11/5/2018

Disclosures

• No financial interests “Au Naturale: • I am not funded with any grant/research Oral Health and support Homeopathic Trends” • I am not a consultant for any company

Lancette VanGuilder, BS,RDH • I am not a stock holder Nashville Dental Hygienists Association • I do receive an honorarium from Premier November 30, 2018 Dental as a professional continuing education speaker

Thank You! • Please make sure that you signed in to WWW.PREMUSA.COM/CESAMPLE receive your CE credits

• Take photos, share stories • [email protected]

This Photo by Unknown

About Me

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Everything from CLAY, CHARCOAL and CHOCHOLATE for oral health?

Beer…… Mined from the earth The next frontier Has an electromagnetic charge For Activated by water Acts like a magnet to remove metals and oral health??!?!?! from our bodies Mildly abrasive May help neutralize pH Claim to have the ability to Remineralize bones and teeth with calcium and silica ( no research) May have other added ingredients to boost oral health, such as essential oils Very earthy flavors

Bentonite Clay: Tooth Powders

The DIRT Tooth Powder EARTH Powder (Redmond) • Give me the Dirt.com • Brush with Mud.com • Extra fine clay • Black Licorice • Baking soda • Cinnamon • Xylitol • Myrrh • Sea Salt • Fair Trade Nutmeg • Fennel Essential oil Earthen Clays • Essential oils Monc fruit • Activated charcoal Baking soda • Paleo Friendly • Vegan Fl free, vegan • No FL, dyes, xylitol, no bubble gum s glycerin • RDA 39-109 $25

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Made in the USA!

• Wyoming Bentonite Clay • No Baking Soda • No Fl, dyes or artificial flavorings • Certified organic mint, peppermint, clove and cinnamon • No triclosan, SLS • $15 (3-6 month supply)

2013, Univ of Texas, San Antonio. Theobromine In Vitro-artificial teeth, can Remineralize Cacao extract contains theobromine

No fluoride or chemicals

Can you prove it?

$119

$18 $14

Cultural Competency=Patient Centered Care

This Photo by Unknown Author is licensed under CC BY-SA

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Patient Centered Care Patient centered care

Risk Assessments • Institute of Medicine: Caries – Providing care that is respectful of and Periodontal responsive to individual patient preferences, Medical History Oral Cancer needs, wants, and values and ensuring that Oral-Systemic Link patient values guide all clinical decisions Airway Cultural Competency allows us to deliver Habits/lifestyle Healthy Mouth Baseline patient centered care

2016 National Institute of Health 3,000-5,000 years ago National Center for Complimentary and Integrative Health

“Complimentary and Integrated Health” To enhance overall health, prevent disease and to alleviate debilitating Since the beginning of time….. symptoms such as stress, pain and anxiety management.

https://nccih.nih.gov

Milestones Professional Recognition\Associations

• American Holistic Medical Association • 1903: American Medical Association • National Center for Complementary and • 1939: the Food, Drug and Cosmetic Act • The American Alternative Medical Association, AAMA • Academy of Integrative Health and Medicine, AIHM • 5 homeopathic hospitals in Britain • American Association of Naturopathic Physicians • American Holistic Veterinary Association • American Association of and Oriental Medicine • Holistic Dental Association

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Let’s take a look at why Press Release-Treat the Individual as a Whole

January 18, 2018 “Naturopathic Doctors Spend Between One and Two Hours with Patients in an Appointment .”

https://www.naturopathic.org/files/FINAL%20AANP%20INM%20FAQ_14%20W hy%20do%20NDs%20spend%201-2%20hours%20press%20release.pdf

What to expect in your first visit with a naturopathic doctor Whole Body Wellness St. John’s Wort

1) Health history + detailed questions about your health concerns 2) Methodical review of your bodily systems 3) Review of prescription drugs and supplements you may be taking 4) Detailed questions about your diet and physical activity 5) Discussion about your lifestyle, social setting, and support systems 6) Active listening as you share your story 7) Physical exam, as needed 8) Order of appropriate diagnostic tests

Safe and cost effective Cautions of using herbal remedies as “medicine”

• St Johns Wort • Drug-herb reactions • Not only as effective as conventional • Not regulated by FDA antidepressants, but can be obtained at 1/3 the cost. • Contamination • “actual ingredients” » 1996 study » Proven to have less side effects • Limited research: “specific conditions” » Mild to Moderate depression, not appropriate for all cases • Minimal to no research: “broad spectrum of 2016 meta analysis: 36 studies prove results conditions”

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How many people take RX drugs?

