PERIODONTAL DISEASE

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PERIODONTAL DISEASE

• Gözde Gümüs
• 050205017

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CONTENT OUTLINE

• What is periodontal disease?
• Nature of the disease
• Allopathic treatment in disease
• Holistic treatment in disease
• The topical formula of disease
• Internal herbal support
• Internal tonic
• Other helpful herbs
• References

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What is periodontal disease?

• Chronic inflammation of the gums that leads to
  loss of connective tissue and alveolar bone that
  hold the teeth in place characterize periodontal
  disease.This condition leads to recession and
  bleeding of the gingiva, abscesses, caries of the
  exposed root and, ultimately, loss of teeth.
• Saving those teeth is important.Dentures are
  uncomfortable.More importantly, preliminary
  evidence suggests that the inability to chew
  properly as a result of missing or loose teeth
  may be a risk factor for aging and Alzheimers
  disease.Improper mastication also compromises
  digestive function, setting the stage for the
  development of all types of problem secondary to
  malnutrition.
• Fortunately, there are holistic alternatives that
  can be used with the old standbys of regular
  brushing,flossing,and professional cleaning to
  hold periodontitis in check

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Nature of the disease

• The exact cause and course of periodontal disease
  are elusive.
• Research has focused on the oral bacteria known
  as periodontopathogens that have been isolated
  from the fluid in pockets around afflicted teeth.
  However, studies have sometimes found the same
  microbes in healthy mouth thus,a pathogen that
  is specifically responsible for periodontitis
  has not been identified.
• Nonetheless, research shows that many
  antibacterial plants and antibiotic curtail
  inflammation, bleeding , and bone loss in
  patients with periodontal disease and itis clear
  that using antimicrobial agent can improve the
  outcome in periodontal disease.
• Using antibiotic present problems that changing
  the bodys response to oral pathogens is a more
  effective approach than trying to kill various
  oral bacteria.

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Allopathic treatment in disease

• Low doses of tetracycline and other antibiotic
  would control oral pathogens.However this
  antibiotic use threatened to create
  antibiotic-resistant microbes. At the same time,
  some studies showed that professional cleaning
  could be as effective for reducing periodontitis
  as the antibiotics.
• The saliva of healthy individuals contain more of
  an inactive procollagenase while the saliva in
  patients with disease contains more activated
  collagenase that breaks collagen down.
• Cleaning or root planning is helpful for treating
  periodontal disease because it reduces the amount
  of activated collagenase in saliva.
• Given this problems.holistic alternatives are a
  beter choice for treating periodontitis.

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Holistic treatment in disease

• Herbs can promote healing by stabilizing collagen
  and lessening inflammation in the mouth. The
  basic treatment isthe topical application of
  antimicrobial,anti-inflammatory.
• The idea is to deliver the herbs gently to gum
  pockets, allowing the herbs to improve the
  microenvironment around afflicted teeth.
• Consistent brushing with a soft bristled brush ,
  flossing and frequent professional cleaning are
  all necessary for achieving a good outcome.
  Toothbrushes should be changed every few months
  to avoid reintroducing pathogens into healing
  areas of the mouth.

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The topical formula of disease

• We suggest that 2-3 ml of an herbal formula be
  added to the irrigation tank for each treatment.
  This formula consist of equal parts of
• Yerba mansa ( Anemopsis californica ) root
• Skullcap (Scutellaria lateriflora) herb.
• Gotu kola (Centella asiacita) also known as
  indian pennywort.

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skullcap
Yerba mansa
Gotu kola
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Yerba mansa

• Sauruacea family
• Using among Native Americans and hispanics in
  new mexico, California, Arizona
• Many practioners report that yerba mansa is
  invaluable for treating severaly inflamed gum
  because the herb strong astringent action.
• Reduce pain of inflamed gum
• Herb can be applied directly to developing
  abscess Echinacea (Echinacea angustifolia) root
  often pereventing the abscess from getting worse.

