IMPACT OF CANNABIDIOL ON GUIDED BONE REGENERATION: IMPLICATIONS FOR MODERN IMPLANTODONTICS
DOI:
https://doi.org/10.56238/levv16n52-046Keywords:
Cannabidiol, Guided Bone Regeneration, Implant Dentistry, Osteogenesis, BiomaterialsAbstract
Guided bone regeneration (GBR) is a widely used technique in implant dentistry to restore bone quantity and quality in areas with defects, aiming at implant success. In recent years, cannabidiol (CBD), a phytocannabinoid from Cannabis sativa, has shown promising therapeutic properties in regenerative processes due to its modulatory effects on inflammation, osteogenesis, and bone remodeling. This article presents a literature review of experimental and clinical studies on the effects of CBD on bone regeneration, analyzing its mechanisms of action, safety, efficacy, and potential applications in implant dentistry. Findings indicate that CBD promotes osteoblast differentiation, inhibits osteoclast activity, reduces inflammation, and enhances graft integration, creating a favorable environment for healing and implant success. Although results are promising, controlled clinical studies are needed to establish standardized therapeutic protocols and define safe doses. The incorporation of CBD in GBR represents an innovative perspective for personalized regenerative treatments, contributing to significant advances in modern implant dentistry.
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References
ABIDI, A.H. et al. Cannabinoid type-2 receptor agonist, inverse agonist, and anandamide regulation of inflammatory responses in IL-1β stimulated primary human periodontal ligament fibroblasts. Journal of Periodontal Research, v. 55, p. 762–783, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32562275/. Acesso em: 15 ago. 2025.
BERNARDINI, S. et al. Natural products for human health: an historical overview of the drug discovery approaches. Natural Product Research, v. 32, p. 1926–1950, 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28748726/. Acesso em: 15 ago. 2025.
PubMed
CARMONA RENDÓN, Y. et al. Cannabinoids in Periodontology: Where Are We Now? Antibiotics, v. 12, p. 1687, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38136721/. Acesso em: 15 ago. 2025.
PubMed
GU, Z. et al. Marijuana-Derived Cannabinoids Trigger a CB2/PI3K Axis of Suppression of the Innate Response to Oral Pathogens. Frontiers in Immunology, v. 10, p. 2288, 2019. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC6804395/. Acesso em: 15 ago. 2025.
PubMed Central
JIRÁSEK, P. et al. Cannabidiol and periodontal inflammatory disease: a critical assessment. Biomedicines, v. 166, p. 155–160, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/35332345/. Acesso em: 15 ago. 2025.
KLEIN, M. et al. Effects of cannabidiol, a Cannabis sativa constituent, on oral wound healing process in rats: clinical and histological evaluation. Phytotherapy Research, v. 32, p. 2275–2281, 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30088305/. Acesso em: 15 ago. 2025.
PubMed
KONERMANN, A. et al. In vivo and in vitro identification of endocannabinoid signaling in periodontal tissues and their potential role in local pathophysiology. Cellular and Molecular Neurobiology, v. 37, p. 1511–1520, 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28289947/. Acesso em: 15 ago. 2025.
KOTURBASH, I.; MACKAY, D. Cannabidiol and other cannabinoids: from toxicology and pharmacology to the development of a regulatory pathway. Journal of Dietary Supplements, v. 17, p. 1–20, 2020. Disponível em: https://www.tandfonline.com/doi/full/10.1080/19390211.2020.1796886. Acesso em: 15 ago. 2025.
Taylor & Francis Online +1
KOZONO, S. et al. Involvement of the endocannabinoid system in periodontal healing. Biochemical and Biophysical Research Communications, v. 394, p. 928–933, 2010. Disponível em: https://pubmed.ncbi.nlm.nih.gov/20452402/. Acesso em: 15 ago. 2025.
LIU, C. et al. Activation of cannabinoid receptors promote periodontal cell adhesion and migration. Journal of Clinical Periodontology, v. 46, p. 1264–1272, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31386606/. Acesso em: 15 ago. 2025.
MACCARRONE, M. et al. The endocannabinoid system in human keratinocytes. Journal of Biological Chemistry, v. 278, p. 33896–33903, 2003. Disponível em: https://pubmed.ncbi.nlm.nih.gov/12871974/. Acesso em: 15 ago. 2025.
NAKAJIMA, Y. et al. Endocannabinoid, anandamide in gingival tissue regulates the periodontal inflammation through NF-κB pathway inhibition. FEBS Letters, v. 580, p. 613–619, 2006. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16375947/. Acesso em: 15 ago. 2025.
OSSOLA, C.A. et al. Signs of alveolar bone damage in early stages of periodontitis and its prevention by stimulation of cannabinoid receptor 2. Model in rats. Acta Odontológica Latinoamericana, v. 33, p. 143–152, 2020. Disponível em: https://www.actaodontologica.com.ar/. Acesso em: 15 ago. 2025.
PALLADINI, M.C. Indications for the use of cannabinoids. Brazilian Journal of Pain, São Paulo, v. 6, p. S142–S145, 2023. Disponível em: https://doi.org/10.5935/2595-0118.20230054-pt. Acesso em: 15 ago. 2025.
RAPHAEL-MIZRAHI, B.; GABET, Y. The cannabinoids effect on bone formation and bone healing. Current Osteoporosis Reports, v. 18, p. 433–438, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32783652/. Acesso em: 15 ago. 2025.
STAHL, V.; VASUDEVAN, K. Comparison of efficacy of cannabinoids versus commercial oral care products in reducing bacterial content from dental plaque: a preliminary observation. Cureus, v. 12, p. e6809, 2020. Disponível em: https://www.cureus.com/articles/38062-comparison-of-efficacy-of-cannabinoids-versus-commercial-oral-care-products-in-reducing-bacterial-content-from-dental-plaque-a-preliminary-observation. Acesso em: 15 ago. 2025.
WHYTE, L. et al. Cannabinoids and bone: endocannabinoids modulate human osteoclast function in vitro. British Journal of Pharmacology, v. 165, p. 2584–2597, 2012. Disponível em: https://pubmed.ncbi.nlm.nih.gov/22329758/. Acesso em: 15 ago. 2025.