• Known DRUG INTERACTIONS ➢70% of Americans take 1 RX Drug – Heart and Blood pressure medication ➢50%of Americans take at least 2 RX Drugs – Cholesterol medications – ED,GERD, Migraine and Seizure medications – Cough medicine • Mayo Clinic – Allergy Medicine – Antidepressants

Alternative Medicine Trends Prevalence www.jama.com

• 10 year study

How many people are using complimentary • Extensive use of alternative medical therapies in US and integrative/alternative health care • US insurers and managed care organizations now offer services? alternative medicine programs and benefits

• Majority of US medical schools now offer courses in alternative medicine

Alternative Medicine Trends

• Alternative medicine is popular throughout West the world 35-50 Coast Women-10%

– Denmark 10% College – Finland 33% – US 42% $50,000 – Australia 49%

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Today HOW ABOUT YOU? National Institute of Health National Center for Complimentary and Integrative Health

• Types of complimentary/integrative health approaches • Visit to the Chiropractor in the last year? – Natural Products • Herbs,spices, vitamins and minerals and probiotics, Dietary • Therapeutic massage? supplements (most common practice in US).

• Use essential oils? – Mind/Body Practices • Yoga , meditation , massage, acupuncture, tai chi • How about a cup of herbal tea? – Other: Traditional healers, medicine, traditional Chinese • Yoga? medicine and

usa.gov

Alternative Medicine Trends Surveys suggest use is drastically increasing

• Top reasons cited for increased use of alternative medicine use 4 in 10 – Back problems 380% – Neck problems – Allergies 1 in 5 – Arthritis – Digestive problems 42%

Majority of alternative medicine use is without input from a medical doctor or alternative medicine practitioner (46%)

Is complimentary and alternative medicine Dental Hygienists effective?

• Patient testimonials: large number of people who claim they were cured or 2014 study-RDH Mag 2011-PubMed homeopathy at least helped – Just as much testimony that it was not helpful • 81% -MSD • 64-93% -CMSP • Need more scientific trials stress/burn out – Non existent or minimal credible data – Small group of subjects, not blinded or well controlled – Yoga 40% • CAM may Early trials prove some efficacy – Herbs 40% alleviate/reduce – Chiro 40% pain, stress and Trials vs patient satisfaction? Evidence base vs placebo – Massage 60% MSD http://www.rdhmag.com/articles/print/volume-34/issue- 11/features/chronic-work-pain.html https://www.ncbi.nlm.nih.gov/pubmed/22309868

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Alternative Medicine Raphaology

• Types of alternative medicine – Raphaology Revealed the inter-relationships between people, plants, animals and elements of nature – Ayurveda • Primary healthcare system in India and our health – Kavala • www.raphaology.info – Gandusa • Universal College of Indigenous Medicine – And more!

Raphaology Raphaology

• Herbs Foods – Plants that provide medicinal properties – Fuel with specific nutrients and enzymes, Vitamin Therapy – Dark berries and fruit, wild caught meats, fish, nuts, seeds

Raphaology Raphaology

ID Therapy Color Therapy An interactive – Light spectrum frequencies that govern system for hormones determining internal – Gemstones, crystals, water, wands, fabrics conditions – Specific colors for specific body parts

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Raphaology-Vitamin Therapy Overdose: How safe are Vitamins?

• Vitamin A 2004-2009 • B Complex Vitamins • Vitamin C 10 • Vitamin D • Vitamin E 2009 • Lack of one single nutrient= cause diseases • Supplementation = cure 106,000 • Deprive our cells of nutrition for long =will pay for it • High Dose Vitamin Therapy=health

What Raphaology suggest for oral health? Raphaology Color, Herbs, Food • www.peakherbs.org • Taste Buds: • Herbs, food, color therapy – Color-Self • Teeth: Identify/Green – Color-Mind/Gold – Herbs-Lemon Balm (Melissa) – Herbs-Red Beet – Foods-Red Onion – Foods-Guava • Bones: • Tonsils: – Color-Focus/Yellow – Color-Mind/Gold – Herbs-Marshmallow – Herbs-Blue Flag – Foods-Leeks – Foods-Barley

