Monday, February 21, 2011

Remedies: Clove Oil for Tooth Pain

By ANAHAD O'CONNOR

Tony Cenicola/The New York TimesWhat alternative remedies belong in your home medicine cabinet?

More than a third of American adults use some form of complementary or alternative medicine, according to a government report. Natural remedies have an obvious appeal, but how do you know which ones to choose and whether the claims are backed by science? In this occasional series, Anahad O’Connor, the New York Times “Really?” columnist, explores the claims and the science behind alternative remedies that you may want to consider for your family medicine cabinet.

The Remedy: Clove oil.

The Claim: It relieves toothaches.

The Science: What can you do in a pinch when you have a toothache?

Most people reach for age-old medicine-cabinet staples like Anbesol and Orajel, which contain benzocaine, an anesthetic, as their active ingredient. Benzocaine, like many other anesthetics, can cause allergic reactions and other side effects that some people find unpalatable.

But one natural alternative is clove oil, an essential oil from the clove plant, native to India and Indonesia and also known by the scientific but somewhat pleasant-sounding name Eugenia aromaticum. The essential oil has been shown in studies to have both analgesic and antibacterial properties, which can be particularly helpful in the case of a toothache instigated by bacteria.

Clove oil is not for everyone. It has a strong and sometimes unpleasant taste, and if large quantities are accidentally ingested, it too can have side effects. But it was widely used in dentistry before the advent of more commercial anesthetics, and research shows it works thanks to its active ingredient, eugenol, the same compound responsible for the plant’s aroma.

In a study published in The Journal of Dentistry in 2006, for example, a team of dentists recruited 73 adult volunteers and randomly split them into groups that had one of four substances applied to the gums just above the maxillary canine teeth: a clove gel, benzocaine, a placebo resembling the clove gel, or a placebo resembling benzocaine. Then, after five minutes, they compared what happened when the subjects received two needle sticks in those areas. Not surprisingly, the placebos failed to numb the tissue against the pain, but the clove and benzocaine applications numbed the tissue equally well.

“No significant difference was observed between clove and benzocaine regarding pain scores,” the scientists concluded.

The Risks: Clove oil can be found in most health food stores for a few dollars a bottle. To use it, apply a very small amount to a cotton swab or piece of tissue and apply gently to the affected area. Although considered safe when used correctly in small amounts, it can cause liver and respiratory problems when ingested in large quantities.

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