Relationship Between Frequent Recreational Cannabis (Marijuana and Hashish) Use and Periodontitis in Adults in the United States: National Health and Nutrition Examination Survey 2011 to 2012

Shariff, Jaffer A.; Ahluwalia, Kavita P.; Papapanou, Panos N.

doi:10.1902/jop.2016.160370

Cited by 43 publications

(90 citation statements)

References 16 publications

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“…All studies included in this systematic review, with the exception of López’ study, presents an elevated prevalence of periodontal disease associated with marijuana use was found. Data related to review question on overall sample in Lopez and Baelum study were not available, once the authors showed a stratified analysis by time of marijuana use and frequency of smoking.…”

Section: Discussionmentioning

confidence: 95%

“…Different criteria were adopted in the studies. The CDC/AAP (Center for Disease Control and Prevention/American Academy of Periodontology) was used in three studies . The others used the presence of clinical attachment loss ≥3 mm and ≥1 site with attachment loss ≥5 mm .…”

Section: Resultsmentioning

confidence: 99%

“…The others used the presence of clinical attachment loss ≥3 mm and ≥1 site with attachment loss ≥5 mm . The use of Cannabis was assessed by self‐report with different categorization in relation to frequency of the use: No (“never or only tried it once”) and Yes (“used to smoke, but not any more” or “still smoke sometimes”); Yes (Use marijuana or hashish ≥ once per month for the last 12 months) and No (less than once per month); Lopez and Baelum question the individuals about “Ever use of cannabis” (yes/no) and “Regular use of cannabis” (yes/no); Similarly, Ortiz et al used the self‐report being classified in: no use (never/once in lifetime), occasional use, and frequent use (≥26 times during the lifetime, ≥6 times during the past year, and ≥2 times during the past 30 days); and only Meier et al investigated the Cannabis dependence diagnostic (diagnosed at 1 wave, diagnosed at 2 waves, and diagnosed at 3 or more waves). Regarding to the quality assessment, all studies presented were of high quality (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Noteworthy, the use of tobacco should be discussed, since the prevalence of tobacco is high among individuals that use Cannabis . Most of included studies presented a stratified analysis for smokers and non‐smokers of tobacco.…”

Section: Discussionmentioning

confidence: 99%

“…A longitudinal study carried in a birth‐cohort in New Zealand showed that Cannabis smoking may also play an important role in periodontal disease even after controlling for biofilm presence—the main local factor to periodontitis development . The relationship between Cannabis and periodontitis seems to be independently of the use of tobacco although a synergic effect may be observed leading a higher prevalence of periodontitis among individuals that use both drugs . Yet, in a study performed with rats it was observed that cannabis could interfere in osteoblast and osteoclast activity increasing alveolar bone loss in sites when the periodontitis is present .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Is the use of Cannabis associated with periodontitis? A systematic review and meta‐analysis

Chisini

Cademartori

Francia

et al. 2019

J of Periodontal Research

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Recent studies have shown that there is also biological plausibility for a possible relationship between periodontal disease and Cannabis use, thus the aim of this study was to investigate whether the use of Cannabis is associated with periodontitis. Electronic searches were performed in PubMed, Scopus, ISI‐Web of Science, BVS‐Virtual health library and Scielo without restrictions. Search strategy was performed using relevant keywords considering the structure of each database. Longitudinal and cross‐sectional studies that investigated the association between the use of Cannabis and periodontal disease were included. Meta‐analyses and sensitivity analysis were conducted. A total of 143 records were found in the initial searches and five articles were included in the systematic review, being four studies included in the meta‐analysis. Overall, 13 491 individuals were included, of which 49.5% were males. Three of included studies investigated the relationship between cannabis and periodontal disease in adults and the other two studies were performed in adolescents. A positive association was observed between the use of cannabis and periodontitis (PR 1.12 CI 95% [1.06‐1.19]) with 19.0% of heterogeneity. The analysis of sensibility showed that none study influenced the results enough to change the pooled estimate. Regarding to the quality assessment, all studies presented high quality. The results of systematic review and meta‐analyses demonstrate that the use of Cannabis is associated with a higher prevalence of periodontitis.

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Section: Discussionmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Is the use of Cannabis associated with periodontitis? A systematic review and meta‐analysis

Chisini

Cademartori

Francia

et al. 2019

J of Periodontal Research

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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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Dental students’ knowledge, attitudes, and perceptions about marijuana and its effects on patients’ oral health

Grover

McDonough

Smaellie

2023

Journal of Dental Education

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Purpose/Objectives This article seeks to determine dental students’ knowledge, attitudes, and perceptions toward patients’ marijuana use and whether dental students would like additional marijuana education. Methods Predoctoral dental students were invited in 2021 to complete a questionnaire regarding marijuana's oral health effects, their comfort discussing marijuana with patients and their interest in additional training. Results Among participants (n = 206, 32.7% response rate), most were familiar with smoked, smokeless and edible methods, but only 39.3% were familiar with topical applications. Only 29.6% of preclinical and 32.2% of clinical Doctor of Dental Medicine students agreed that smoking marijuana was detrimental to one's health, compared to 64.6% of internationally trained Advanced Standing students. Significantly more clinical students (70.6%) could identify how often they treat patients having used marijuana compared to the estimates of preclinical students (36.7%), although 44.2% of all students indicated they were unsure. Not surprisingly, more preclinical students were uncomfortable treating patients during routine dental procedures (45.6% preclinical vs. 32.8% clinical) and when administering local anesthesia (45.6% preclinical vs. 38.8% clinical) due to not yet providing direct patient care. A majority of both preclinical (92.2%) and clinical (89.7%) students agreed they would benefit from more marijuana education. Clinical students preferred adding a brief introductory seminar while preclinical students preferred multiple lectures throughout the curriculum. Conclusion As states legalize medical and recreational marijuana use, dental schools need to evaluate marijuana education in their curriculum and develop resources so students can feel comfortable and confident in their ability to identify and safely treat patients who use marijuana.

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Relationship Between Frequent Recreational Cannabis (Marijuana and Hashish) Use and Periodontitis in Adults in the United States: National Health and Nutrition Examination Survey 2011 to 2012

Abstract: FRC use is associated with deeper PDs, more clinical AL, and higher odds of having severe periodontitis.

Cited by 43 publications

References 16 publications

Is the use of Cannabis associated with periodontitis? A systematic review and meta‐analysis

Is the use of Cannabis associated with periodontitis? A systematic review and meta‐analysis

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

Dental students’ knowledge, attitudes, and perceptions about marijuana and its effects on patients’ oral health

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