Raphaology-Nature’s Antidote for Commercial How to use the herb/plant therapies Medicine ✓Should any symptoms persist, consult the Teas services of a professional health care Food provider Massage Oils ✓None of the information has been Homemade beauty and cleansing reviewed or approved by the FDA products Toothpastes and ✓Information is offered to educate, inform Rinses and support self healing

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Ayurveda Ayurveda

Primary healthcare system • Regulated as dietary supplements in US of India • Not required to meet the same safety and Based on BALANCE effectiveness standards as conventional

114 medicines

Herbs, mineral or metal, surgical, opium, oils, massage

Vitamin and Herbal Supplements: Are they what Ayurvedic Medicine they say they are? • 2008 study, 193 products (US or India) Dietary Supplements can be beneficial to your health — but taking supplements can also involve health risks. The U.S. Food and Drug Lead Administration (FDA) does not have the authority Arsenic to review dietary supplement products for safety Mercury and effectiveness before they are marketed. FDA 2016

https://www.npr.org/sections/health- https://www.ncbi.nlm.nih.gov/pmc/articl shots/2015/07/31/428016419/toxic-lead-contaminates-some- es/PMC2755247/ traditional-ayurvedic-medicines

Vitamins, herbal and dietary supplements Ayurveda Medicine

Dates back to 3-5,000 year old science of Ayurveda system of medicine from India Rice, wheat, Part of one of the oldest health systems in the world houseplant DNA, Acknowledgement that many problems pine, alfalfa start from the mouth or are related to the mouth • Making a come back because in today’s world we are overloaded with toxins ➢ Stress ➢ Pollution ➢ Antibiotics ➢ GMO’s ➢ Animals

NBC News 2011, Today Show 2015, Forbes 2015,FDA 2016

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Ayurveda Medicine Oil Pulling and Oral Health

Ayurveda

Oil Pulling and Oral Health Oil Pulling and oral health

• Our body stores these toxins in fat cells as a defense • 1 tablespoon unrefined cooking oil – *Sesame, *Coconut, Sunflower mechanism • Place into your mouth and gently swish – Toxins: bacterial, viral, fungal, pollution, diet, stress – 2,3 or up to 15 -20 minutes ( depending on alternative medicine) – Swish for longer after you have gotten used to it – Can do 2-4 sessions daily or once in the morning • Oil pulling provides a solution to get those toxins out so they • Spit, rinse and brush your teeth • When you oil pull, the fat cells where the toxins are stored release them into the saliva and don’t keep building up (PULLS out toxins) the oil traps them and are spitted out • Kavala – Fill mouth with liquid and hold it there for a few minutes before swishing. Up to 4 minutes and 2-3 • Coconut oil known to be: Antimicrobial, Antiviral, antifungal times/day due to lauric acid found in the oil and coconut oil seems to • Gandusa inhibit the growth of strep bacteria – Hold liquid in mouth for 3-5 minutes and spit out and repeat

Oil pulling-Ayurveda medicine Oil Pulling-Research

• 2009 Study • Balance the 3 types of energies () – Small study, Sesame Oil – 20 adolescent boys, plaque induced gingivitis – Reduced bacterium Streptococcus mutants (which is a major cause of decay and can lead to gum – Vata-creative,leaders,energtic,new ideas disease) – No follow up to determine if caries was reduced – Pita-good decision makers, intellectual, • 2013 Study powerful – Larger study, Sesame Oil – Similar results to reduce Streptococcus mutants and demonstrated short term effect on plaque and – Kapha-calm, thoughtful, loyal, patient, gingivitis • 2017 Study supportive – 40 college students – Effective at reducing plaque, 7th day

https://www.ncbi.nlm.nih.gov/pmc/?term =cocunut+oil+puling

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2009 Research Oil Pulling and Oral Health oil pulling vs chlorhexidine Side Effects

Randomized, controlled, triple blind study • Dry Mouth • Upset stomach comparing oil pulling to chlorhexadine in the management of gingivitis • Excessive thirst • Diarrhea – As effective • Muscular stiffness • Mineral Oil aspiration – Less stain and aftertaste • Exhaustion • Lipoid pneumonia – No allergies • Loss of sensastion or – 5-6 times more cost effective taste in the mouth – More of a potential preventive modality

