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Free to try, no credit card requiredCannabinoids for Pain
Patient Education
Oropharyngeal Cancer
Administration
Does smoking cause cancer?
The studies suggested a positive relationship (correlation) between marijuana use (smoking) and oropharyngeal cancer risk.
No association was found between marijuana use and tongue cancer.
The Future
Dislose to improve education.
Head and Neck Cancer
Xerostomia
Forms
The authors could not make an association between marijuana smokers and increased head and neck cancer.
Note: Patients should be advised against smoking via combustion of cannabis. Smoking cannabis may cause cancer.. while ingesting, applying, inhaling may cure cancer.
Smoke-ables
Educate patients on:
Case Study
Prevention is key!
Management is crucial!
Recommend products to relieve symptoms.
Educate patients on the role of biofilm and pH.
Joint/J/Spliff
Rolled cannabis to be smoked using a flame.
This patient is using a filter when rolling. A filter improves air flow and reduces waste because all medicine can be smoked, eliminating "roaches."
A roach is the burned end of a joint.
As seen here:
Rolling Devices
Contact:
Blunt
Cigar papers can be used to roll cannabis and be combusted.
Periodontal Diseases
Glass Blunt
Extractions
Infused Fats: Oils, Butter
Smoking Effects
Ihateplaque@aol.com
Infused Oils
Infused Butter
Home Infusion
Glassware
Tobacco smoking was strongly associated with periodontal disease experience, but there was no interaction between cannabis use and tobacco smoking in predicting the condition’s occurrence.
Pre-Procedural Anxiety
Tincture
Routes of Administration
Inhaling a CBD dab before a dental appointment would be highly effective for anxiety..
Dab
Also a popular dance.
Vaginal & Rectal Delivery
Cannabis Extraction
Alcohol or Glycerine used as a solvent.
Endless possibilities
Cannabis Extractions
Extraction methods, heat, chemicals and pressure are used to make:
Ihateplaque
Medicine continues to evolve.
Dentistry must continue to evolve.
Dab Forms
Electric Dab Equipment.
Consume at your own risk!
Medicate Responsibly.
Edibles
Equipment Required.
Delivery options are endless!
@Ihateplaque
Capsules
LUNGS
Lungs: Inhalation
Ocular & NAsal Delivery
www.NicoleGreco.com
Vaporization
Combustion: Smoking
SMOKING CANNABIS
Vaporization
Oral Delivery
Sublingual: Oils, Glycerine
Contact Irritation
Alcohol based medicine may irritate tissues.
Recommend apthous ulcer treatments.
Mix tinctures with food or milk.
Topical Delivery SystemS
PAtches
Buccal Delivery
Cream, OIntment, Balm, LOtion
Oral Spray
Oral
Delivery
Advanced Delivery
Gum
Toothpicks
MinTS
Lozenge
Educational Career
Educational Career
Clinical Education
Publications
The Basics of Bud
Cannabis & Pain Explained
Pulpal Pain
Published 2008.
Amyotrophic Lateral Sclerosis
Contributing Author
Psychological Pain
Symptom Management
Symptom Management
Neuropathic Pain
Muscle Relaxant
Soft Tissue Pain
Terminal Illnesses:
Less than 12 Months to Live
Analgesic
Anti-Inflammatory
Disease Modulating
DISEASE MODULATING
Neuroprotectant
Anti-Oxidant
Anti-Inflammatory
Anti-Anxiety
Anxiety
Modulates Pain Signaling
Sensory:
Combination Therapy
A rapidly progressive neuromuscular disease that destroys both upper and lower motor neurons, resulting in weakness, spasticity, and ultimately death from respiratory failure.
Perception of Pain
Pain Signals
Anti-Depressant
Cannabinoids modulate both CB1 and CB2 pain receptors.
Periodontal Pain
I've had a great career publishing, educating and practicing dental hygiene.
Affective:
Emotional Unpleasant Sensation
Cancer Pain
Conditions Resistant to
Conventional Therapy
Chronic Pain
AnNual Report
Pain Relief
Components
of Pain
Dentin Sensitivity
Glaucoma
PTSD
STRAINS
Burning Mouth Syndrome
High Pinene Strains
Seizures
Also found in:
Jack Herer
Blue Dream
Dutch Treat
Romulan
Opioid Reduction
Cannabinoids
Intractable Muscle Spasticity
Cognitive:
Physiological:
Interpretation of Pain
Host Response to Pain
Behavioral:
Increases Focus
Coping Strategies
High Humulene Strains
Analgesic
Anti-Tumor
Dental
Applications
Tourette's Syndrome
Ease Nausea & Vomiting
Headaches
Bronchodilator
Hybrid
Improves Creativity
Migraine
TMJ Disorders
Protects Brain Cells
CBD versus THC content
Increases Serotonin
THC versus CBD Content:
Also found in:
Anti-Inflammatory
Qualities of both strains.
