Smokers possess a good reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth coming from a brilliant white in a dull yellow-brown.
Confronted with comments this way, most vapers would rightly explain that nicotine in pure form is in fact colourless. It appears obvious that – just like together with the health problems – the situation for your teeth from smoking isn’t the nicotine, it’s the tar.
But are we actually right? Recent surveys on the topic have flagged up vapor cigarette as a potential concern, and although they’re very far from showing dental problems in real-world vapers, this is a sign that there may be issues in the future.
To comprehend the potential hazards of vaping to the teeth, it makes sense to learn a bit about how smoking causes dental health issues. While there are numerous differences between your two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are exposed to nicotine and also other chemicals in the similar way.
For smokers, dental issues are more likely than they are in never-smokers or ex-smokers. For instance, current smokers are 4 times as prone to have poor dental health in comparison to people who’ve never smoked, and they’re over twice as more likely to have three or higher oral health issues.
Smoking affects your oral health in many different ways, starting from the yellow-brown staining and smelly breath it causes right through to more dangerous oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also provide more tartar than non-smokers, which is a type of hardened plaque, also referred to as calculus.
There are other negative effects of smoking that can cause problems for your teeth, too. For example, smoking impacts your defense mechanisms and inhibits your mouth’s capability to heal itself, each of which can exacerbate other problems brought on by smoking.
Gum disease is amongst the most popular dental issues in the UK and around the world, and smokers are around two times as likely to get it as non-smokers. It’s an infection from the gums and the bone surrounding your teeth, which over time results in the tissue and bone deteriorating and might cause tooth loss.
It’s caused by plaque, the reputation for a blend of saliva along with the bacteria in your mouth. As well as causing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, leading to teeth cavities.
When you consume food containing plenty of sugar or starch, the bacteria process the carbohydrates its content has for energy. This process creates acid like a by-product. In the event you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and causes decay. But plaque contains a lot of different bacteria, and some of these directly irritate your gums too.
So while one of the consequences of plaque build-up is a lot more relevant for gum disease, both cause issues with your teeth and smokers will probably suffer both consequences than non-smokers. The impact smoking has on the immunity process mean that when a smoker receives a gum infection as a result of plaque build-up, their body is not as likely so as to fight them back. Additionally, when damage is done because of the build-up of plaque, the impact of smoking on wound healing can make it harder for your personal gums to heal themselves.
Over time, in the event you don’t treat gum disease, spaces will start to look at up involving the gums as well as your teeth. This problem becomes worse as a lot of tissues break down, and ultimately can bring about your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the risk of periodontal disease in comparison to non-smokers, and the risk is bigger for folks who smoke more and who smoke for prolonged. Along with this, the issue is less likely to respond well when it gets treated.
For vapers, researching the link between smoking and gum disease invites one question: is it the nicotine or the tar in tobacco that causes the down sides? Naturally, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but would be ability to?
low levels of oxygen from the tissues – and this could predispose your gums to infections, in addition to decreasing the ability of the gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or combination of them is causing the problems for smokers. For vaping, though, you will find clearly some potential benefits. There are far fewer toxins in vapour, so any issues caused due to them is going to be less severe in vapers than smokers.
The last two potential explanations relate instantly to nicotine, but there are a couple of things worth noting.
For the idea that nicotine reduces blood flow which causes the problems, there are a few problems. Studies looking directly for that impact with this about the gums (here and here) have discovered either no alternation in circulation of blood or slight increases.
Although nicotine does create your blood vessels constrict, the impact smoking has on blood pressure has a tendency to overcome this and blood flow for the gums increases overall. This is the complete opposite of what you’d expect if the explanation were true, and also at least demonstrates that it isn’t the major factor at play. Vaping has a smaller amount of a positive change on blood pressure level, though, hence the result for vapers could possibly be different.
Another idea is that the gum tissues are getting less oxygen, which is causing the situation. Although research has shown how the hypoxia brought on by smoking parallels how nicotine acts within the body, nicotine isn’t the sole thing in smoke that can have this effect. Deadly carbon monoxide specifically is really a aspect of smoke (yet not vapour) containing exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which is to blame, but as wound healing (which is actually a closely-related issue) is affected in smokers although not in NRT users, it’s unlikely that nicotine alone does each of the damage or even almost all of it.
Unsurprisingly, a lot of the discussion of this topic conflates nicotine with smoke, and this will make it hard to determine how much of a part nicotine really has. There isn’t much evidence considering this associated with electronic cigarette review specifically, as you’d expect, but there isn’t much associated with nicotine out from smoke whatsoever.