Professional Recommendation: Oil Pulling Oil Pulling and Oral Health American Dental Association • Very limited research • March 2014 • Small sample sizes – Due to lack of available evidence • No long term or follow up studies • BIOFILM very difficult to disrupt “Oil pulling is not recommended as a • Cause and effect difficult to substantiate supplementary oral hygiene practice and certainly not as a replacement to standard, time tested oral health behaviors and modalities”

Other Ayurvedic remedies

• Eliminate Chin hair Auromere offers a line of Ayurvedic products for natural, effective oral hygiene care. – Consume 2 tsp blackstrap molasses daily to TOOTHPASTES : 26 botanical extracts and balance hormones and stop hair growth essential oils and available in 5 unique varieties. • Curry Leaves that is alcohol and sulfate free – Improve digestion, control cholesterol and with no artificial sweeteners or additives. speed up hair growth TOOTHPICKS made from birchwood dipped in Neem Bark extract and potent essential oils.

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Why do people choose complimentary and Acupuncture in Dentistry integrative health approaches? • Culture • Cost • Trendy • Ease of use • Geographic location • Diet and lifestyle choices • Health issues • Wellness vs Treatment

Acupuncture Acupuncture

• Now considered an adjunctive therapy in • Involves the insertion of thin needles through your skin at strategic western medicine points on your body – Insurance coverage • Most commonly used to treat pain

Eastern medicine acupuncture • The FDA regulates acupuncture needles the intended to allow your flow to “re-balance” (chi) and cure disease same as other medical devices – scalpels, syringes, to ensure good manufacturing Western medicine acupuncture practices and single use standards of sterility intended to stimulate nerves, muscles and connective tissue to boost your body’s natural painkillers and increase blood flow

Research on Acupuncture Research on Acupuncture Systematic review of literature

• Richardson • Lundeberg • At least 75+ published articles on – Effective on wide – May improve immune acupuncture in dentistry range of muscle system/healing skeletal conditions • 35 years of neurophysical research • Tao • 15 randomized controlled trials – Helps with stress – TMD management (which – Post operative pain management relates to dental anxiety)

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Research on Acupuncture in Dentistry Acupuncture in Dentistry-Implementation

• Another recent review analyzed 16 trials of • 3 ways to introduce it to Dentistry the analgesic effect and found that the – TEETH approach majority of the studies showed some – Supplemental/Adjunct or positive effect – Replacement for There is a body of evidence to support the effect of acupuncture within dental practice NSAIDS, Nightguards, Muscle relaxers, Pain medication, Physical Therapy, Botox

Acupuncture in Dentistry Acupuncture

✓ Reduction in post op pain ✓ Reduction of time in the onset of local Gag reflex anesthesia Pre op Anxiety ✓ Shorten recovery time

Acupuncture-Acute Dental Pain Acupuncture in Dentistry

• Journal of Acupuncture and Meridian Studies- • Acupuncture is not a “cure-all” 2013 – Study : After hours emergency dental care clinic at dental school in Brazil, 120 patients • Acupuncture cannot replace traditional dentistry • Adverse effects are possible and training – 6.5 before dental treatment – 0.96 after 1 session is necessary • Few fatalities

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Acupuncture –Education/training “Acupuncture May Help Reduce Gag Reflex”

US: 60 Accredited educational programs Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) Acupuncture in Medicine, Nov 2013 (recognized by the US Dept of Education) Italy, Univ of Palermo 1) Entry-level Masters degree program – 3-4 years, 2500 hours or 20 patients, age 18-90 History of gag reflex with dental impressions 2) Post graduate certificate for those already holding a masters degree in health related field - 40 hours – Basic Course Small study, suggests positive outcomes – PLUS 1 day practical course – PLUS a Post-basic course – Doctors, Dentists, Physical Therapists (Dental Hygienists?)

• Board examination required-NCCAOM

Dental Tribune, April and May 2017 Botox

“Acupuncture Probing its Way into Dentistry”

*Stimulate nerves and neuropeptides, anti-inflammatory, increase blood flow

1) Local anesthesia, onset 2) Manage TMD 3) Manage Orofacial pain 4) Manage Post op pain 5) Xerostomia: Sjogrens, Radiation Therapy (1980s)

http://www.dentaltribune.com/articles/specialities/general_dentistry/34746_acupuncture_probing_its_way_into_dentistrypart_ii.html

Antibiotics: Friend or Foe? Probiotics

• Resistance • Misuse/abuse

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Probiotics Probiotics for Oral Health

