
Highly Acidic
Energy drinks, like Red Bull, typically have acidity levels ranging at pH 2.5-3.5. Not only does this erode tooth enamel, but by altering the pH level in the mouth bacteria flourish. In 2007, General Dentistry published results from an in vitro dissolution of enamel study stating that teeth can be completely dissolved from anything lower than pH 4.0. In addition to low pH, patients often sip rather than chug energy drinks giving their teeth an acid bath for hours on end.
Loaded with Sugar
The most common notion savvy patients realize about energy drinks is the high sugar content. However, they often think of their waistlines and not their teeth when weighing this fact. After the acid compromises enamel, the massive amount of sugar in each mouthful feeds all the extra bacteria that have been allowed to grow. Again, with constant sipping teeth remain vulnerable for dental caries.
Risk of Bone Loss
In their study published by Food Science and Human Nutrition, L.K. Massey and S.J. Whiting found that caffeine increases the urinary excretion of calcium. Even if moderate amounts of caffeine are consumed, the loss of calcium can raise the risk of osteoporosis. Bones and teeth suffer when patients are calcium deficient. Second in size only to sales, energy drinks are packaged in bigger and bigger cans indicating a demand by consumers. Habitual consumption of these large portions could be detrimental to bone health.
Dry Mouth
Caffeine is a natural diuretic. Instead of quenching your thirst, the highly caffeinated energy drinks actually dehydrate you. When it comes to dental health, dehydration increases the likelihood of tooth decay, gum disease, and halitosis. Recently the International Journal of Sports Medicine reported that athletes are at high risk for erosion and caries due to dehydration from physical activity, mouth breathing, and frequent use of energy drinks. Extra dental visits to assess risk and receive regular cleanings are recommended for sporty patients.
Beware of Drug Interactions
If your patient includes energy drinks in their daily diet, there’s a good chance they are experiencing tooth sensitivity and pain caused by the decay. Often those with a toothache will self-medicate with over-the-counter medications before making an appointment with you. However, if they’re unaware of certain drug interactions with high levels of caffeine, they could be exacerbating the side effects from some pain relievers and antibiotics.
Preventing Tooth Decay from Energy Drinks
Of course a healthy diet, sleep, and lots of water are more satisfying sources of energy, but the occasional energy drink in a crunch is safe. As important as it is to be aware of the health risks, it’s good to know how to avoid painful and costly restorations by remembering a few simple rules.
Limit intake of energy drinks. Think 1-2 per week, not per day.
Drink within 20-30 minutes instead of sipping for hours.
Rinse mouth with water after finishing energy drink.
Use a straw to keep beverage away from teeth while drinking.
Chew sugar-free gum with xylitol to help produce protective saliva.
Brush teeth after an hour to make sure enamel isn’t further damaged.
Have you been surprised by any of these facts? Let us know in the comments below!











Good information that I know patient's in our practice are not aware of!
http://www.completedentalcaresmiles.com
Thanks, Elaine!
I was surprised myself when I learned about the risk of bone loss due to high levels of caffeine. Glad my info is useful!
This a great article! Very informative and well written.
Thanks for the kind words, Thomas!
Is it really true that the majority of the world's population drinks coffee in the morning? Maybe it is but I'm a little surprised. I used to drink coffee in the morning but gave it up recently in favor of lowering my blood pressure. Drinking water does seem to be better for me (although I still sometimes miss a nice cup of coffee first thing in the morning).
Well if that surprised you, check out what PBS's Frontline said about coffee consumption in 2003:
-More than 500 billion cups of coffee are served worldwide each year.
-More than half of all Americans over the age of 18 (107 million people) drink coffee daily.
-On average, US coffee drinkers consume three and a half cups a day apiece.
-Coffee is the world's second-most-valuable commodity exported by developing countries, after oil.
On top of THAT, Bloomberg reported a couple days ago that "sales of coffee by US retailers climbed 19 percent to $4.52 billion" in 2011.
I don't have the statistics for water or tea, but it seems Earth dwellers like coffee.
Good job giving up the joe! Water is a much much healthier way to start the day, especially to replenish fluids after getting several hours of sleep. Even if you do drink a cup of coffee in the morning, you should drink 1-2 glasses of water first.
Thanks for the feedback!
Great post! I always think about this if those drinks can wear down your enamel what is it doing to the inside of your body?
Exactly, Stacia. Increased blood pressure, increased heart rate, impaired brain function, seizures, possible cardiac arrest… Really makes you question if they're worth the short-lived burst of energy even occassionally.
Thanks for commenting!
im a intern
I had worked on an ICMR project on EROSIVE POTENTIAL OF SOME COMMONLY USED BEVERAGES IN INDIAN DIET AND THE ANTI EROSIVE EFFECT OF FLUORIDE AND XYLITOL AS ADDITIVES- AN IN VITRO .
. control used ws citic acid. al the teeth specimen wr imersed in artificial saliva. an 10 mins a day half of them in beverages containing xylitol n flouride n half without these.
it ws a20 days study.
the results wr positv. erosion did ocur wn seen under stereomicroscope.
i wud like to get ths published. if You gt any informatn how to do so pls reply.
my email id is – sayali90000jain@yahoo.co.in
im also interested further in the feild of research.
Thankyou
Very good article – It is true that people tend to think about their waist line rather than their teeth. Lifestyle seems to be a very big cause I think, as more people are leading a very hectic life, without having enough sleep, which creates the need for energy drinks – Its hard, but if you can its worth sticking to water.
Definitely. Get some sleep and drink some water. It's such a simple solution. Just not the most popular one.
Thanks for throwing in your two cents!
Nice informative blog. Soda contains high levels of phosphorous that leach calcium from the bones. It damages the enamel on the teeth the same way, which can lead to periodontal disease and tooth loss. So it's better to drink water regularly instead of soda. Tooth loss, periodontal disease, and gingivitis can be problems, especially with a high phosphorus intake, particularly from soft drinks. Thanks for sharing.
And if you're already not getting enough calcium daily, it's even more likely to see health and dental issues due to the imbalanced ratio of calcium to phosphorus in the body.
Thanks Cost Dental Implants!
This is very true and we have definitely seen an increase in patients who have suffered from tooth decay because an increase in drinking of energy drinks – Unfortunately it seems that more energy drinks seem to be coming out and they always have huge marketing campaigns behind them!
Getting in the habit of cutting down drinking energy drinks/soda/coffee/tea and replacing these drinks with water is a really good practice to take up – not just for your dental health but for your overall health and wellbeing
And you know the thing is – habits can run so deep that even with patients being aware and understanding that it's not good for them, they'll still opt for the unhealthy choice simply because their habit has taken over the decision-making process.
I read recently that about 90% of everything we do (good or bad) is habitual rather than a choice based on critical thinking. If this is what the dental community is up against, then maybe we should try a different approach. Just a thought.
Thanks Hereford Orthodontic!