Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists

dc.contributor.authorLe, Austin
dc.contributor.authorKhoo, Edmund
dc.contributor.authorPalamar, Joseph J.
dc.contributor.departmentOrthodontics and Oral Facial Genetics, School of Dentistry
dc.date.accessioned2023-09-26T15:11:00Z
dc.date.available2023-09-26T15:11:00Z
dc.date.issued2022-11-18
dc.description.abstractCannabis use is prevalent among adolescents and young adults in the US. Virtually all modes of cannabis consumption involve the oral cavity, and previous studies have linked cannabis use with poorer oral health. We sought to identify associations between cannabis use and various oral health outcomes and behaviors among individuals 12–25 years of age, and to discuss implications for orthodontists who largely interact with this age group over an extended period of treatment time. We examined data from patient electronic health records (N = 14,657) obtained between 2015 and 2021. Associations between lifetime and current self-reported cannabis use and several oral health outcomes or related behaviors that reflect periodontal health, caries status, oral lesions, and physical integrity of tooth structure and restorations were examined in a bivariable and multivariable manner, controlling for patient age, sex, and self-reported tobacco and alcohol use. Reporting lifetime cannabis use was associated with higher risk for having oral lesions (aPR = 1.41, 95% CI: 1.07–1.85), bruxism (aPR = 1.31, 95% CI: 1.09–1.58), and frequent consumption of sugary beverages and snacks (aPR = 1.27, 95% CI: 1.12–1.41). Reporting current cannabis use was associated with higher risk for oral lesions (aPR = 1.45, 95% CI: 1.03–2.06) and frequent consumption of sugary beverages and snacks (aPR = 1.26, 95% CI: 1.07–1.48). Cannabis users aged 12–25 are at increased risk for bruxism, oral lesions, and frequent consumption of sugary beverages and snacks. Orthodontists and other dental professionals should probe for drug use and be cognizant of increased risk for oral health problems in patients that report actively using cannabis.
dc.eprint.versionFinal published version
dc.identifier.citationLe A, Khoo E, Palamar JJ. Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists. Int J Environ Res Public Health. 2022;19(22):15261. Published 2022 Nov 18. doi:10.3390/ijerph192215261
dc.identifier.urihttps://hdl.handle.net/1805/35809
dc.language.isoen_US
dc.publisherMDPI
dc.relation.isversionof10.3390/ijerph192215261
dc.relation.journalInternational Journal of Environmental Research and Public Health
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePMC
dc.subjectCannabis
dc.subjectDrug use
dc.subjectOral health
dc.subjectPeriodontitis
dc.subjectCaries
dc.subjectOrthodontist
dc.titleAssociations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists
dc.typeArticle
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