• Use of live microorganisms to improve • 2013 Spanish Study health of the host. – Probiotic: Lactobacillus reuteri • Heavily studied and proven for intestinal – Daily doses over 30 days health – Reduction in all parameters • Use of different microorganisms for • Plaque index conditions that you want to control • Bleeding • Pocket depths – Different microorganisms for gut vs mouth

ProBiora-Oragenic White Paper Probiotics for oral health

• Oragenics probiotics • ProBiora – “ProBiora Probiotic product for Maintenance of Oral Health” – 3 probiotic strains White Paper » S. uberis, S.oralis,S.rattus – Blend of 3 naturally occurring oral bacteria for use in the » Freeze dried promotion of oral health » Strains are not available in food – Some micro organisms are non pathogenic and promote health » Not indicated for immune suppressed patients – Oragenics identified species that will promote health by reducing the number of bacteria responsible for dental caries and – Available as food additive to , gum, lozenges periodontal disease and tablets – These strains (3) may be given together or individually – Probiora3.com

Balance the Oral Ecosystem PerioBiotic Toothpaste

• Featuring Dental-Lac™, a patent pending • BLIS k12 (mouth health, breath and upper functional lactobacillus dental hygiene respiratory health) probiotic not found in any other toothpaste product. – S. Salivarious • Lactobacillus paracasei strain, has shown that it competes with unhealthy strains of • Pro-T-Action (toothpaste ,Germany) oral bacteria including streptococcus mutans, thereby helping to maintain healthy – lactobacillus paracasel teeth and gums. • Sunstar GUM Perio Balance (mouth health, • Like probiotics in the human intestinal tract, beneficial flora in the mouth are critical to reduced plaque, fresh breath) maintaining dental and oral health. • xylitol and calcium glycerophosphate – Lactobacillus reuteri

NO FLUORIDE OR SLS • $14.00

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Other Probiotic Research

• The consumption of • American Journal of probiotic curd and the use of probiotic toothpaste Orthodontics and Does it really matter which cause a significant Dentofacial decrease in the S mutans products our patients use at home? levels in the plaque Orthopedics around brackets in orthodontic patients. • Volume 144, Issue 1, • Toothpaste vs systemic July 2013, Pages 67– consumption not 72 statistically significant

How many patients a week present with any What’s in your tube? of the following: Which toothpaste do you want 1. Caries your patients to use at home? 2. Gingivitis 3. Sensitivity 4. Orthodontic – White Spot Lesions (WSL) & Gingivitis 5. Dry Mouth 6. Acid Reflux/GERD 7. Abrasion/Erosion

Dentifrice RDA Values-Abrasive Caries Protection: Current (relative dentin abrasivity) Home Use Paste and Gel Options

▪ OTC ▪ Prescription-level ▪ 5000 ppm fluoride ▪ Higher levels of Fluoride more Beneficial for moderate-high risk patients

Croll TP, DiMarino JC. Review of Contemporary Dentifrices. RDH. 2014 Sep;34(9):[Suppl].

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Innovative Options: Fluoride + Calcium and Fluoride: Work Smarter, not Harder Phosphate Technology • Less Fluoride • More remineralization • Multi purpose products New options: ▪ 970 ppm stannous fluoride gel delivering ACP ▪ 1150 ppm stannous fluoride paste delivering ACP Research shows better remineralization than 5000ppm

Stannous Fluoride What’s Different? Stannous Fluoride Sodium Sodium Fluoride MFP Anti-caries

Anti-gingivitis

Hypersensitivity Enamel strengthening and desensitizer

Additional Benefits Spilanthes

▪ Flowering herb extract ▪ No sodium lauryl sulfate (SLS) ▪ Naturally stimulates saliva ▪ No gluten ▪ Gives a pleasant and cooling sensation ▪ No milk proteins that lasts ▪ No dyes ▪ Enhances vanilla mint flavor ▪ Low/Nonabrasive ▪ RDA of 8 = prevention gel ▪ RDA of 39 = dentifrice Source: an agent that “stimulates” the secretion of saliva from the salivary glands. http://thefamilyherbalist.wordpress.com/2011/09/12/getting-acquainted-with-spilanthes/ ▪ Pleasant refreshing clean mint flavor

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NBS News August 2018

“Without fluoride, tooth brushing and other oral care efforts have NO IMPACT on cavity prevention”

Teething Jewelry Baltic Amber Teething Beads

• Bracelets • Amber beads are a fossilized resin, specifically Baltic amber (Baltic Sea) • Necklaces • Gained popularity in recent years from hipsters, “crunchy moms”, celebrities and the homeopathic community

• Beads/stones • Amber beads make up bracelets and necklaces for babies to wear to help ease discomfort during the teething process

• Have additionally become a fashion trend

• Beads are not intended to chew on, but to be worn around neck or wrist to allow for skin absorption of amber from body heat

Baltic Amber Teething Beads Problems with the claims?

