Effect of non-surgical therapy on periodontal clinical parameters in patients using cannabis

Keywords: Social health, cannabis, gingivitis, probing depth, bleeding on probing, clinical attachment level, non-surgical therapy

Abstract

The objective was to analyze the effects of non-surgical periodontal therapy on clinical parameters in patients using cannabis. A non-randomized clinical study was conducted with 40 volunteers from Universidad de Antioquia divided into 2 groups: 20 participants using cannabis (smokers) and 20 non-users (control). All clinical parameters regarding probing depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP) were recorded at baseline and 3 months after non-surgical periodontal therapy. Differences between groups were assessed with the Mann Whitney test and were considered significant when p≤0.05. Data was analyzed using the SPSS statistical software. Participants using cannabis had a frequency of use of 3 times/day (60%), 2 times/day (10%) and 1 time/day (30%). In general, smokers had higher BOP at both examinations as opposed to non-smokers, this difference being statistically significant (p<0.05). No differences were observed for PD with a mean of 2.09 ± 0.73 mm at baseline and 2.15 ± 0.65 mm at 3 months, showing a small increase between the two. CAL was also slightly higher in smokers than in non-users. There was no significant evidence in the studied population relating periodontal disease with cannabis consumption. The response of periodontal tissues to non-surgical therapy was similar between cannabis users and non-users.

References

Bascones, A. y Figuero, E. (2005). Las enfermedades periodontales como infecciones bacterianas. Avances en Periodoncia e Implantología Oral, 17(3), 147-156. https://doi.org/10.4321/S1699-65852005000300004
Botero, J. E. y Bedoya, E. (2010). Determinantes del diagnóstico periodontal, Determinants of periodontal diagnosis. Revista Clínica de Periodoncia Implantología y Rehabilitación Oral, 3(2), 94-99. https://doi.org/10.1016/S0718-5391(10)70049-5
Bouchard, P.; Carra, M. C.; Boillot, A.; Mora, F. y Rangé, H. (2017). Risk factors in periodontology: a conceptual framework. Journal of Clinical Periodontology, 44(2), 125-131. https://doi.org/10.1111/jcpe.12650
Chisini, L. A.; Cademartori, M. G.; Francia, A.; Mederos, M.; Grazioli, G.; Conde, M. y Correa, M. B. (2019). Is the use of Cannabis associated with periodontitis? A systematic review and meta-analysis. Journal of Periodontal Research, 54(4), 311-317. https://doi.org/10.1111/jre.12639
Espejel, M.; Martínez, I.; Delgado, J.; Guzmán, C. y Monterde, M. (2002). Gingivitis. Revista ADM, 59(6), 216-219.
Kayal, R. A.; Elias, W. Y.; Alharthi, K. J.; Demyati, A. K. y Mandurah, J. M. (2014). Illicit drug abuse affects periodontal health status. Saudi Medical Journal, 35(7), 724-728.
López, R. y Baelum, V. (2009). Cannabis use and destructive periodontal diseases among adolescents. Journal of Clinical Periodontology, 36(3), 185-189. https://doi.org/10.1111/j.1600-051X.2008.01364.x
Mederos, M.; Francia, A.; Chisini, L. A.; Grazioli, G. y Andrade, E. (2018). Influencia del consumo de cannabis en la enfermedad periodontal: una Scoping Review. Odontoestomatología, 20(31), 4-15. https://dx.doi.org/10.22592/ode2018n31a2
Reynolds, M. A. (2014). Modifiable risk factors in periodontitis: at the intersection of aging and disease. Periodontology 2000, 64(1), 7‐19. Doi: 10.1111/prd.12047
Secretaría de Salud y Protección Social. (2017). Situación del consumo de drogas en Antioquia. Medellín.gov.co [Internet] Medellín [consultado el 9 de oct., 2017]. Recuperado de http://studylib.es/doc/5723708/situacion-del-consumo-de-drogas-en-antioquia
Serrano, M. C.; Rubio, L.; López-Pintor, R. M. y Alonso, B. (2018). Implicaciones periodontales del abuso del cannabis. Revisión y casos clínicos. Científica Dental, 15(3), 173-178.
Shariff, J. A.; Ahluwalia, K. P. y Papapanou, P. N. (2017). 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. Journal of Periodontology, 88(3), 273-280. https://doi.org/10.1902/jop.2016.160370
Thomson, W. M.; Poulton, R.; Broadbent, J. M.; Moffitt, T. E.; Caspi, A.; Beck, J. D.; Welch, D. y Hancox, R. J. (2008). Cannabis smoking and periodontal disease among young adults. JAMA, 299(5), 525-531. https://doi.org/10.1001/jama.299.5.525
Versteeg, P. A.; Slot, D. E.; van der Velden, U. y van der Weijden, G. A. (2008). Effect of cannabis usage on the oral environment: a review. International Journal of Dental Hygiene, 6(4), 315-320. https://doi.org/10.1111/j.1601-5037.2008.00301.x
Published
2021-01-31
How to Cite
Gómez-Osorio, N., González-Jiménez, P., Moreno-Gutiérrez, A., Santana-Bedoya, D., & Alzate-Montoya, J. (2021). Effect of non-surgical therapy on periodontal clinical parameters in patients using cannabis. Uniciencia, 35(1), 312-319. https://doi.org/10.15359/ru.35-1.19
Section
Original scientific papers (evaluated by academic peers)

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