頻繁な大麻使用が虫歯や歯の喪失を引き起こす可能性 (Frequent cannabis use can lead to cavities, severe tooth loss, according to UB study)

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2025-02-12 バッファロー大学 (UB)

頻繁な大麻使用が虫歯や歯の喪失を引き起こす可能性 (Frequent cannabis use can lead to cavities, severe tooth loss, according to UB study)

ニューヨーク州立大学バッファロー校(UB)の歯学部の研究者、エリース・クロナン氏は、頻繁な娯楽目的での大麻使用(FRC)が虫歯や深刻な歯の喪失と関連していることを発見しました。 彼女の研究によれば、少なくとも1年以上にわたり月に1回以上大麻を喫煙する人々は、そうでない人々と比較して、未治療の冠状面う蝕(虫歯)のリスクが17%、根面う蝕のリスクが55%、そして深刻な歯の喪失のリスクが41%高いことが明らかになりました。これは、年齢、性別、人種や民族、教育、収入、アルコール消費などの要因を調整した後の結果です。大麻の喫煙は口腔内の乾燥を引き起こし、唾液の減少により虫歯のリスクが増加します。さらに、大麻使用後に高脂肪や高糖分の食品・飲料を摂取することや、影響下での歯磨き習慣の低下も、虫歯や歯の喪失に寄与している可能性があります。クロナン氏は、患者に対して喫煙の危険性を教育することの重要性を強調しつつ、理解と思いやりを持って対応することの必要性も指摘しています。

<関連情報>

娯楽用大麻の頻繁な使用とう蝕および重度の歯の喪失との関連性 国民健康・栄養調査(2015~2018年)の結果 Frequent recreational cannabis use and its association with caries and severe tooth loss Findings from the National Health and Nutrition Examination Survey, 2015-2018

Ellyce Clonan, DDS, MPH, MA elclonan@buffalo.edu ∙ Parth Shah, DDS, MPH ∙ Megan Cloidt, DDS, MPH ∙ Nadia Laniado, DDS, MPH, MS
The Journal of the American Dental Association  Published:November 23, 2024
DOI:https://doi.org/10.1016/j.adaj.2024.10.005

Abstract

Background

The aim of this study was to examine the association of frequent recreational cannabis (FRC) use with untreated coronal caries, untreated root surface caries, and severe tooth loss.

Methods
This cross-sectional study analyzed data obtained from 5,656 people, aged 18 through 59 years, who participated in the National Health and Nutrition Examination Survey from 2015 through 2018. FRC use was defined as self-reported use of marijuana or hashish at least once per month for the past 12 months. Log-binomial and logistic regression analyses were conducted before and after controlling for sociodemographic and behavioral factors to examine the association between FRC use and untreated coronal caries, root surface caries, and severe tooth loss.

Results
Compared with non–FRC users, people reporting FRC use had 17% higher probabilities of having untreated coronal caries (95% CI, 1.02 to 1.35), 55% higher odds of having untreated root surface caries (95% CI, 1.21 to 1.99), and 41% higher odds of having severe tooth loss (95% CI, 1.00 to 1.99) after controlling for age, sex, race or ethnicity, nativity, education, family income to poverty ratio, and alcohol consumption.

Conclusions
This study suggests that FRC use is associated with increased coronal caries, root surface caries, and severe tooth loss in the US adult population. Further longitudinal studies are warranted to assess the impact of varying frequencies, quantities, and forms of cannabis use.

Practical Implications
Dental care professionals should be aware that FRC use may be associated with caries and tooth loss.

医療・健康
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