Practitioners of oil pulling claim it is capable of improving oral and systemic health, including a benefit in conditions such as headaches, migraines, diabetes mellitus, asthma, and acne, as well as whitening teeth.
Its promoters claim it works by pulling out toxins, which are known as ama in Ayurvedic medicine, and thereby reducing inflammation.
Oil pulling has received little study and there is little evidence to support claims made by the technique's advocates.
In one small study, sesame oil was found to be effective at reducing plaque and oral bacterial load, but was less effective than chlorhexidine (a chemical antiseptic mouthwash),
otherwise the health claims of oil pulling have failed scientific verification or have not been investigated.
Traditional usage
In traditional Ayurveda, an ancient Indian practice, gargling treatments like kavala graha and gandusha have been used to treat imbalances of various doshas.
Ayurveda does not recommend general treatments blindly for everyone, but rather, health is held to be very individualistic, and, the dominant dosha in both the individual and nature determines health care, including dental health.
As per Ayurvedic literature, sesame oil is one among many medicinal fluids recommended for daily preventive use and/or seasonal use to reduce dryness (vata dosha)of the mouth and reduce inflammation and burning sensation in the mouth.
Current origin
The phrase, Oil pulling, and its usage in its current form, was popularized in early 1990s, by one of the early adopters, Lt Col Tummala Koteswara Rao based in Bangalore, South India. Rao actively evangelized oil pulling as an ancient Ayurvedic practice. Articles on oil pulling therapy, and interviews with Rao were published in English and regional language newspapers in India at various times.
Rao claims to have been introduced to oil pulling by a paper, reportedly presented, by a Dr F. Karach, to the All Ukrainian Association of the Academy of Science of the USSR in which he advocated a method of oil pulling, which, consists of swishing, not gargling, vegetable oil in the mouth. The paper by Mr Fedor Karach, is claimed to have been widely circulated, in 1991, in German Magazines “Natur & Heilen” (“Nature & Healing” - author: Günther W. Frank) and, “Natur und Medizin” (“Nature and Medicine” - author: Veronica Carstens).[24] It is further claimed, in the same paper, that Siberian shamans practised oil pulling with sunflower oil for more than a century[25]
The extensive promotion as an Ayurvedic practice, the increased commercial interest in vegetable oil and the claimed anecdotal benefits helped firmly establish oil pulling, as a popular complementary and alternative medicine home remedy.
Traditionally, sesame oil was used for oil pulling, but recent endorsements by celebrities has resulted in increasing popularity of coconut oil based oil pulling, in the Western world.[27]
Purported mechanism of action
Even after several (limited) studies, the exact mechanism of action of oil pulling therapy is still not clear.
The suggestion is that oil provides a surface layer that prevents plaque or bacteria adhering to teeth.
It is also suggested that by increasing the secretion of saliva, oil pulling, uses the salivary glands in the mouth as a detoxifying organ - the saliva can trap the toxin within the oil particles.
It is also suggested that the prolonged and forceful mechanical action could play a part in dislodging bacteria and undigested particles from the deep crevices within the mouth.
Oil pulling with sesame seed oil moisturizes gums, which can provide a measure of relief to those suffering from dry mouth. Dry mouth is known to increase bacteria growth.
Research
Hard evidence of the benefits and risks is hard to come by and American Dental Association state that insufficient research has been done on oil pulling,
The Canadian Dental Association responding to published research, has stated thay "We sense oil pulling won’t do any harm, we’re not convinced there are any particular benefits to it.
In vitro, lab studies have indicated the antibacterial activity of edible oils such as coconut oil, sesame oil and sunflower oil.
Also limited studies have indicated the effectiveness of essential oils such as tea tree oil against gingivitis and dental plaque formation when used in combination with regular oral hygiene.
- A 2012 - AIT, Ireland - study indicates that coconut oil which has been partially digested (or enzyme modified) by saliva is more effective than natural coconut oil.
- It was reported in Mar-Apr 2014 that Dr. Leslie Laing from the University of Toronto's Faculty of Dentistry, conducted as yet unpublished pilot study on the use of coconut oil for treatment of dry mouth in a dozen patients suffering from Sjögren's syndrome, with promising results.[
Against the background of current scientific and empirical knowledge, edible oils might be used as oral hygiene supplements but a decisive benefit for the oral health status is questionable The drawbacks highlighted by medical professionals and experts are: [54][55]
-
- Oil pulling cannot replace care from a qualified dentist, and any delays in going to the dentist might make it difficult to treat mouth problems.
- It consumes more time than conventional alcohol-free, antiseptic mouthwash
- There is a report of lipid pneumonia caused by accidental inhalation of the oil during oil pulling.[56][57][33]
- Coconut oil, in rare cases, can act as an antigenic agent that causes contact dermatitis.[58][59][60]
- The oil has to be spit into the garbage can, not the sink. Coconut oil if it solidifies can clog the pipes.[61][62]
20분 동안이나 기름으로 입안을 swishing 한다는 것이 쉽지 않다. 그것도 매일. 기름막을 입혀서 박테리아나 치석을 달라 붙지 못하게 하는 효과가 있다고 하더라도 꼭 이렇게 해야 하는 것이 아니라는 생각이 든다. 아침 일어나자 마자 입안을 청소하는 것은 좋으리라 생각된다.
밤새 밀패된 입안에 죽은 세포와 박태리아 치석등 독소를 죽엽등 구운 가는 소금으로 칫솔질을 잠간 하는 것이 좋을 것 같다. 치약은 쓰면 안된다. 나쁜 성분이 잇몸안으로 들어가서 온 몸으로 퍼질 수 있다.
Oil Pulling은 편두통이나 만성질환이 있을 때 보조적으로 이용할 수 있을 것이다.
평소에는 죽염으로 자기 전에 입안을 닦아주고 아침에 일어 나서는 소금물로 입안을 행구고 생수 2컵을 마시는 것이 가장 좋은 방법이라 생각한다. 입안도 청결히 하고 변을 무르게하여 통변을 용이하게 한다.
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