448 - Assessment of Cannabis Use Prior to Oral Surgery Office Sedation

Saturday, May 25, 2024

11:30 AM – 11:40 AM EST

Location: Exhibit Hall (back left corner of the hall, space 137)

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Presenting Author(s)

Elizabeth A. Patrick, DDS (she/her/hers)

Pediatric Dental Resident
University at Buffalo/Women and Children’s Hospital of Buffalo, Buffalo, NY
University at Buffalo School of Dental Medicine
Buffalo, New York, United States

Co-Author(s)

CH

Christopher Heard, MD

University at Buffalo
NS

Nicholas Sirotenko, DDS

University at Buffalo

Research Mentor(s)

Christopher Heard, MD

Anesthesiologist
University at Buffalo, New York
Buffalo, New York, United States

Program Director(s)

TT

Tammy Thompson, DDS

University at Buffalo School of Dental Medicine
Buffalo, New York, United States

Abstract:

Purpose: With the recent legalization of Cannabis, we would like to explore the prevalence and extent of cannabis usage within the young adult population. Cannabis usage can have adverse effects on sedation for dental procedures. We have developed and are evaluating a Pre-Sedation Cannabis Use Score questionnaire (PCUS). This has proven to be a useful method to stratify Cannabis use into groups with noted different sedation needs. Previous examination using Factor analysis has detected 4 groups of questions related to the overall score. The aim of this study is to evaluate if we can shorten the questionnaire to make it more clinically useful as a screening tool.

Methods: After IRB approval, a voluntary twenty-five question questionnaire was provided to patients aged 16-25 prior to Oral Surgery treatment. These questions were scored from 0 to a max range of 3 to 12. There are score distributions for each question, range, quartiles etc. Four different user groups (none, occasional, moderate, heavy) were assessed regarding the three most significant questions with respect to each; Frequency, Concentrates Use, Pattern/Depth, and Duration.

Results: The Kruskal-Wallis H test showed there were significant differences amongst the three questions from each of the four groups. Post-Hoc Dunn’s test demonstrated significant sub -analysis differences with between 3 to 5 sub-group comparisons.

Conclusion: Our initial attempt to simplify the PCUS appears promising with respect to differentiating the 4 factor groups using these 12 questions. Further recruitment and analysis will confirm whether we also maintain a similar cannabis use group stratification.

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