Evidence map›Paper›PMID 42404491›Full record

ArticleToxicology reports2026

Cannabis-associated hyperalgesia and reduced local anesthetic efficacy in oral surgery: A case report.

Susan Hammoud, Mirian Harumi Itikawa Magno, Joseph Akhikar, Luiz Carlos Magno Filho

Abstract read
In one paragraph

Article in Toxicology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Susan HammoudThe University of Detroit Mercy School of Dentistry, Detroit, MI, United States.
Mirian Harumi Itikawa MagnoThe University of Detroit Mercy School of Dentistry, Detroit, MI, United States.
Joseph AkhikarPrivate practice - Glenview, IL, United States.
Luiz Carlos Magno FilhoThe University of Detroit Mercy School of Dentistry, Detroit, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cannabis use has increased significantly in recent years, yet its impact on local anesthetic efficacy in oral surgery remains poorly understood. This report analyzes the case of a 34-year-old male with history of chronic cannabis use who exhibited a hyperalgesic pain response and difficulty achieving adequate anesthesia during dental extraction in spite of standard anesthetic techniques. This atypical presentation may be explained by cannabis-associated alterations in pain pathways, including hyperalgesia related to chronic cannabinoid exposure, pharmacokinetic, and hemodynamic effects. This case highlights the potential impact of cannabis on pain perception and anesthetic response, underscoring the need for clinicians to consider cannabis use when planning anesthesia and to adapt management strategies accordingly.

Indexed as

Anesthetic resistanceCannabis useHyperalgesiaLocal anesthetic efficacyOral surgeryPain modulationTetrahydrocannabinol

Identifiers

PMID42404491
PMCPMC13330503

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.