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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 1 11/5/2018 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 toxins 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 2 11/5/2018 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 3 11/5/2018 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 Alternative Medicine • 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 Acupuncture and Oriental Medicine • Holistic Dental Association 4 11/5/2018 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” 5 11/5/2018 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% 6 11/5/2018 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 chiropractic, meditation , massage, acupuncture, tai chi • How about a cup of herbal tea? hypnotherapy – Other: Traditional healers, Ayurveda medicine, traditional Chinese • Yoga? medicine homeopathy and naturopathy 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 7 11/5/2018 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 8 11/5/2018 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 Aromatherapy ✓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 9 11/5/2018 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