Department of Epidemiology and Health Promotion, College of Dentistry, New York University, 250 Park Ave. South, 6th Floor, New York, N.Y. 10003, USA.
J Am Dent Assoc. 2012 Oct;143(10):1120-6. doi: 10.14219/jada.archive.2012.0043.
Ayurveda, an ancient medical science originating in India, also is practiced in the United States. The authors conducted a study primarily to explore the involvement of Ayurvedic practitioners in treating oral diseases.
Eighty-five practitioners participated in this cross-sectional survey. The authors obtained self-reported data on demographics of the practitioners, the general and oral health conditions they treated, and the treatment modalities used. They performed descriptive statistical and logistic regression analyses by using statistical software.
Participants predominantly were female and white or non-Hispanic, as well as part-time practitioners. Their educational backgrounds ranged from a 5½-year bachelor's degree in Ayurveda to short-term training. Of the 60 respondents who answered the question about treating oral diseases, 25 (42 percent) reported that they did so. Conditions treated were related to oral malodor, gingival or periodontal disease and toothache. Ayurvedic treatments administered for these conditions primarily were preventive in nature.
Ayurvedic practitioners in the United States treat a variety of oral diseases by using predominantly preventive traditional care. Ayurvedic practitioners of Asian origin and those who practiced for a longer duration were more likely to report that they treated oral diseases. Larger, population-based studies are needed to understand more fully the current role of Ayurvedic practitioners in oral health care. Ayurvedic treatment modalities aimed at oral diseases need to be evaluated through rigorous randomized controlled trials for safety and effectiveness.
Patients with limited or no access to oral health care might seek Ayurvedic treatment, and those who have access to conventional oral health care might wish to complement it with Ayurvedic treatment. Practitioners can incorporate preventive Ayurvedic treatments, which are based mainly on natural products, into overall preventive care regimens, if proven safe and effective.
阿育吠陀医学是一种源自印度的古老医学科学,也在美国得到应用。作者进行了一项研究,主要探索阿育吠陀从业者在治疗口腔疾病方面的参与情况。
85 名从业者参与了这项横断面调查。作者获得了从业者的人口统计学数据、他们治疗的一般和口腔健康状况以及使用的治疗方式的自我报告数据。他们使用统计软件进行了描述性统计和逻辑回归分析。
参与者主要为女性和白种人或非西班牙裔,并且是兼职从业者。他们的教育背景从 5 年半的阿育吠陀学士学位到短期培训不等。在回答治疗口腔疾病问题的 60 名受访者中,有 25 名(42%)报告了他们这样做。治疗的病症与口腔异味、牙龈或牙周疾病和牙痛有关。针对这些病症,阿育吠陀治疗主要是预防性质的。
美国的阿育吠陀从业者通过主要是预防性质的传统护理来治疗各种口腔疾病。亚洲裔的阿育吠陀从业者和从业时间较长的从业者更有可能报告他们治疗口腔疾病。需要进行更大规模的、基于人群的研究,以更全面地了解阿育吠陀从业者在口腔保健中的当前作用。针对口腔疾病的阿育吠陀治疗方式需要通过严格的随机对照试验来评估其安全性和有效性。
有限或无法获得口腔保健的患者可能会寻求阿育吠陀治疗,而那些能够获得常规口腔保健的患者可能希望用阿育吠陀治疗来补充。如果证明安全有效,从业者可以将主要基于天然产品的预防性阿育吠陀治疗纳入整体预防保健方案。