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what claims are made about herbal and nutritional supplements?
they IMPROVE STRUCTURE AND FUNCTION
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which supplement ended up in cardiovascular events that lead to death?
Ephedrine
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if someone is taking niacin, what should you be aware of when they are in the dental chair?
postural hypotension
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t/f st johns wort has numer rxns
true
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when should herbal therapy be stopped before surgery?
2 weeks before
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what extract is no longer used as botanical component for oral care products?
sanguinaria
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what are the ADEs of herbal and dietary supplements that may impact oral healthcare?
- postural hypotension
- interaction with drugs for oral sedation
- drowsiness
- hypertension and tachycardia
- oral ulceration
- oral mucosal irritation
- GI distress
- increased bleeding
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t/f we have the active ingredient in the actual product
false
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what is the GMP?
good manufacturing practice
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what was not required for herbal products or dietary supplements before June 2007?
GMPs
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what do GMPs do?
- meet specific quality standards
- not adulterated or misbranded
- contain active ingredient on the label
- contain correct ingredients and doses stated on the label
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what must manufacturers test for to ensure accurate labeling?
PURITY and STRENGTH
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who has forced some supplement manufacturers to remove advertisements with false or unsubstantiated claims?
FTC (federal trade commission)
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the FDA did not have authority to intervene unless what?
there was proof the product was unsafe
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what does the FDA medwatch program do?
report adverse events of supplements faciliated through FDA medwatch system
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which gov agency regulates advertising claims for dietary supplements?
FTC
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what are herbal products for oral purposes? (6)
- essential oil mouthrinse (eucalyptol, menthol, lymol)
- xylitol
- acemannan
- oil of cloves
- triclosan
- sanuinarine (REMOVED from Viadent formulation, causes leukoplakia, and antigingivitis effect)
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if there is an ADA seal of approval, what does that mean?
the manufacture has met the claims it has been created to do.
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what is the mechanism of action of essential oil mouthrinse?
bacterioSTATIC effect
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t/f listerine has an ADA seal of acceptance
true
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what is listerene used to do when used as an adjunct?
to help REDUCE SUPRAgingival plaque and GINGIVITIS
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what sugar is comparable in sweetness with sucrose, but cannot be metabolized by streptococcus?
xylitol
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what effects does xylitol have?
antibacterial and cariostatic
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t/f if a mother chews gum 4X daily during first years of a child's life, will it decrease the risk of caries in children?
yes
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t/f there is an antigingivitis effect in xylitol
FALSE
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what is an extract from aloe vera leaf and has immodulating properties?
acemannan
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what is the topical acemannan used for? is it by Rx or OTC?
- reduce healing time of apthous ulcerations
- OTC
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triclosan is an ____-based substance produced statisitically significant in REDUCTION in _____ and ______
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what does colgate total have with their ADA seal of acceptance claim?
antigingivitis effect
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waht product has the ADA seal of acceptance for an antigingivitis effect?
triclosan
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t/f dental hygienist must be vigilant to identify potential ADEs
true
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