When your dentist asks you if you are taking any type of medication, you should include herbal medications along with your prescription drugs. Because herbal medications are easy to purchase (at holistic food stores, on the Internet, etc.) and have “all natural” origins, many people feel that these remedies are merely harmless substances. These medications, however, are not just ground up herbs, but are actually derived from the potent oils of the plants. These natural medications are capable of dangerous drug interactions that can put a person at an increased risk for a complication during and after dental treatment.

Several herbal medications can cause an increase in bleeding when combined with prescription or over-the-counter drugs. The herbal medications Gingko, Garlic, Melitot, Sweetwoodruff, Horse Chestnut, Cinnabar root, Alfalfa, Dong guai, Barberry, Goldenseal, Oregon grape, Feverfew and Bromelains can increase the action of the blood thinners Coumadin, Warfarin and other coumarin anticoagulants. Gingko, Garlic, and Feverfew can increase the effectiveness of aspirin and can greatly increase bleeding. An increased tendency for bleeding can cause complications during many dental procedures. The greatest risk for a complication is from surgical dental procedures (having a tooth removed, gum surgery, deep cleaning under the gum-line, biopsies, etc.). Heavy bleeding can also hamper routine dental treatment such as dental cleanings, fillings, and crowns (caps).

Certain herbal medications can also reduce the effectiveness of antibiotics. Cassia Cinnamon (used as a painkiller) can decrease the effectiveness of Tetracycline by up to 80%. Tetracycline is sometimes used to treat dental infections, especially the treatment of gum disease.

The use of herbal medications should be discussed with your family doctor, medical specialist(s) and your dentist. For safe and effective dental treatment, please inform your dentist about all of the medications you are taking, including herbal medicine.

By: Dr. (Jerry) Gordon @dentalcomfortzone.com