Potential Mechanisms Underlying Marijuana-Associated Periodontal Tissue Destruction
Year: 2021
Type: article
Abstract: While definitive evidence awaits, cannabis is emerging as a likely risk factor for periodontal tissue destruction. The mechanisms that underlie potential cannabis-induced or cannabis-enhanced periodontal diseases, however, remain to be elucidated. Herein, we 1) examine insights obtained from the endocannabinoid system, 2) summarize animal models of exposure to cannabinoid receptor agonists and antagonists, 3) review the evidence suggesting that cannabis and cannabis-derived molecules exert a profound influence on components of the oral microbiome, and 4) assess studies indicating that marijuana and phytocannabinoids compromise the immune response to plaque. Furthermore, we address how knowledge of cannabinoid influences in the oral cavity may be exploited to provide potential novel periodontal therapeutics, while recognizing that such medicinal approaches may be most appropriate for nonhabitual marijuana users. The suspected increase in susceptibility to periodontitis in marijuana users is multifaceted, and it is clear that we are only beginning to understand the complex toxicological, cellular, and microbial interactions involved. With marijuana consumption increasing across all societal demographics, periodontal complications of use may represent a significant, growing oral health concern. In preparation, an enhanced research response would seem appropriate.
Source: Journal of Dental Research
Authors: D.A. Scott, H. Dukka, D. Saxena
Institutions: University of Louisville, New York University
Language: English
Subfield: Periodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: green
Awards: G2155030973, G2478313699, A Novel remedy for periodontal bone loss, G3857767333, The role of the oral microbiome in disparities in dental caries and responsiveness to caries prevention, G5449906182, G5819586362, G6754681923, G735709625, Modulation of the gut microbiome to enhance efficacy of immunotherapy in pancreatic adenocarcinoma, Functional Microbiomics, Inflammation and Pathogenicity
OpenAlex ID: W3199037178