Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications

Objective: To assess the total sugar content, endogenous pH, total soluble solids content (TSSC) and titratable acidity of the commonly prescribed long-term and short-term liquid oral medicines (LOM) for children and to compare the erosive potential with the total sugar content and total soluble so...

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Main Authors: Hanan Siddiq, Kalyana Chakravarthy Pentapati, Revathi Shenoy, Anupama Velayutham, Shashidhar Acharya
Format: Article
Language:English
Published: Association of Support to Oral Health Research (APESB) 2022-03-01
Series:Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Subjects:
Online Access:https://revista.uepb.edu.br/PBOCI/article/view/1069
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author Hanan Siddiq
Kalyana Chakravarthy Pentapati
Revathi Shenoy
Anupama Velayutham
Shashidhar Acharya
author_facet Hanan Siddiq
Kalyana Chakravarthy Pentapati
Revathi Shenoy
Anupama Velayutham
Shashidhar Acharya
author_sort Hanan Siddiq
collection DOAJ
description Objective: To assess the total sugar content, endogenous pH, total soluble solids content (TSSC) and titratable acidity of the commonly prescribed long-term and short-term liquid oral medicines (LOM) for children and to compare the erosive potential with the total sugar content and total soluble solids of the LOM. Material and Methods: Twenty-three most commonly prescribed pediatric LOM were evaluated in- vitro for the cariogenic and erosive potential. Manufacturers' information on labels, endogenous pH, titratable acidity, TSSC, and the total sugar content was determined. Descriptive statistics and the Mann- Whitney U test were applied. Results: Overall, 22 LOM contained sugar. Only 3 LOM revealed the sugar content of the formulation but did not disclose the quantity (Cheston, Ventorlin and Eptoin). None of the samples revealed the sugar content as well as endogenous pH in their labels. The overall mean total sugar content was 6.92 ± 3.49 g/100ml, ranging from 3.40 ± 0.00 (corticosteroids) to 9.67 ± 0.61 (antitussive/expectorant). The mean endogenous pH for the total sample of medicines was 5.91 ± 1.51 (range of 3.5 to 10.3). Eptoin (0.013%) presented the lowest titratable acidity and Imol (1.171%) presented the highest titratable acidity with an overall mean of 0.40 ± 0.73. Omnacortil and Epilex presented the highest TSS content (19.3%), and Ventorlin presented the lowest TSS content (18.7%) with an overall mean of 18.97 ± 0.19. Over twelve medicines were identified to have the potential to cause dental erosion. No significant differences were seen in the total sugar content, total soluble solids, titratable acidity, and the endogenous pH between the short-term and long-term LOMs (p=0.145, p=0.263, p=0.067 and p=0.107), respectively. Conclusion: The pediatric LOMs showed the presence of the sugar, low endogenous pH, high titratable acidity and high total soluble solids.
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spelling doaj.art-e929790f11bd424fa268802e2c9e8cb62022-12-22T00:04:38ZengAssociation of Support to Oral Health Research (APESB)Pesquisa Brasileira em Odontopediatria e Clínica Integrada1519-05011983-46322022-03-0120Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral MedicationsHanan SiddiqKalyana Chakravarthy PentapatiRevathi ShenoyAnupama VelayuthamShashidhar Acharya Objective: To assess the total sugar content, endogenous pH, total soluble solids content (TSSC) and titratable acidity of the commonly prescribed long-term and short-term liquid oral medicines (LOM) for children and to compare the erosive potential with the total sugar content and total soluble solids of the LOM. Material and Methods: Twenty-three most commonly prescribed pediatric LOM were evaluated in- vitro for the cariogenic and erosive potential. Manufacturers' information on labels, endogenous pH, titratable acidity, TSSC, and the total sugar content was determined. Descriptive statistics and the Mann- Whitney U test were applied. Results: Overall, 22 LOM contained sugar. Only 3 LOM revealed the sugar content of the formulation but did not disclose the quantity (Cheston, Ventorlin and Eptoin). None of the samples revealed the sugar content as well as endogenous pH in their labels. The overall mean total sugar content was 6.92 ± 3.49 g/100ml, ranging from 3.40 ± 0.00 (corticosteroids) to 9.67 ± 0.61 (antitussive/expectorant). The mean endogenous pH for the total sample of medicines was 5.91 ± 1.51 (range of 3.5 to 10.3). Eptoin (0.013%) presented the lowest titratable acidity and Imol (1.171%) presented the highest titratable acidity with an overall mean of 0.40 ± 0.73. Omnacortil and Epilex presented the highest TSS content (19.3%), and Ventorlin presented the lowest TSS content (18.7%) with an overall mean of 18.97 ± 0.19. Over twelve medicines were identified to have the potential to cause dental erosion. No significant differences were seen in the total sugar content, total soluble solids, titratable acidity, and the endogenous pH between the short-term and long-term LOMs (p=0.145, p=0.263, p=0.067 and p=0.107), respectively. Conclusion: The pediatric LOMs showed the presence of the sugar, low endogenous pH, high titratable acidity and high total soluble solids. https://revista.uepb.edu.br/PBOCI/article/view/1069ChildDental CariesTooth ErosionSucrose
spellingShingle Hanan Siddiq
Kalyana Chakravarthy Pentapati
Revathi Shenoy
Anupama Velayutham
Shashidhar Acharya
Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Child
Dental Caries
Tooth Erosion
Sucrose
title Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
title_full Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
title_fullStr Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
title_full_unstemmed Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
title_short Evaluation of Sugar Content and Erosive Potential of the Commonly Prescribed Liquid Oral Medications
title_sort evaluation of sugar content and erosive potential of the commonly prescribed liquid oral medications
topic Child
Dental Caries
Tooth Erosion
Sucrose
url https://revista.uepb.edu.br/PBOCI/article/view/1069
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AT anupamavelayutham evaluationofsugarcontentanderosivepotentialofthecommonlyprescribedliquidoralmedications
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