Differences in The Effectiveness of Lemon Juice (Citrus limon) and Apple Cider Vinegar (Malus pumila Mill) in Whitening Tooth Enamel
DOI:
https://doi.org/10.46862/interdental.v21i1.8575Keywords:
Apple cider vinegar, dental bleaching, discoloration, lemon juice, tooth enamelAbstract
Background: The stability of tooth enamel colour can be affected by foods and beverages due to its fluid absorption properties. Dental bleaching could fix it, but chemical teeth whitening agents have irritating and sensitive effects, therefore, it’s needed to find alternatives for natural teeth whitening ingredients that are safer and affordable. Lemon juice (Citrus limon) and apple cider vinegar (Malus pumila Mill) contain malic acid, which are natural teeth whitening agents. To prove the effect of lemon juice and apple cider vinegar in changing the colour of tooth enamel.
Methods: Thirty samples of permanent canine teeth, randomly divided into 3 groups, soaked for 5 days in lemon juice (n=10), apple cider vinegar (n=10), and distilled water (n=10). Measurements were taken using VITA Easyshade V to see the lightness value.
Results:The lightness value of lemon juice has the highest significance (p=0,003) among all treatment groups.
Conclusion: Lemon juice showed a better number of lightness which means it has better efficiency on teeth whitening rather than apple cider vinegar.
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References
Alqahtani MQ. Tooth-Bleaching Procedures and Their Controversial Effects: A Literature Review. Saudi Dent J 2014;26(2):33-46. doi: https://doi.org/10.1016/j.sdentj.2014.02.002
Hardini N, Alikhlash R, Retnoningrum D, Limijadi E. Whitening effect of manalagi apple (malus sylvestris) extract on tea-induced tooth discoloration. Bali Medical Journal 2022; 11:950-952. doi: https://doi.org/10.15562/bmj.v11i2.3511
AL-Omiri MK, Al Nazeh AA, Kielbassa AM. et al. Randomized controlled clinical trial on bleaching sensitivity and whitening efficacy of hydrogen peroxide versus combinations of hydrogen peroxide and ozone. Sci Rep 2018;8(1):2407. doi: https://doi.org/10.1038/s41598-018-20878-0
National Center for Biotechnology Information. PubChem Compound Summary for CID 311, Citric Acid. Tersedia di: https://pubchem.ncbi.nlm.nih.gov/compound/Citric-Acid [Diakses 16 Februari 2023]
Marques C, Sotiles A, Masson M, Oliveira G, Daltoé M, Farias F. Full physicochemical characterization of malic acid: emphasis in the potential as food ingredient and application in pectin gels. Arabian Journal of Chemistry 2020;10(1):36. doi: http://dx.doi.org/10.1016/j.arabjc.2020.10.036
Savarkar S, Sankar J, Andrea FM. Efficacy study of whitening toothpaste containing lemon (citrus limon (l) and salt (sodium carbonate). J Dent & Oral Health 2019;2(3):1-3. doi: http://dx.doi.org/10.33552/OJDOH.2019.02.000538
Margareta S. Seratus Satu Tips dan Terapi Alami agar Gigi Putih dan Sehat. 3rd ed. Yogyakarta: Pustaka Cerdas;2022.
Martínez-Nicolas JJ, Núñez-Gómez D, Lidón V, Martínez-Font R, Melgarejo P, Hernández F, Legua P. Physico-chemical attributes of lemon fruits as affected by growing substrate and rootstock. Foods 2022;11(16):2487. doi: https://doi.org/10.3390/foods11162487
Launholt TL, Kristiansen CB, Hjorth P. Safety and side effects of apple vinegar intake and its effect on metabolic parameters and body weight: A systematic review. Eur J Nutr 2020; 59(6):2273-2289. doi: https://doi.org/10.1007/s00394-020-02214-3
Zheng LW, Li Di-ze, Lu JZ, Hu W, Chen D, Zhou XD. Effects of vinegar on tooth bleaching and dental hard tissues in vitro. Sichuan Da Xue Xue Bao Yi Xue Ban 2014;45(6):933-6, 945.
Abidia R, El-Hejazi AA, Azam A, Al-Qhatani A, Al-Mugbel K, AlSulami M. Efficacy of tooth whitening using natural products in vitro. The Saudi Dental Journal 2019; 31:26. doi: http://dx.doi.org/10.1016/j.sdentj.2019.01.020
Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract 2014;14:70-76. doi: https://doi.org/10.1016/j.jebdp.2014.02.006
Yildirim E, Vural UK, Cakir FY, Gurgan S. Effects of different over - the - counter whitening products on the microhardness, surface roughness, color and shear bond strength of enamel. Acta Stomatol Croat 2022;56(2):120-131. doi: https://doi.org/10.15644/asc56/2/3
Al Otaibi FL. Adverse effects of tooth bleaching: A review. Int J Oral Care Res 2019; 7:53-5. doi: http://dx.doi.org/10.4103/INJO.INJO_22_19
Sofiyanti N, Iriani D, Wahyuni PI, Idani N, Lestari P. Identification, morphology of citrus l. (Aurantioideae-rutaceae juss.) and its traditional uses in Riau Province, Indonesia. Biodiversitas 2022;23(2):1038-1047. doi: https://doi.org/10.13057/biodiv/d230247
Murali M, Krishna SP, Raj MLS, Kannan I, Manikandan JS, Prasanna S, Shankar KA, Jude J, Fernando PL. The effect of teeth whitening produced by various natural food substances: An in-vitro study. International Journal of Current Research 2018;10(10):74405-74407. doi: http://dx.doi.org/10.24941/ijcr.32276.10.2018
Ameli N, Kianvash RN, Nikpour F, Ghorbani R, Mohebi S. Effect of short and long-term use of home and in-office bleaching with carbamide peroxide and hydrogen peroxide on enamel microhardness. J Dent Indones 2020;27(2): 50-55. doi: https://doi.org/10.14693/jdi.v27i2.1118
Krishnan P. A Review of the non-equivalent control group post-test-only design. Nurse Res 2019;26(2):37-40. doi: https://doi.org/10.7748/nr.2018.e1582
Miyajiwala JS, Kheur MG, Patankar AH, Lakha TA. Comparison of photographic and conventional methods for tooth shade selection: A clinical evaluation. The Journal of Indian Prosthodontic Society 2017;17(3):273– 281. doi: https://doi.org/10.4103/jips.jips_342_16
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