The Core Concern: Acidity and Your Teeth
The primary health concern regarding sparkling water revolves around its acidity. The carbonation process involves infusing water with carbon dioxide ($CO_2$) gas under pressure, which creates carbonic acid. This weak acid is responsible for the slightly tart flavor and fizzy sensation. While plain carbonated water has a low level of acidity, adding flavors, especially citrus-based ones, significantly increases this acidity.
The Impact on Tooth Enamel
Tooth enamel begins to soften and demineralize at a pH level of 5.5 or lower. A 2022 study analyzing bottled waters found that some had pH levels below the safe threshold, though research on this is ongoing. Plain sparkling water is generally minimally erosive and significantly less harmful than sugary soft drinks, which can be over 100 times more corrosive. Flavored versions, however, can reach pH levels similar to orange juice, increasing the risk of enamel erosion over time.
Minimizing Dental Risks
For those who enjoy sparkling water, especially flavored varieties, several strategies can mitigate potential dental harm. Drinking it with a meal helps stimulate saliva flow, which neutralizes acid. Using a straw can minimize direct contact with teeth, and rinsing your mouth with plain water afterward can help restore a neutral pH balance. Waiting at least 30 minutes before brushing after consuming an acidic drink is also recommended to avoid brushing softened enamel.
The Digestive Dilemma: Bloating and GI Issues
For many, sparkling water is a digestive aid, potentially improving swallowing and relieving constipation. However, the carbon dioxide bubbles can cause temporary discomfort for others. When consumed, the gas can accumulate in the gastrointestinal tract, leading to symptoms like bloating, burping, gas, and stomach pain. Individuals with pre-existing digestive conditions, such as irritable bowel syndrome (IBS) or gastroesophageal reflux disease (GERD), may find their symptoms exacerbated by carbonated beverages. In these cases, opting for still water is often the best choice.
Bone Health: Separating Fact from Fiction
The myth that sparkling water is bad for your bones likely originated from studies linking dark sodas (colas) to lower bone mineral density. The key difference lies in the ingredients. Dark colas often contain phosphoric acid, caffeine, and sugar, which can interfere with calcium absorption. In contrast, pure sparkling water contains none of these ingredients and has not been shown to have a negative impact on bone health. In fact, some sparkling mineral waters contain beneficial minerals like calcium and magnesium, which can be good for bone health.
Comparison: Sparkling Water vs. Sugary Soda
| Feature | Plain Sparkling Water | Sugary Soda (e.g., Cola) | 
|---|---|---|
| Added Sugar | No | Yes (Often High-Fructose Corn Syrup) | 
| Calories | 0 | Typically High | 
| Dental Erosion Risk | Low (Minimal), Higher if flavored | High (Due to sugar and phosphoric acid) | 
| Bone Health Impact | None, potentially positive if mineral water | Negative (Linked to lower bone density) | 
| Hydration | As effective as still water | Less effective due to sugar, potentially dehydrating due to caffeine | 
| Ingredients | Water + $CO_2$ | Water + $CO_2$ + sugar + phosphoric acid + caffeine + artificial colors/flavors | 
| Digestive Impact | Possible bloating for sensitive individuals | Often causes stomach upset and discomfort | 
Conclusion
For most people, plain, unsweetened sparkling water is a perfectly healthy beverage choice that provides the same hydration as still water. The primary health risks are associated with flavored varieties containing added acids and sugar, which can harm dental enamel over time. If you experience digestive issues like bloating or acid reflux, sparkling water may be a trigger, in which case it is best to switch to a still beverage. As a zero-calorie, sugar-free alternative, sparkling water is undeniably a healthier choice than soda. As with any dietary choice, moderation and attention to your body's signals are key. For those seeking to reduce soda consumption, sparkling water is an excellent and satisfying replacement.
You can read more about carbonated water on this Healthline article