• Advertiser claims • Trans-dermal absorption – No evidence to support – Pain relief from teething – Amber is VERY HARD and succinic acid melts at 368 degrees Fahrenheit (187 degrees Celsius) – Improves body’s immunity and blood circulation – No evidence that succinic acid is released at body temperature – For Succinic acid to work, 3-8% is supposed to be absorbed trans-dermally. Must go through the entire – Fights infections, irritations, respiratory disease bloodstream and be delivered to inflamed gums – Helps with muscle pains and arthritis • Pain relief – Transmuting negative energy to positive – No evidence to support that it can even get into the body. – Relieves depression – If it does, there is no evidence to support that succinic acid assists in pain relief in humans – Supports detoxification • Testimonials – Alleviates liver, spleen and adrenal disorders – For as many parents claiming the amber beads have worked miracles, there are as many claiming that it was a waste of money and potential deadly.

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Baltic amber teething beads Baltic amber teething necklaces

Survey Results: • Canada 2010 • Ireland 2015 Many families in the study who were educated about *the strangulation dangers *no research to support the claims – Risk of strangulation – Strangulation concern They still preferred to continue to use them because of their fear of seeing their child in distress – Advised that jewelry of any kind not be used Why do parents believe they work? 1. Parent feels they have control to stop pain for child under the age of 3 2. Online marketing fails to educate about the dangers 3. Holistic, homeopathic beliefs that if something is ancient practice it is safe and accurate 4. Natural approach is always better than medications (topical analgesics or ibuprofen, etc)

Essential Oils What we know-Baltic amber teething beads Modern Essentials, 2015 5th edition – No scientific evidence – Skin irritant by the FDA – Cannot be transmitted through skin – Serious choking and/or strangulation hazard – Can we prove teething??

Studies: 1994, 2004,2005,2008,2014

Essential Oils Essential Oils- Dentistry IQ 2017

• Peppermint • Lemon • Oil Pulling – Antioxidant, antibacterial, antifungal – Candida, denture wearers • Clove • Cinnamon • Topical-stress, pain relief – Staph bacteria – Inhibits Gram +/- bacteria – Dry socket – May improve insulin sensitivity in – Numb and soothe diabetics • Aromatherapy • Tea Tree – May protect DNA from mutation – Anticariogenic – Memory, mood, hormones – Inhibit formation of biofilm – Wound care – Diffused – Ulcer healing – WaterPik – Anxiety- blends

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What are the benefits of therapeutic-grade What are essential oils? essential oils?

• Volatile liquids distilled from plants – Seeds, stems, roots, flowers, fruit, bark ➢Small molecular size, lipid soluble and • Therapeutic value comes from it’s components quickly penetrate the skin – Dependant on soil locations, chemicals, part of plant, climate, harvest method, distillation process ➢Penetrate the cell membranes, hardened • Only pure, therapeutic grade oils should be used for holistic health care – Safer, less toxic ➢20 minutes, hours

• Difficult to find pure oils, expensive ➢Blood/brain barrier – Several hundred/thousands of pounds of the plant material extract to produce one pound of pure oil ➢Placenta – More inexpensive oils may smell better but processed faster and with less quality and may not have therapeutic value

Essential Oils Essential Oils

• Very powerful antioxidants • Essential Oils can be: – antiviral – Neutralize free radicals – antifungal – antimicrobial – Help diminish oxidative stress and free radical – antibacterial production – antitumor • Help body fight disease and damage – antiseptic • Help fight damage to DNA and tissue • Helps ward off triggers of many diseases – antiparasitic

Essential Oils Essential Oils How long have they been around? Route of Administration Since the beginning of time……… – 35 jars found in King Tut’s tomb • Dermal – Many references to aromatics, ointments and • Inhalation incenses in the Bible and Torah • Frankincense, rosemary and myrrh • Internal/Systemic – GRAS,FL,FL – 100% Pure

