Marijuana and cannabinoid use in clinical oral and maxillofacial surgery: a scoping review
Notice bibliographique
Résumé
Background: Despite increased use of recreational and medical marijuana over the past decade, little is known about its effect on oral and maxillofacial surgery (OMFS). The goal of this study was to map the current state of marijuana and cannabinoid research within OMFS and review the findings. The investigators hypothesized that the number of studies evaluating the use and effects of marijuana and cannabinoids in OMFS would be limited. Methods: The investigators implemented a scoping review study design. Studies were identified and collated by a team of 2 researchers who then independently evaluated each study for eligibility. The final cohort of studies were composed of interventional studies written in English available through ClinicalTrials.gov, PubMed, and Web of Science from inception to 11/01/2021 pertaining to the use of marijuana or cannabinoids within the clinical setting of OMFS. Studies were included that assessed the effects of marijuana on patients undergoing oral surgical procedures and/or conscious sedation. Studies were excluded if they lacked an intervention group, were conducted with animal models, or involved procedures not performed by oral surgeons (e.g., dental fillings). The primary outcome was the number of studies, and secondary outcomes included study topics and study conclusions. Results: A total of 11 studies were identified with sample sizes ranged from 10 to 151 patients. Four studies were observational and 7 studies were prospective, including 4 clinical trials. Topics addressed by these studies included the effects of marijuana and cannabinoids on acute post-extraction pain, temporomandibular joint pain and myofascial pain, extraction socket wound healing, intravenous sedation anesthetic requirements, and intravenous sedation physiologic responses including the cardiovascular response. Two of these studies found that cannabinoids may improve pain, two studies failed to demonstrate improved pain control with cannabinoids, 3 studies reported that cannabinoids had adverse effects on vital signs, 1 study reported increased anesthetic requirements for cannabinoid users, 1 study reported no difference in post-operative healing after dental extractions for cannabinoid and non-cannabinoid users, and 1 study is ongoing. Conclusions: The effect of marijuana and cannabinoids on the OMFS should be considered. However, there is a paucity of literature available. This study was designed to identify knowledge gaps for guiding future research efforts. The lack of clinically-based interventional studies for post-procedural pain control and anesthetic requirements for cannabinoid users indicates an opportunity for growing the field of OMFS.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,015 | 0,060 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,004 | 0,005 |
| Bibliométrie | 0,025 | 0,023 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,004 | 0,004 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,003 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».