Little James W
University of Minnesota, Minneapolis, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Aug;98(2):137-45. doi: 10.1016/j.tripleo.2004.05.011.
Complementary and alternative medicine (CAM) represent a group of diverse medical and health care systems, practices, and products that are not considered to be part of conventional medicine. Biofeedback, acupuncture, herbal medication, massage, bioelectromagnetic therapy, meditation, and music therapy are examples of CAM treatments. Some dentists in the United States have used some of these treatments and products in their practices. Complementary medicines include herbal remedies, homeopathic medicines, and essential oils. There has been an increase in the use of herbal medicines in the US over the last 15-20 years. There is a public belief that these medicines are safe because they are made from natural sources. However, some of these products have associated adverse effects including toxicity and drug interactions. The health history taken by the dentist should include questions regarding the taking of herbal and over-the-counter medications. The dentist needs to be informed regarding the herbal and over-the-counter products that may impact the delivery of safe and effective dental treatment. In addition, the use of CAM treatments in dentistry should be based on evidence of effectiveness and safety as demonstrated in randomized clinical trials.
补充和替代医学（CAM）代表了一组多样的医疗保健系统、实践和产品，它们不被视为传统医学的一部分。生物反馈、针灸、草药疗法、按摩、生物电磁疗法、冥想和音乐疗法都是补充和替代医学治疗的例子。美国的一些牙医在他们的实践中使用了其中一些治疗方法和产品。补充药物包括草药疗法、顺势疗法药物和精油。在过去的15至20年里，美国草药疗法的使用有所增加。公众认为这些药物是安全的，因为它们来自天然来源。然而，其中一些产品有相关的不良反应，包括毒性和药物相互作用。牙医采集的健康史应包括关于服用草药和非处方药物的问题。牙医需要了解可能影响安全有效牙科治疗的草药和非处方产品。此外，牙科中补充和替代医学治疗的使用应以随机临床试验中证明的有效性和安全性证据为基础。
