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Clinical Implications for Dentistry

Background. Sales of dietary supplements in the United States continue to increase; patients who seek dental care more than likely are taking or contemplating taking dietary supplements. The author reviews the background of dietary supplements, highlights popular over-the-counter supplements available in the United States and addresses the issues of safety, efficacy and contraindications that merit consideration in clinical practice.

Methods. The author reviewed the literature regarding effectiveness of common dietary supplements and mechanisms of action with drug interactions. The author assessed properties of dietary supplements within the context of clinical implications for oral health care professionals.

Conclusions. Dietary supplement use may be prevalent among patients seeking dental care. While some dietary supplements may be effective and safe, their biological activity may interfere with treatment or medications in oral health care.

Clinical Implications. Oral health care professionals can ascertain patients’ use of dietary supplements and evaluate them with respect to treatment. Resources for additional information are provided.

Key Words: Herbal medicine; diet; drug interactions; U.S. Food and Drug Administration

Abbreviations: DSHEA: Dietary Supplement Health and Education Act • FDA: Food and Drug Administration • OTC: Over-the-counter