ACTIVATED CHARCOAL & OIL PULLING ABSTRACT Activated charcoal is a popular trend that has been used for health, esthetics & hygiene purposes. Most commonly, it is used for tooth whitening. Some dentists & hygienists have reported negative effects, such as residual charcoal being left under the gum line, enamel deterioration & tooth discoloration. Oil pulling is a treatment usually performed with coconut oil and is thought to be used as a remedy for the prevention of decay, malodor, bleeding gums, dry throat as well as strengthening teeth & gums. One study showed swishing with coconut oil is comparable to chlorhexidine rinses in the reduction of Strep. mutans. ROOT CANAL THERAPY Root canal therapy is a controversial treatment option due to the belief that it is unnecessary to retain a non-vital tissue or dead organ in one’s body. Some holistic alternative medicine doctors reject the theory that full sterilization of the dentinal tubules is possible. A common material used in root canal therapy is gutta percha. This material may shrink after it has set, allowing space for bacteria to enter. Once bacteria have entered, a chronic, low-grade infection can occur which can then be picked up by the bloodstream, resulting in a secondary infection. Due to the increase in popularity for more natural products, patients are considering a holistic approach. As dental hygienists, it is our responsibility to be fully informed of the safety and efficacy of available treatment options. Some trending holistic treatment options include activated charcoal, oil pulling, turmeric and the rejection of root canal therapy. Studies have shown activated charcoal to be abrasive, leading to enamel deterioration, tooth erosion and increased caries risk. Some approved products can penetrate through the enamel and cause tooth discoloration. One study showed oil pulling to be as effective as chlorhexidine in the reduction of S. Mutans. Turmeric (curcumin) gel displayed a reduction in pocket depth and plaque following an SRP compared to the SRP alone. Due to the uncertainty of total elimination of anaerobic bacteria from the dentinal tubules during root canal therapy, the success of the treatment has been questioned. TURMERIC THERAPY Turmeric, also known as curcumin, is an herb that has been used as a dye, flavoring agent & has many additional therapeutic properties. Some of these properties include, anti-inflammatory, antioxidant, anticariogenic, antiviral & antimicrobial agents. A study was given to determine the efficacy of the use of turmeric as an adjunct to scaling & root planning for patients that exhibit chronic periodontitis. A microbial assessment was performed at the end of the study. The results displayed a reduction in all of the areas on the side of the mouth following SRP along with curcumin gel compared to the side without the gel.
HOLISTIC ALTERNATIVES TO STUDENT BIOGRAPHY REFERENCES DENTISTRY: Brooks J.K., Bashirelahi N., Reynolds M.A. More on charcoal and charcoal-based dentifrices. Journal of the American Dental Association, Volume 148, 2017. Retrieved from: https://ac-els-cdn-com.library.collin.edu/S0002817717304129/1-s2.0-S0002817717304129- main.pdf?_tid=1931104e-282a-4a5a-8d30-4a118f095449&acdnat=1521412637_bb3eed12c 7e9c4b757b54817ccdedfbb Chaturvedi, T. (2009). Uses of turmeric in dentistry: An update. Indian journal of dental research, 20(1), 107. Retrieved from: http://www.ijdr.in.library.collin.edu/article.asp?issn=0970- 9290;year=2009;volume=20;issue=1;spage=107;epage=109;aulast=Chaturvedi Dentist warns against charcoal teeth whitening trend. (2017) Balochistan times. Health reference center academic. Retrieved from: http://go.galegroup.com/ps/i.do?p=HCRA&sw=w&u=txshracd2497&v=2.1&id=GALE%7CA490 709210&it=r&asid=73ff0a61696925e7eb312792093c14fc Ewing, Dawn, (2002). Let the Tooth Be Known: Are your teeth making you sick. 2nd ed., Holistic Health Alternatives. Nagasri, M., Madhulatha, M., Musalaiah, S. V. V. S., Kumar, P., & Krishna, C. (2015). Efficacy of curcumin as an adjunct to scaling and root planning in chronic periodontitis patients: A clinical and microbial study. Journal of pharmacy and bioallied sciences, 7(6), 554. Retrieved from: http://www-ncbi-nlm-gov.library.collin.edu/pmc/articles/PMC4606658/ Peedikayi, F., Remy, V., John, S., Chandru, T., Sreenivasan, P., & Bijapur, G. (2016). Comparison of antibacterial efficacy of coconut oil and chlorhexidine on Streptococcus mutans: An : An in vivo study study. Journal of International Society of Preventive and Community Dentistry, 6(5), 447. Retrieved from: http: //link.galegroup.com.library.collin.edu/apps/doc/A468612423/HRCA?u= txshracd2497&sid=HRCA&xid=53221ee6 Image References: Holistic tooth: https://www.dhealth.com.au/general-dentistry/solutions/holistic-dentistry/ Activated Charcoal: http://www.foxnews.com/lifestyle/2017/06/28/does-activated-charcoal-really- detox-your-body.html Turmeric: https://www.medicalnewstoday.com/articles/318405.php Coconut Oil: https://www.medicalnewstoday.com/articles/282857.php Root Canals: https://www.pinterest.com/RDAstudents/endodontist/?lp=true Root Canal with hands: http://www.mbconsult2000.net/index.php?route=product/product&productid=340 Root Canal Abscess: http://rickwilsondmd.typepad.com/rick_wilson_dmds_blog/2010/07/silent- root-canal-infections.html A HYGIENIST’S PERSPECTIVE Kimberly Bussey is a senior dental hygiene student at Collin College, involved as the Fundraising Chairperson for the Student Chapter of the American Dental Hygienists’ Association. Kimberly lives with her two children and supportive husband. She is looking forward to a rewarding career and changing her patient’s lives. W H A T H Y G I E NI S T S S H OU L D K NOW Kristen Meyers is a senior dental hygiene student at Collin College, involved as the class President for the Student Chapter of the American Dental Hygienists’ Association. Kristen lives at home with her loving and supportive family that consists of her husband and two children. She is excited for the opportunity to fulfill her dream as becoming a dental hygienist. CONTACT Kimberly Bussey Kristen Meyers Collin College 2200 W. University Dr., Ste. A119 McKinney, TX 75071 www.collin.edu/dentalhgyiene/StudentResearch Forum.html DISCLAIMER: Controlled clinical trials & other further research need to be done to determine the safety & efficacy of all products & treatment options discussed in this brochure. As dental professionals, it is our responsibility to be aware of alternative treatment options & what best suits our patients on a case by case basis.