[Is Dutch swimming pool water erosive?]. 2004

P A Lokin, and M C Huysmans
Rijksuniversiteit Groningen, A. Deusinglaan 1 9713 AV Groningen.

Etiological factors in the development of dental erosion are usually listed as dietary acids, for instance in soft drinks and fruit juices, and intrinsic acid exposure due to gastro-intestinal disease or frequent vomiting. Quite often the list of causes in reviews and textbooks also includes frequent swimming. This paper evaluates the evidence behind this erosion etiology. The main disinfection techniques using gas chlorination and sodium hypochlorite are described, and their relative risk for development of low pH water is discussed. In the Netherlands only the relatively safe sodium hypochlorite method is used, and the quality of the water in public swimming pools is monitored monthly by independent test laboratories. Data for 2001 from such a test laboratory show that the percentage of low-pH results is very low (0.14%). It is concluded that the risk of dental erosion from frequent swimming in acidic pool water is probably negligible in the Netherlands.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations
D013550 Swimming An activity in which the body is propelled through water by specific movement of the arms and/or the legs. Swimming as propulsion through water by the movement of limbs, tail, or fins of animals is often studied as a form of PHYSICAL EXERTION or endurance.
D013551 Swimming Pools Excavations or containment structures filled with water and used for swimming. Pool, Swimming,Pools, Swimming,Swimming Pool
D014077 Tooth Erosion Progressive loss of the hard substance of a tooth by chemical processes that do not involve bacterial action. (Jablonski, Dictionary of Dentistry, 1992, p296) Dental Enamel Erosion,Dental Erosion,Dental Enamel Erosions,Dental Erosions,Enamel Erosion, Dental,Erosion, Dental,Erosion, Dental Enamel,Erosion, Tooth,Tooth Erosions
D014867 Water A clear, odorless, tasteless liquid that is essential for most animal and plant life and is an excellent solvent for many substances. The chemical formula is hydrogen oxide (H2O). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Hydrogen Oxide

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