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Essential Oils Possible Drug Interactions Essential Oils-Oral Health Essential Oil Safety bu Rober Tisserand and Young 2014 • Anticoagulant • Mouth Ulcers • Bruxism – Topically or aromatically • Aspirin • Apply under nose and to • Teething bottom of feet, back of neck • Selective Serotonin reuptake inhibitors or navel • Diffuser by bedside • Antidiabetic drugs • Plaque – Calming Blend • Lavender, Sweet Marjoram, • Dermal medications Roman Chamomile, ylang • Periodontal ylang, Hawaiian • MOA antidepressants sandalwood, vanilla bean • Aids nervous system • And more! • Calms nerves and emotions

Essential Oils-Smoking DoTERRA

Essential Oils Recommended for Oral Health •Clove •Melaleuca (Tea Tree) •Myrrh •doTERRA On Guard® Protective Blend •Peppermint •Spearmint •LAUNCHING new kit for dental offices to sell

Staying Relevant Made by Nature

The Environment #HUMBLEBRUSH #BRUSH●NAKED

https://www.facebook.com/bambootoothbrushes/photos/a.886218788090229. https://www.instagram.com/p/Be6BtlohNQW/ 1073741828.862875307091244/1881152608596837/?type=3&theater

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Free Samples for licensed professionals

• [email protected] • Referred by Lancette

Boie: the Future Toothbrush Recycled Yogurt Cups in to toothbrushes

“Cut the Waste Out of Your Life!”

Triclosan – This is an antibacterial agent and preservative used in some toothpastes

Sodium Lauryl Sulfate (SLS) – SLS is a foaming agent and detergent that is added to most commercial toothpastes. This ingredient is dangerous because the production of SLS FD&C Blue Dye No. 2 –ADHD results in contamination with a carcinogenic behavior issues in children, allergies by-product

Fluoride – This ingredient in toothpaste deserves the attention

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Make Your Own Toothpaste

• About 1/2 cup coconut oil (softened) • 2-3 Tablespoons of baking soda • 2 small packets of stevia powder or xylitol • 15-20 drops of peppermint or cinnamon essential oil • 10 drops myrrh extract (optional)

Natural Toothpastes : Safe and Effective? Paleo

• Numerous studies have shown herbal toothpastes and rinses to be • Science based effective in reducing infection, bleeding, plaque and stains. nutritional solutions, education, counseling • 2011 Study in Sri Lanka – double blind, randomized study and products – multi herb toothpaste containing oak, ginger, clove and black pepper • Paleo based used 2/day for 12 weeks supplements, cleanses, – resulted in reduction of anaerobic and aerobic bacterial counts, lower plaque index, reduction in bleeding and pocket depths. stool analysis kits, antioxidants, weight • Studies do not include reduced caries risk, usually gingival scores management, eye and only oral health

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Prevention Gluten Sensitivity or Allergy: hard to absorb nutrients Symptoms: Licorice Root and Cranberry Canker Sores Labeled? Joint Pain Mood swings Fatigue Diet and Vitamin Deficiencies Aloe, polyphenols non Skin rashes and itching Dietary Migraines Tingling in hands and feet L-Arginine Digestive problems www.celiac.com Constipation/Diarrhea Journal of Gluten Sensitivity Winter 2014

Invisalign Xylitol Inhibits strep bacteria to produce acid • Lawsuit Oral health and Upper respiratory infections

Not a remineralizing product May increase moisture Need 6-8 exposures 2017 Pediatric Dentistry Meta Analysis-small and low Quality evidence

Au Naturale for PETS too! Do It Yourself

Delmopinol Forms a barrier that blocks bacteria from adhering to tooth surface. Chews and plaque prevention gel

PerioShield

OraVet

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DIY Teeth Bleaching

How to do it: USE capsules, tablets (1-2) or powder and pour in to cup Add just enough water to make a paste Dab paste on all surfaces of teeth Let sit for 3 minutes Rinse and repeat as needed

ADA Recommendations on Charcoal bleaching

Activated carbon without abrading or bleaching

Fluoride • As far as safety goes, the fine, odorless and tasteless powder is kosher to ingest—it's sold in health food stores in tablet form. 950 ppm hydroxyapatite But Banker and ADA officials warn that until we know if it's

No SLS. gritty enough to damage enamel, you need to avoid actually scrubbing it on your teeth. No triclosan.

