Natural Oral Care in Dental Therapy, Edited by Durgesh Nandini Chauhan, Prabhu Raj Singh, Kamal Shah and Nagendra Singh Chauhan

Scrivener Publishing

100 Cummings Center, Suite 541J

Beverly, MA 01915-6106

 

Publishers at Scrivener

Martin Scrivener (martin@scrivenerpublishing.com)

Phillip Carmical (pcarmical@scrivenerpublishing.com)

Natural Oral Care in Dental Therapy

 

 

Edited by

Durgesh Nandini Chauhan, Prabhu Raj Singh, Kamal Shah and Nagendra Singh Chauhan

 

 

 

 

 

 

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Preface

For hundreds of years now the existence and utility of natural products have bolstered the idea that natural products are still the choice for therapy. Their structural diversity and exclusive pharmacological actions differentiate them from drugs of synthetic origin. Not only are they used in traditional ways but also in modern medicine for treating life-threatening diseases. The discovery and design of new drugs from natural products always remain a challenging task. Still, they remain a choice due to their safety profile and negligible side effects. This book focuses on perspectives of natural medicine in various dental diseases. Oral diseases continue to be a major health problem worldwide. Oral health is integral to general well-being and relates to the quality of life that extends beyond the functions of the craniofacial complex. Standard Western medicine has had only limited success in the prevention of periodontal disease and treatment of a variety of oral diseases. The dentist needs to be more informed regarding the use, safety, and effectiveness of the various traditional medicines and over-the-counter products. For example, herbal extracts have been used in dentistry for reducing inflammation, as antimicrobial plaque agents, for preventing the release of histamine and as antiseptics, antioxidants, antimicrobials, antifungals, antibacterials, antivirals, and analgesics. They also aid in healing and are effective in controlling microbial plaque in gingivitis and periodontitis, thereby improving immunity.

The 26 chapters of this book cover the chemistry, clinical and preclinical panorama of natural products used in oral care. In Chapter 1, Chauhan et al. provide an exhaustive list of natural oral care products used in oral diseases and classify them according to use and chemistry. Chapter 2, contributed by Harput, discusses the crucial role that oral hygiene plays in the prevention of oral diseases, including periodontitis, tooth decay, and oral candidiasis. In Chapter 3, Varma and Zope highlight the herbs and their extracts used as an adjuvant in periodontal disease treatment. Chapter 4, written by Chakravarthy et al., focuses on various modalities currently available and discusses the efficacy and safety of such herbal products and natural extracts in the management of potentially malignant oral disorders. In Chapter 5, Patel et al. discuss experimental studies that show the promising broad spectrum anticariogenic activity of ethyl acetate and methanolic extract of Quercus infectoria that may prove useful for the clinical evaluation and development of a formulation suitable for the treatment of dental caries. Chapter 6, by Almanza-Aranda et al., reports that turmeric and Aloe vera in culture with HGF show promising potential and have clinical use for patients with gingivitis and periodontitis. In a study reported in Chapter 7, Ferreira-Filho et al. evaluate the effects of a tincture made from Bauhinia forficata Link leaves (TBF) on Streptococcus mutans biofilm formed on teeth. In Chapter 8, Binimeliz et al. demonstrate the effect of an Elettaria cardamomum ethanolic extract (ECE) against oral biofilm bacteria through an in vitro study. Chapter 9, contributed by Eidi and Noorbakhsh, reports on the effect of Punica granatum peel extract on the growth of Candida albicans in the oral mucosa of diabetic male rats. In Chapter 10, Zope and Varma give an overview of the evidence-based use of oil pulling therapy in the maintenance of oral health. The focus of Chapter 11 by Chakravarthy and Yeturu is plant-based proteolytic enzymes, including papain, bromelain, actinidin, and ficin; as well as the application of these enzymes in professional as well as personal oral health care. The aim of Chapter 12 by Nadelman et al. is to present an updated viewpoint of the effect of probiotics on oral health by describing the relationship between the administration/consumption of these bacteria and the main oral dysbiosis, the oral microbiota parameters, and the immune salivary components. Chapter 13, written by Thakur, highlights the role of charcoal in dentistry and the development of charcoal-based dentifrices. In Chapter 14, Martins et al. present an updated review of the benefits of propolis in oral health, and the subject of Chapter 15 by Anusuya et al. is the role of grape seed extract in dentistry. In Chapter 16, Fernandes et al. discuss the use of Ocimum sanctum L for oral care and halitosis, which, because of its anticariogenic properties, is also used in periodontal diseases such as periodontitis and gingivitis. This chapter not only discusses its conventional formulation but also O. sanctum L formulations loaded in a promising novel drug delivery system. Chapter 17, authored by Kishore and Verma, presents the latest information regarding traditional, ethnopharmacological, and bioactive phytochemicals and the significant use of coconut plant in oral cavity therapies. In Chapter 18, Sawarkar et al. discuss the use of miswak for maintaining oral health and its various commercial products. Shigli et al. write about triphala in Chapter 19 and demonstrate its traditional use and newer pharmacologic activities for use as an adjuvant mainstream drug in dentistry as well as in general medicine. The role that Azadirachta indica (neem) plays in dentistry is revealed by Tanguturi et al. in Chapter 20. In Chapter 21, Ganeshpurkar reveals the lethal effect ginger has on the growth of tooth-decaying bacteria since it is a good dental analgesic and promotes dentine remineralization. Moreover, the antiplaque and mouth-deodorizing effects of ginger are also well documented. The aim of Chapter 22 by Karic et al. is to raise awareness on the use of garlic formulations to reduce the risk of oral disease and dental caries. In Chapter 23, Singh and Rao discuss the traditional uses of plants in the treatment of mouth evils at Kosgimandal of Naryanapet District of Telangana State, India. Chapter 24 by Akaji and Otakhoigbogie reveals the healing power of plant materials, such as a chewing stick, primarily used for oral hygiene. In Chapter 25, Wiwanitkit discusses ethnomedicine and ethnopharmacology for dental diseases in Indochina, a tropical region in Asia, and Chapter 26 by Singh and Reddy enlists traditional medicinal plants with anti-halitosis efficacy.

