Management of cannabis-induced periodontitis via resective surgical therapy

Momen-Heravi, Fatemeh; Kang, Philip

doi:10.1016/j.adaj.2016.10.009

Cited by 8 publications

(12 citation statements)

References 23 publications

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“…Substantial availability and usage of cannabis, specifically among young adults, requires dentists to be vigilant about clinical indications of cannabis use and to provide appropriate treatments. Behavioral modification, nonsurgical therapy, and surgical therapy offer the potential for successful management of cannabis-related periodontitis [12]. The treatment of chronic pain with medicinal cannabis in this open-label, prospective cohort resulted in improved pain and functional outcomes, and a significant reduction in opioid use.…”

Section: Discussionmentioning

confidence: 90%

Marijuana Usage, the Effects in Oral Health

Robo¹

2018

IJDM

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Oral health workers should be alert about the dangers of marijuana use in the screening of oral pathologies and methods of administration of similar clinical cases. The use of marijuana is for medicinal and recreational reasons. It is already known, and based on the literature, this plant causes besides medicinal advantages, oral health pathologies also. For carrying out the study, was committed a group of students, who examined clinically, 3 patients, that later were diagnosed. Reduced saliva, influenced by use of marijuana, encourages the show of xerostomia. In this way, this plant is a favorable factor for caries that at examined patients was currently, more than at 5 teeth. Dysplastic changes in the epithelium of the buccal mucosa were appearing as the result of the action of chemical factors of marijuana smoke. Inflammation of the gums, gingivitis sometimes called "fiery red", is the lesion that causes great pain. The use of anesthesia with epinephrine during dental procedures, to users of marijuana may cause acute anxiety or tachycardia. Candinda Albicans was promoted as the result of the presence of carbon hydroxide at the smoke of marijuana. Chronic marijuana usage causes pathologies mentioned above, at individuals who do not treat in time. Counseling and education of oral health workers and individual users or not, about these pathologies, represents the largest contribution in diagnostic routine oral work.

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Section: Discussionmentioning

confidence: 90%

Marijuana Usage, the Effects in Oral Health

Robo¹

2018

IJDM

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“…Increased bone loss and lower bone density were observed in mice exposed to cannabis or cannabidiol, which shows that these substances can negatively influence periodontal tissues. Clinical cases: Two clinical cases were included in this review (29,30) . These articles show that long-term cannabis consumption may lead to gingival enlargement with clinical features similar to the ones caused by phenytoin, (30) in addition to chronic localized severe periodontitis (29) .…”

Section: Resultsmentioning

confidence: 99%

“…Clinical cases: Two clinical cases were included in this review (29,30) . These articles show that long-term cannabis consumption may lead to gingival enlargement with clinical features similar to the ones caused by phenytoin, (30) in addition to chronic localized severe periodontitis (29) . Epidemiological studies: four epidemiological studies were retrieved.…”

Section: Resultsmentioning

confidence: 99%

“…The author recounts inflammation of papillae and gingival margins, mainly at the anterior region of the mandible, where the cannabis cigarette was placed. The X-ray showed loss of alveolar bone in that area (29) . Regarding the treatment, the authors recommend behavior modification and non-surgical and surgical therapy for the successful management of cannabis-related periodontitis (29) .…”

Section: Discussionmentioning

confidence: 96%

“…The X-ray showed loss of alveolar bone in that area (29) . Regarding the treatment, the authors recommend behavior modification and non-surgical and surgical therapy for the successful management of cannabis-related periodontitis (29) . In this context, the first epidemiological study that analyzed the relationship between cannabis use and periodontal disease was conducted in 2008 by Thomson et al (21) in New Zealand.…”

Section: Discussionmentioning

confidence: 96%

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ACTUALIZACIÓN Influencia del consumo de cannabis en la enfermedad periodontal: una Scoping Review

Mederos

Francia

Chisini

et al. 2018

Odontoestomatología

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Recent publications suggest the possible association between cannabis (Cannabis sativa) and periodontitis. Objective: To analyze the possible influence of cannabis use on periodontal disease, highlighting the available evidence and identifying the associated variables in the studies. Materials and methods: We conducted a scoping review applying a structured search method in PubMed/MEDLINE, Science Direct, LILACS, SciELO including publications until May 2017. Results: In vivo studies showed greater bone loss in animals exposed to cannabis. Clinical cases show that chronic cannabis use may result in gingival enlargement (with clinical features similar to phenytoin induced enlargement) and localized severe chronic periodontitis. Most of the epidemiological studies confirmed the possible association between cannabis and periodontitis. Conclusions: The specific mechanism by which cannabis acts in the gingival tissues is unknown.

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A critical review of cannabis in medicine and dentistry: A look back and the path forward

Abidi

Alghamdi

Derefinko

2022

Clinical & Exp Dental Res

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Introduction: In the last two decades, our understanding of the therapeutic utility and medicinal properties of cannabis has greatly changed. This change has been accompanied by widespread cannabis use in various communities and different age groups, especially within the United States. With this increase, we should consider the potential effects of cannabis-hemp on general public health and how they could alter therapeutic outcomes. Material and Methods:The present investigation examined cannabis use for recreational and therapeutic use and a review of pertinent indexed literature was performed. The focused question evaluates "how cannabis or hemp products impact health parameters and do they provide potential therapeutic value in dentistry, and how do they interact with conventional medicines (drugs)." Indexed databases (PubMed/Medline, EMBASE) were searched without any time restrictions but language was restricted to English. Results:The review highlights dental concerns of cannabis usage, the need to understand the endocannabinoid system (ECS), cannabinoid receptor system, its endogenous ligands, pharmacology, metabolism, current oral health, and medical dilemma to ascertain the detrimental or beneficial effects of using cannabis-hemp products. The pharmacological effects of pure cannabidiol (CBD) have been studied extensively while cannabis extracts can vary significantly and lack empirical studies.Several metabolic pathways are affected by cannabis use and could pose a potential drug interaction. The chronic use of cannabis is associated with health issues, but the therapeutic potential is multifold since there is a regulatory role of ECS in many pathologies.

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Management of cannabis-induced periodontitis via resective surgical therapy

Cited by 8 publications

References 23 publications

Marijuana Usage, the Effects in Oral Health

Marijuana Usage, the Effects in Oral Health

ACTUALIZACIÓN Influencia del consumo de cannabis en la enfermedad periodontal: una Scoping Review

A critical review of cannabis in medicine and dentistry: A look back and the path forward

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