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EARN This course was written for dentists, 3 CE dental hygienists, CREDITS and assistants. Is There a Place for Essential Oils in Patient Care? Fact vs. Fiction A Peer-Reviewed Publication Written by Amber Pierce PUBLICATION DATE: MAY 2018 EXPIRATION DATE: APRIL 2021 SUPPLEMENT TO PENNWELL PUBLICATIONS EARN This educational activity was developed by PennWell’s 3 CE Dental Group with no commercial support. This course was written for dentists, dental CREDITS hygienists and assistants, from novice to skilled. Educational Methods: This course is a self- instructional journal and web activity. Provider Disclosure: PennWell does not have a leadership position or a commercial interest in any products or services discussed or shared in this educational activity nor with the commercial supporter. No manufacturer or third party has had any input into the development of course content. Requirements for Successful Completion: To obtain 3 CE credits for this educational activity you must pay the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. CE Planner Disclosure: Heather Hodges, CE Coordinator does not have a leadership or commercial Is There a Place for Essential Oils interest with products or services discussed in this educational activity. Heather can be reached at in Patient Care? Fact vs. Fiction [email protected] Educational Disclaimer: Completing a single continuing education course does not provide enough information to result in the participant being an EDUCATIONAL OBJECTIVES expert in the field related to the course topic. It is a This article will help educate dental providers on essential oils and how they can be combination of many educational courses and clinical experience that allows the participant to develop skills used in patient care. This information will enable the dental professional to answer and expertise. questions from patients regarding the use of essential oils for their dental health. Image Authenticity Statement: The images in this At the conclusion of this educational activity, participants will be able to: educational activity have not been altered. 1. Understand the definition of essential oil Scientific Integrity Statement: Information shared in this CE course is developed from clinical research 2. Identify how essential oils work and represents the most current information available 3. Know how essential oils can be delivered from evidence based dentistry. 4. Understand how essential oils can be used in patient care Known Benefits and Limitations of the Data: The information presented in this educational activity is derived from the data and information contained ABSTRACT in reference section. The research data is extensive and provides direct benefit to the patient and A “clean living” lifestyle revolution has taken over the country in recent years, with improvements in oral health. many people limiting or eliminating chemical based products from their homes Registration: The cost of this CE course is $59.00 for and bodies. Replacement of these products with those from nature has become 3 CE credits. very popular, especially those containing essential oils. Consumers are looking for Cancellation/Refund Policy: Any participant who is not 100% satisfied with this course can request a full acceptance and the cooperation of health-care providers to incorporate essential refund by contacting PennWell in writing. oils and products containing them into their home care and treatment plan options. By educating themselves on these alternative therapies, providers can better un- derstand the needs and concerns of this patient population, which will promote trust and better compliance. PennWell designates this activity for 3 continuing educational credits. Dental Board of California: Provider 4527, course registration number CA# 034527-15316 “This course meets the Dental Board of California’s requirements for 3 units of continuing education.” The PennWell Corporation is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by the AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from (11/1/2015) to (10/31/2019) Provider ID# 320452. Go Green, Go Online to take your course www.DentalAcademyofCE.com QUICK ACCESS CODE XXXXX DENTAL ACADEMY OF CONTINUING EDUCATION WHAT ARE ESSENTIAL OILS? Specific standards for quality control of es- Many people, health-care providers included, are unaware of the healing sential oils do not currently exist in the United benefits of essential oils. With advancements in pharmaceutical tech- States, and an essential oil product does not nology over the last 100 years, natural products such as essential oils need to gain government approval before being have been virtually disregarded for their therapeutic purposes. In recent brought to market and sold to consumers. This years, due to the overuse of antibiotics and adverse side effects of many makes it difficult for consumers to determine medications, consumers are searching for natural alternatives for their the quality of essential oils available to them in health-care needs. This has led to an increased use of essential oils. stores or on the internet. The Food and Drug Essential oils come from plants and are extracted or distilled from Administration (FDA) is responsible for regulat- their seeds, leaves, bark, stems, roots, or flowers. They are defined as ing foods, food additives, drugs, cosmetics, and “volatile” since they quickly evaporate when exposed to air. Essential oils dietary supplements.9 Depending on the in- are very concentrated and oftentimes an entire plant must be used to tended use of an essential oil, the FDA makes produce just one drop of oil. To put that into perspective, to make one decisions regarding the regulation of an essential pound of lavender essential oil, about 220 pounds of lavender flowers oil on a case-by-case basis. They have the power would need to be harvested and distilled.1 to enforce guidelines and restrictions over mak- The use of essential oils dates back centuries ago to the time of the ers and distributors concerning how essential Egyptians. Hieroglyphics found on Egyptian temples display the blending oil products are marketed and any health claims of oils and describe recipes used by them. The Egyptians used essential made in connection with the product. Therefore, oils as medicines to treat various ailments, in the embalming process, to ensure that an essential oil is suitable for and in their cosmetics.2 Evidence of the dental use of essential oils dates therapeutic purposes, consumers should con- back to 200 BC, when the emperor of China used clove essential oil to sider some important factors before choosing improve the breath. Also, in the 10th century, Al-Gazzar referenced the use an essential oil supplier, such as: where the plants of clove for halitosis and pain management.3 By 1837, a sedative filling are grown, method of distillation used, and if material consisting of magnesium oxide and eugenol had been concocted there are any statements about purity that can by Bonastre.4 In the 19th century, the use of essential oils in dentistry ex- verify that no synthetic solvents or chemicals panded into endodontics, periodontal therapy, temporary filling/cements, have been added.6 and to treat conditions such as abscesses and stomatitis.5 WAYS TO DELIVER ESSENTIAL OILS THE CHEMISTRY OF ESSENTIAL OILS After ensuring that the essential oils to be used The chemical structure of essential oils is comparable to human cells and are pure or unadulterated, the oils can be deliv- tissues, which enables the body to easily identify and accept them.6 A ered in three ways: topically, internally, and unique aspect of essential oils is their ability to penetrate cell membranes through inhalation. and diffuse through blood and tissues. Due to their small molecular Topical Use: makeup, they can be processed by the body very quickly and can travel Essential oils can be applied directly to the through the body within minutes.7 skin “neat” (undiluted) or by diluting with a car- Terpenes, monoterpenes, phenols, and aldehydes are the main aro- rier oil such as coconut, olive, grapeseed, or al- matic constituents of essential oils and create a ringlike chemical mond. Using carrier oils with essential oils helps structure from chains of carbon and hydrogen atoms. Attached to these to extend the oil, lubricate the skin, and facilitate chains at different points are oxygen, hydrogen, nitrogen, sulfur, and other carbon atoms.6 Essential oils can be quite diverse in their effects on the human body due to their complex chemistry and the amount of different molecules present.8 The multifactorial nature of an individual oil to produce more than one therapeutic effect in contrast to synthetic chemicals that typically have only one action but many side-effects makes them appealing to consumers. PURE VS ADULTERATED ESSENTIAL OILS Use of pure essential oils, those distilled from the plant with no additives, is imperative to achieve therapeutic benefits. Many of the essential oils available on the market today for commercial use have been adulterated or mixed with synthetic compounds to extend their live, to eliminate odors, or to flavor products. Adulterated oils can potentially be dangerous to
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