Is it OK to go to the dentist after smoking marijuana or will it mess things up? Dentists make me nervous. I think it’s not big deal, but my wife wants me to check.

Lewis – Oregon

Lewis,

You should thank your wife. There can be serious health risks if certain medications are used together. One of those is marijuana and epinephrine, which is a common ingredient in some local anesthetics. If your dentist doesn’t know that you’ve ingested marijuana, then you could end up with heart problems. If he knows, it’s possible to give you and anesthetic that doesn’t contain epinephrine. There are also pain meds that won’t interact well with marijuana usage.

The key is communication. Make certain your dentist knows EVERYTHING you’re taking, including over-the-counter medications, because you never know how it will effect your dental care.

There is another option if you’re uncomfortable with dental work…or dentists. Have you considered sedation dentistry? This can give you pain free appointments, without the complications of trying to self medicate. Talk to your dentist about it ahead of time. He or she will likely work with you. If not, you can always find a different dentist who is willing to.

This blog is brought to you by Dr. Don Swearingen.