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Scullcap

• Mouthwash in china.
• Scullcap repotedly has a long history of use as a
  mouthwash in china. Skullcap was nearly as
  effective as tetracycline for reduced oral
  periodontopathogens in one research study
• Most herbal practioners consider fresh skullcap
  herb to be much more effective than dried.

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Gotu kola

• Wound healing
• Plastic surgery-produce a type of collogen
• Decreasing the inflammatory reaction
• Heal the inflamed tissue of mouth
• Has no known adverse effect
• Increased thyroid metabolism in hypothyrodism
  patient
• Treating varicose veins and edema of the limb

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Internal herbal support

• In addition to the topical formula, herbs and
  lifestyle changes should be used to change
  conditions that create an environment that create
  an environment that feeds and sustains an
  imbalance in the flora
• Michael moore-stres is a root cause of oral
  disease
• Saliva and adrenalin amount-changing the ph of
  the mouth
• Scientist have found strong link between stress
  and periodontal disease

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• meditiation or yoga reduce stress- Increasing
  saliva excretion and healhty digestion
• Smoking
• Green tea- antioxidant

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Internal tonic

• The internal formula should contain a bitter
  unless the patient has copious saliva and red
  tongue
• Gentian (Gentiana lutea) root
• Increase salivation
• Improving nutrient digestion

gentian
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Yellow duck
Oregan grape

• Yellow duck (Rumex crispus) root,
• Dandelion (Taraxacum officinale) root
• Oregan grape (Mahonia aquiffolium) root
• Ginger (Zingeber officinale) root is a digestive
  stimulant that does not taste bitter and it also
  has anti-inflammatory properties.

Dandelion
Ginger
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Avenita

• Skullcap is used to strengthen the nerves.it may
  reduce the anxiety and will help skin healing.
  Skullcap has a protective effect on the liver .
• Other nervines used to reduce stress are oat
  (Avena sativa) seed,kava (Piper methysticum) rot
  and adaptogens such as american ginseng (Panax
  quinquefolium) root

Rot
American ginseng
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• Example of an internal formula for combating
  periodontal disease
• 20oregon grape
• 20skullcap
• 20gotu kola
• 15healall
• 15american ginseng
• The dose was 6 ml 2 times per day 15 min before
  lunch and dinner

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Other helpful herbs
calendura

• calendura (Calendula officinalis) flower
• german chamomile (Matricaria recutita).
• echinacea (Echinacea spp.) immunostimulantand
  anti-inflammatory
• These herbs have antimicrobial,anti-inflammatorya
  and promote wound healing

chamomile
echinacea
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Toothache plant

• Toothache plant (Spilanthes spp )
• Comfrey (Symphytum officinale)
• Wood betony (Stachys betonica) astringent
• Sage (Salvia officinalis)
• Peppermint

comfrey
Wood betony
sage
peppermint
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References

• Clinical botanical medicine
• Loesche WJ. Giordina J, Soehren S, et
  al.Nonsurgical treatment of patients with
  periodontal disease. Oral surg oral med oral
  pathol oral radiol endod 199681533-543
• Edlund C, Hedberg M,Nord CD. Antimicrobial
  treatment of periodontal disease disturbs the
  human ecologyA review.J Chemother 19968331-341
• Decarlo Jr AA, Windsor LJ, Bodden MK, et al.
  Activation and novel processing phyromanas
  gingivalis. J Dent Res 1997761260-1270
• Hayakawa H, Yamashita K, Ohwaki K, et al.
  Collagenase activity and tissue inhibitor of
  TIMP1 content in human whole saliva from
  clinically healhty and periodontally diseased
  subjects. J periodontal res 199429305-308
• Belcaro GV, Grimaldi R, Guidi G. Improvement of
  capillary permeability in patients with venous
  hypertension after treatment with TTFCA.
  Angiology 199041533-540