The Impact of Cannabis Use on Dental Health: A Comprehensive Guide for Dentists
Navigating Patient Care in the Era of Cannabis

As cannabis use becomes more widespread, dental professionals must be equipped to manage its implications on oral health. This guide outlines essential considerations and practical steps for dentists to effectively treat patients who use cannabis.
Key Considerations
1. Increasing Prevalence
• Cannabis use is rising, notably among older demographics.
• Dentists are encountering more patients under the influence than in previous years.
2. Oral Health Implications
• Cannabis can lead to dry mouth, heightened risk of gum disease, and potential anesthetic interactions.
3. Professional Judgment and Assessment
• Vital signs and specific questions about cannabis use are critical.
• Differentiating between THC and CBD use aids in tailoring treatments.
4. Effective Patient Communication
• Foster open, non-judgmental discussions about cannabis.
• Understanding the type and timing of cannabis use is vital for patient care.
Practical Steps for Dental Professionals
1. Educate Your Team
• Ensure all staff members are knowledgeable and comfortable discussing cannabis with patients.
• Utilize evidence-based information to inform these conversations.
2. Patient Assessment
• Always record vital signs.
• Query the form and timing of cannabis consumption.
• Evaluate the patient’s coherence and consent capacity.
3. Adapting Treatment Plans
• Consider potential interactions between cannabis and dental treatments.
• Be particularly cautious with patients who have ingested edibles due to their prolonged effects.
4. Ongoing Education
• Keep up-to-date with the latest research and guidelines on cannabis and oral health.
Managing Cannabis Effects on Oral Health
1. Dry Mouth (Xerostomia)
• Cannabis, particularly when smoked, can reduce saliva production leading to dry mouth.
• Encourage patients to stay hydrated and consider using saliva substitutes.
2. Increased Risk of Gum Disease
• Chronic cannabis use can lead to higher plaque levels and gum disease.
• Emphasize the importance of regular dental check-ups and good oral hygiene practices.
3. Dental Caries
• Edible cannabis products often contain high sugar levels, contributing to tooth decay.
• Advise patients on minimizing sugary snack consumption and maintaining regular brushing and flossing routines.
4. Potential Anesthetic Interactions
• Cannabis can affect the efficacy and metabolism of local anesthetics.
• Adjust anesthetic dosages carefully and monitor patients closely during procedures.
Patient-Centered Approach :
1. Non-Judgmental Environment
• Creating a supportive atmosphere encourages patients to disclose their cannabis use honestly.
• Use this information to customize care plans effectively.
2. Informed Consent
- Ensure patients understand the potential impacts of cannabis on dental treatment.
- Obtain clear, informed consent before proceeding with any procedures.
3. Tailored Health Education
- Provide patients with specific advice on managing the oral health impacts of cannabis.
- Use visual aids and pamphlets to reinforce key points.
Final Thoughts
Understanding cannabis use and its effects allows dentists to provide comprehensive and safe patient care. By fostering open communication, pursuing continuous education, and applying professional judgment, dental professionals can navigate the complexities of this evolving field. Staying informed and adaptable is essential to meeting the needs of patients in this changing landscape.
For more information, visit the American Dental Association’s guide here.
Jaskirat Kaur