No bleaching agents. "Right now, no charcoal teeth whitening products have been No plastic particles. evaluated and accepted by the ADA."

Can be used as a regular toothpaste without any limitations "Our biggest concern is abrasiveness—you don't want it to wear away at the enamel." Amazon $30/ Prime

http://www.teethgap.com/

You Tube Videos New Beauty, Readers Digest abrasiveness AOL Health $6.99 Wrapping rubber bands around teeth to close spaces • can lead to bone loss • tissue damage RDA-50 • potential tooth loss Curaprox Curaprox

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DIY-Orthodontics: Orthofill

• How to Place and Use Orthofill click here to know more • • Place the Band • • Go to Sleep • • Remove the Band • • Smile!

http://orthofill.net/how-to-use-orthofill- https://www.youtube.com/watch?v=yFX teeth-gap-bands.php Yw3N9zO0

DIY trends Ortho at home- no dental visits required

• DIY Ortho

1/3 the cost, no visits Orthodontists? No x-rays, Selfie is not diagnostic tool

Oral Health Plans offered by companies What role will the licensed dental professional play in GEARED to help the consumer educating patients and recommending products?

• Automatic refills/shipped to your home – Toothpastes, floss, rinses • Livionex (antioxidants, fluoride free) • Discounts for yearly plans • Arbonne (pure,safe and natural-healthy from inside- • Reminders for re-orders out) • Cost appears to not be a factor for consumer • NuSkin (antioxidants and fluoride) – They want more options for natural products – “you get what you pay for” • DoTerra (essential oils-antimicrobial, antifungal, anti- – $20+ for toothpaste every month inflammatory) – $22 for fun, funky flavored floss • Curaprox (enzymematic ingredients) – Will pay more for perception of “more natural approach to health” • Periosciences

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ADA Policy on Professional Recommendations Radiographs Antibiotic Premedication

• 2015: antibiotics prior to dental work in patients who have had joint replacements, in general, are • ADA / FDA Guide to Patient Selection for not recommended Dental Radiographs Journal of the American Dental Association (JADA) • http://www.fda.gov/Radiation- EmittingProducts/RadiationEmittingProductsa 2007 :JADA guidelines printed regarding prevention ndProcedures/MedicalImaging/MedicalX- of infective endocarditis Rays/ucm116503.htm 2004: Statement on Antibiotic resistance

Volume 146, Issue 7, Pages 508–524 Patient Centered Care

• Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts July 2015

https://www.pinterest.co.uk/pin/137500594844734272

References/Additional Reading References/Additional Reading

• www.Joinaama.com • www.Spiritualityinhealthcare.net – “Nature’s Recipe for Peak Health” • www.holisitcdental.org • www.naturaldentistry.org • www.hhpcanada.org • https://www.unilad.co.uk/articles/teenagers- – “Alternative Medicine” August 2015 Issue 23 • www.Cchh.org are-making-dangerous-diy-braces-using- • www.Naturopathic.org elastic-bands/ – “Herbal Remedies for 2015” Country Collectibles #97 • http://www.oneviewhealthcare.com/the- • www.Faim.org eight-principles-of-patient-centered-care/ – Journal of the Royal Society of Medicine • www.Ahha.org • https://www.nih.gov • www.cdc.gov th • https://nccih.nih.gov – “Modern Essentials” 2015, 5 Edition • www.cancer.gov • http://www.dimensionsofdentalhygiene.com/ • www.nacams.org 2012/03_March/Features/The_Alternative_A – “Holistic Dental Care” Nadine Artemis, 2013 • https://www.ada.org/en/about-the- pproach.aspx ada/ada-positions-policies-and- • https://www.waterpik.com/oral- – “Nature’s Remedies” Newsweek Special Edition, 2017 statements health/experts/alternative-medicine-oral- • https://www.npr.org/sections/health- health-csoke/ – The Dental Diet, Dr. Steven Lin,1st Edition, Jan 2018 shots/2015/07/31/428016419/toxic- • http://www.rdhmag.com/articles/print/volume lead-contaminates-some-traditional- -34/issue-11/features/chronic-work-pain.html ayurvedic-medicines

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Thank You!

Lancette VanGuilder 775-224-4323 [email protected]

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