Anxiety & GERD are common co-morbidities.
The ability to control anxiety with CBD and appetite, panic, GI spasms with CBG & THC is safer for the teeth than lemon water!
Cannabis Access
Police seized [valid] RX Drugs.
I was charged with possession of Narcotics.
Serious withdrawals ensued.
Super Lemon Haze
OG Kush
Durban Poison
Anti-Convulsant
High Limonene Strains
Muscle Relaxant
Sleep Aid
Bruxism
Head & Neck
Pain
Pain Management
Dental professionals must recognize and manage GERD intra-oral effects.
Aroma: Pine
Anti-inflammatory
Bronchodilator
Helps counter short-term memory loss associated with THC
Promotes alertness
Anti-Oxidant
GERD & DENTAL DISEASES
H
Home Cultivation
Mental Relaxation
Major
Cannabinoids
Strengthens
Brain Cells
Opioid Reduction
Psychological Role
Researchers have identified 144 organic compounds.
We will now examine some of the major cannabinoids:
THC, CBD, CBG, CBN, CBC
Anti-Bacterial
Inflammatory Bowel Disease
Muscle Relaxation
Treats PTSD
Linalool
Multiple Sclerosis
Enhances Senses
Increases Appetite
Terpenes
The Endocannabinoid System
Assess for:
Cannabinoid Classification
Synthetic Cannabinoids
Man made drug grade synthetics for pharmaceutical use:
Man made synthetics for recreational use:
Plant Based
Phytocannabinoids: Plant Based
Synthetic: Man made
Endocannabinoids: Complex system of receptors found in humans and animals.
We STILL have an obligation to treat our patient's pain and manage their anxiety. Cannabis can do both.
EPIDIOLEX
Synthetic Cannabinoids are Schedule II drugs.
Which affords us research, access and insurance coverage.
Attrition
Estimated Cost: $32,500 per year
Abfraction
Widened PDL
Cannabis is an exit strategy off pharmaceuticals.
Not a gateway drug.
High Linalool Strains:
Dentistry & Opioids
Terpenes
NJMMP
Linalool showed remarkable antibacterial effects
against the periodontopathic and cariogenic bacteria.
Decreases Nausea
Cannabis as an Opioid Replacement
Linalool
World Wide Cannabis Access
Found in Citrus Rinds:
Muscular Dystrophy
Beta-Caryophyllene
Also found in:
Pain Relief
Opioid Use Disorder
Anxiety Relief
Trigeminal Neuralgia
Beta-Caryophyllene
Herpetic Lesions
Ground breaking dental pain research!
Anti-Convulsant
CBD + BCP was more effective when treating dental pain compared to other cannabinoids and terpenes tested.
Pain Relief
Improve Sleep
CBD
Cannabidiol
Case Study
The potential of terpenes cannot be ignored.
Imagine a non-psychoactive terpene rich healing membrane, impregnated sutures, topicals, rinses, pastes, floss..
Bell's Palsy
Dr. Sara Ward & I
HSV-2
Increases Dopamine
Myrcene
Improve Memory
Addiction &
Recovery
Oral Mucositis
Increases Appetite
Rheumatoid Arthritis
Insomnia Relief
Anti-Convulsive
Autoimmune Disorders
Farm Bill
Type I Diabetes
0.3% THC
Tissue Pain
Check out these high BCP strains:
Modulates Immunity..
Cannabis can TREAT many autoimmune disorders by suppressing the inflammatory mediators... but can also TREAT the symptoms.
Clove oil is Antibacterial!
Scleroderma
Parkinson's Disease
Promotes Bone Growth
Muscular & Nerve
Pain
Anti-Cancer
Anti-Inflammatory
Skin Disorders
Bullous Disorders
Promotes Appetite
INHIBIT Dental PlAQUE
Stimulates Bone Formation
Inhibits Strep Mutans!
Ehlers Danlos
Hemp Canvas
CBN
Cannabinol
Improves Focus
Improve Muscle Repair
More effective than CHX!
The results showed that Beta-caryophyllene has antimicrobial activity against the proliferation of dog’s dental plaque-forming bacteria representing a suitable alternative to the use of chlorhexidine in prophylaxis ..
Hemp
Slows Tumor Growth
Bleeding Disorders
Anti-Bacterial
Muscular Dystrophy
Anti-Inflammatory
Mango Infused Edibles
CBG
Cannabigerol
Myrcene assists cannabinoids in crossing the blood brain barrier.
CBD
Cannabidiol
Non-Toxic Diesel Fuel
Anti-Fungal & Anti-Bacterial
Fun Fact
CBG is the parent molecule to THC & CBD.
Lotions, Cosmetics, Oils
Reduce Inflammation
Reduces Eye Pressure
Cannabis Educator
Holistic Dental Hygienist
Nicole Greco, R.D.H., B.S., M.A.
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