Cannabidiol in Dentistry: A Scoping Review

Cannabidiol (CBD) has been gaining increased attention in contemporary society but seems to have been little explored in dentistry. This scoping review mapped the scientific and technological scenarios related to the use of CBD in dentistry. Peer-reviewed publications were searched in five international databases, patents were searched in five technological platforms. In total, 11 articles and 13 patents involving CBD in dentistry-related applications were included. The countries contributing to most articles were Brazil (27.3%) and USA (18.2%). The studies involved experiments on animals (63.6%) and/or using bacteria or cells (36.4%), and no clinical study was found. Three different applications of CBD were observed: periodontal therapy (45.4%), aid for bone regeneration (27.3%), and general use in oral therapies (27.3%). Patent inventors were based in China (53.8%) or USA (46.2%). The patent claims were mainly compositions for oral care, tooth whitening, injury repair, antifungal, anti-inflammatory, and analgesic effects. A total of 76.9% of the patents were filed in association with a company. In general, research suggests that CBD has promising biological properties for applications in dentistry, whereas patents indicate that the current interest of industry relies on compositions for oral care. There appears to be extensive room available for research and technological applications of CBD in dentistry.

[1]  I. Berindan‐Neagoe,et al.  Cannabidiol and Vitamin D3 Impact on Osteogenic Differentiation of Human Dental Mesenchymal Stem Cells , 2020, Medicina.

[2]  Jayme L. Dahlin,et al.  The Essential Medicinal Chemistry of Cannabidiol (CBD). , 2020, Journal of medicinal chemistry.

[3]  I. Koturbash,et al.  Cannabidiol and Other Cannabinoids: From Toxicology and Pharmacology to the Development of a Regulatory Pathway , 2020, Journal of dietary supplements.

[4]  T. Dick,et al.  Phytotherapy in Dentistry: A Literature Review Based on Clinical Data , 2020 .

[5]  F. Guimarães,et al.  Cannabidiol on 5-FU-induced oral mucositis in mice. , 2020, Oral diseases.

[6]  V. Stahl,et al.  Comparison of Efficacy of Cannabinoids versus Commercial Oral Care Products in Reducing Bacterial Content from Dental Plaque: A Preliminary Observation , 2020, Cureus.

[7]  I. Choi,et al.  Synthetic Strategies for (-)-Cannabidiol and Its Structural Analogs. , 2019, Chemistry, an Asian journal.

[8]  R. Lamont,et al.  Marijuana-Derived Cannabinoids Trigger a CB2/PI3K Axis of Suppression of the Innate Response to Oral Pathogens , 2019, Front. Immunol..

[9]  A. Kamali,et al.  Cannabidiol-loaded microspheres incorporated into osteoconductive scaffold enhance mesenchymal stem cell recruitment and regeneration of critical-sized bone defects. , 2019, Materials science & engineering. C, Materials for biological applications.

[10]  M. Baciut,et al.  Cannabinoids and bone regeneration , 2019, Drug metabolism reviews.

[11]  J. McGowan,et al.  PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation , 2018, Annals of Internal Medicine.

[12]  F. Guimarães,et al.  Effects of cannabidiol, a Cannabis sativa constituent, on oral wound healing process in rats: Clinical and histological evaluation , 2018, Phytotherapy research : PTR.

[13]  E. Ovidi,et al.  Natural products for human health: an historical overview of the drug discovery approaches , 2018, Natural product research.

[14]  A. Malfitano,et al.  Cannabidiol: State of the art and new challenges for therapeutic applications. , 2017, Pharmacology & therapeutics.

[15]  P. Brossart,et al.  In vivo and In vitro Identification of Endocannabinoid Signaling in Periodontal Tissues and Their Potential Role in Local Pathophysiology , 2017, Cellular and Molecular Neurobiology.

[16]  M. A. Figueiredo,et al.  Cannabidiol: an alternative therapeutic agent for oral mucositis? , 2017, Journal of clinical pharmacy and therapeutics.

[17]  E. Mazzon,et al.  Cannabidiol Modulates the Immunophenotype and Inhibits the Activation of the Inflammasome in Human Gingival Mesenchymal Stem Cells , 2016, Front. Physiol..

[18]  J. Elverdín,et al.  Anti-Inflammatory and Osteoprotective Effects of Cannabinoid-2 Receptor Agonist HU-308 in a Rat Model of Lipopolysaccharide-Induced Periodontitis. , 2016, Journal of periodontology.

[19]  R. Müller,et al.  Cannabidiol, a Major Non‐Psychotropic Cannabis Constituent Enhances Fracture Healing and Stimulates Lysyl Hydroxylase Activity in Osteoblasts , 2015, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[20]  D. Parker,et al.  Guidance for conducting systematic scoping reviews , 2015, International journal of evidence-based healthcare.

[21]  S. Burstein Cannabidiol (CBD) and its analogs: a review of their effects on inflammation. , 2015, Bioorganic & medicinal chemistry.

[22]  Kwangsoo Kim,et al.  A patent intelligence system for strategic technology planning , 2013, Expert Syst. Appl..

[23]  D. Tipton,et al.  Effect of cannabidiol on human gingival fibroblast extracellular matrix metabolism: MMP production and activity, and production of fibronectin and transforming growth factor β. , 2012, Journal of periodontal research.

[24]  L. Ford,et al.  Cannabinoids and bone: endocannabinoids modulate human osteoclast function in vitro , 2012, British journal of pharmacology.

[25]  M. Torii,et al.  Anandamide induces matrix metalloproteinase-2 production through cannabinoid-1 receptor and transient receptor potential vanilloid-1 in human dental pulp cells in culture. , 2012, Journal of endodontics.

[26]  A. Mottola,et al.  Il sistema endocannabinoide: attuali conoscenze e potenziali applicazioni in odontostomatologia , 2011 .

[27]  D. Levac,et al.  Scoping studies: advancing the methodology , 2010, Implementation science : IS.

[28]  R. Tiwari,et al.  Techniques for evaluation of medicinal plant products as antimicrobial agents: Current methods and future trends , 2010 .

[29]  L. Petrocellis,et al.  The endovanilloid/endocannabinoid system in human osteoclasts: possible involvement in bone formation and resorption. , 2009, Bone.

[30]  F. Guimarães,et al.  Cannabidiol decreases bone resorption by inhibiting RANK/RANKL expression and pro-inflammatory cytokines during experimental periodontitis in rats. , 2009, International immunopharmacology.

[31]  D. Ali,et al.  Pharmacology of Medical Cannabis. , 2019, Advances in experimental medicine and biology.

[32]  V. Stahl Cannabis and derivatives thereof for the treatment of pain and inflammation related with dental pulp and bone regeneration related to dental jaw bone defects , 2018 .

[33]  G. Curatola Oral care formulations and methods for use , 2018 .