Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20230013-en
Brazilian Journal of Pain
Review Article

Integrative approach to the therapeutic use of cannabis for orofacial pain

Abordagem integrativa do uso terapêutico da cannabis nas dores orofaciais

Claudia Herrera Tambeli; Guilherme Arthur Martins; Sabrina Legaspe Barbosa; Tassia Tillemont Machado

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Abstract

BACKGROUND AND OBJECTIVES: Faced with the difficulty of treating chronic orofacial pain and seeking an approach that aims at the health and well-being of the patient in a broader way, cannabinoid therapy appears as an adjunct to pharmacological approaches. 
CONTENTS: Cannabinoid therapy generates analgesia through the activation of the endocannabinoid system, as well as the use of palmitoylethanolamide (PEA), curcumin, grape seed extract, aromatherapy, acupuncture, laser therapy and the practice of physical exercise. In this way, these therapies allow a reduction in the use of analgesic drugs. 
CONCLUSION: Cannabinoid therapy is part of this integrative approach and the combination of cannabinoids with other forms of activation of the endocannabinoid system contributes to a better therapeutic outcome and a better quality of life for countless patients suffering from chronic orofacial pain.

Keywords

Cannabidiol, Cannabis, Chronic pain, Endocannabinoids, Facial pain, Integrative dentistry

Resumo

JUSTIFICATIVA E OBJETIVOS: Diante da dificuldade de tratamento das dores orofaciais crônicas e buscando uma abordagem que vise a saúde e o bem-estar do paciente de uma forma mais ampla, surge a terapia canabinoide como coadjuvante nas abordagens farmacológicas. 
CONTEÚDO: A terapia canabinoide promove analgesia através da ativação do sistema endocanabinoide, assim como o uso da palmitoiletanolamida (PEA), curcumina, extrato de semente de uva, aromaterapia, acupuntura, laserterapia e a prática de exercício físico. Desta forma, essas terapias permitem redução do uso de fármacos analgésicos. 
CONCLUSÃO: A terapia canabinoide faz parte dessa abordagem integrativa e a combinação dos canabinoides com outras formas de ativação do sistema endocanabinoide contribui para melhores resultados terapêuticos e melhor qualidade de vida para inúmeros pacientes que sofrem de dores orofaciais crônicas.

Palavras-chave

Canabidiol, Cannabis, Dor crônica, Dor facial, Endocanabinoides, Odontologia integrativa.

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Submitted date:
07/14/2022

Accepted date:
02/06/2023

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