This important new volume will be valuable to dentists, oral hygienists, pharmacognosy experts, and natural product formulation scientists alike, either as a textbook or a reference. It is a must-have addition to any dental or herbal industry library. The aim of this book is to be a reference for all those interested in the development of natural oral care as an alternative treatment.

Last, but not the least, we would like to express our sincere gratitude to all the authors who have taken time out from their busy schedules to be part of this project and have written wonderful chapters that add both to the depth and value of this book. We welcome suggestions and criticisms from our readers. We also acknowledge our mentor Prof. V.K. Dixit Sir for his valuable guidance. Special thanks to our families for their support and encouragement. We express our gratitude to the publishing and production team, especially Martin Scrivener, for their kind, proficient, and encouraging guidance.

Durgesh Nandini Chauhan

Prabhu Raj Singh

Kamal Shah

Nagendra Singh Chauhan

December 2019

Foreword

Photo of Dr. Santhosh Rao.

Teeth are unique in the fact that, on one hand, they live for thousands of years and are often encountered in archeologic excavations, and on the other hand, we see rampant caries destroying almost all teeth in children. Dental and oral health remains a definitive part of one’s overall health and wellbeing and helps one present oneself with confidence. The care of the oral cavity has been described as early as the Sushruta Samhita and in Hippocrates’ works. With evolution, there has been a constant change in the environmental factors, the food, oral hygiene measures, as well as products used in dental care. As we look back in time, one can appreciate that the traditional methods of oral care and their incorporation in current measures may be the way forward to sustainable dental and oral health in the future. This book entitled Natural Oral Care in Dental Therapy by Chauhan et al. has come a long way in establishing this connection.

Prevention is better than cure is a dictum that has repeatedly established itself. Modern dental science encourages oral hygiene measures based on mechanical and chemical cleansing, with continuous research on the chemical agents. Time and again, those agents and natural remedies described in history are proving to be fruitful. There are lots of research activities that have been started by academic institutions and research centers along with their industrial partners, for the development of natural product formulation in dental therapy. Thus, this book is a timely reference work for the scientific community.

Natural Oral Care in Dental Therapy is an applications-oriented book in the field of dental science. The book is a perfect resource for dentists, oral hygienists, herbal experts, phytochemists, research professionals, and technology investors. It is edited by an experienced and interdisciplinary group comprising a well-respected dentist, clinician, natural product, and pharmacology expert. I hope this book will inspire many current and future generations of academic and industrial researchers to expand the use of natural products in dentistry.

Dr. Santhosh Rao

BDS, MDS, FIBOMS

Oral & Maxillofacial Surgeon

Associate Professor

Department of Dentistry

All India Institute of Medical Sciences,

Raipur, India

August 2019

Part I
NATURAL ORAL CARE