First, there were some studies looking specifically at how vaping affects the teeth. However, these studies have mainly taken the sort of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and while they’re ideal for learning the biological mechanisms underpinning the potential health outcomes of vaping (and also other exposures, medicines and pretty much anything), it is actually a limited form of evidence. Even though something affects a variety of cells within a culture doesn’t mean it can have the same effect within a real body system.
With that in mind, the studies on vaping as well as your teeth is summarized from a review from March 2017. The authors address evidence about gum disease, consisting of cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues in the gums. Aldehydes in e-cig vapour might have impacts on proteins and damage DNA. Most of these effects could theoretically cause periodontal disease in vapers.
Nicotine even offers the potential to result in difficulties for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors argue that vaping can lead to impaired healing.
However that at the moment, we don’t have quite definitely evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation based upon mechanistic studies of how nicotine interacts with cells with your mouth, so it can’t be completely ignored, but the evidence we now have so far can’t really say a lot of about what may happen to real-world vapers in reality.
However, there is certainly one study that looked at oral health in actual-world vapers, and its particular outcome was generally positive. The research included 110 smokers who’d switched to vaping and had their oral health examined at the start of the analysis, after 60 days and after 120 days. The vapers were break up into those who’d smoked for under ten years (group 1) and the ones who’d smoked for extended (group 2).
At the start of the investigation, 85 % of group 1 enjoyed a plaque index score of 1, with only 15 of them having no plaque by any means. For group 2, none of the participants enjoyed a plaque score of , with about three-quarters scoring 2 out from 3, and the other participants split between scores of 1 and 3. At the end from the study, 92% of group 1 and 87 % of your longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the beginning of the investigation, 61% of group 1 participants and 65% of group 2 participants bled after being poked having a probe. With the final follow-up, 92% of group 1 and 98% of group 2 had no bleeding. The researchers also took a papillary bleeding index, that requires a probe being inserted between the gum-line as well as the teeth, and other improvements were seen. At the beginning of the investigation, 66% of group 1 and 60% of group 2 participants showed no bleeding, but following the investigation, this had increased to 98% of group 1 and 100% of group 2.
It may possibly simply be one study, however the message it sends is rather clear: switching to vaping from smoking looks to be a confident move with regards to your teeth are concerned.
The research considering real-world vapers’ teeth had pretty positive results, but since the cell research has shown, there is certainly still some potential for issues across the long term. Unfortunately, adding to that study there is little we are able to do but speculate. However, we do incorporate some extra evidence we could contact.
If nicotine is responsible for the dental issues that smokers experience – or at best partially in charge of them – we should see signs of problems in people who use nicotine without smoking. Snus – the Swedish method of smokeless tobacco that’s essentially snuff in the mini teabag – and nicotine gums give two great sources of evidence we can easily use to analyze the issue in a little bit more detail.
About the whole, evidence doesn’t appear to point the finger at nicotine very much. One study checked out evidence covering 2 decades from Sweden, with well over 1,600 participants overall, and discovered that while severe gum disease was more common in smokers, snus users didn’t are most often at increased risk by any means. There is some indication that gum recession and lack of tooth attachment is much more common with the location the snus is held, but about the whole the chance of issues is much more closely associated with smoking than snus use.
Even though this hasn’t been studied just as much as you may think, research in nicotine gum users provides yet more evidence that nicotine isn’t really the issue. Chewing sugar-containing gum obviously has got the potential to affect your teeth even without nicotine, but an assessment between 78 those who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference in any way on such things as plaque, gingivitis, tartar as well as other oral health related outcomes. Again, smoking did increase the danger of tartar and gingivitis.
Overall, while there are a few plausible explanations for a way nicotine could affect your dental health, the evidence really doesn’t support a hyperlink. This is certainly great news for any vapers, snus users or long term NRT users, nevertheless it ought to go without saying that avoiding smoking and searching after your teeth generally speaking remains necessary for your oral health.
When it comes to nicotine, evidence we now have up to now suggests that there’s little to concern yourself with, as well as the cell studies directly addressing vaping take time and effort to draw firm conclusions from without further evidence. But these aren’t the sole ways in which vaping could impact your teeth and oral health.
Something most vapers know is that vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture out of their immediate environment. This is the reason receiving a dry mouth after vaping is very common. The mouth area is in near-constant exposure to PG and VG and many vapers quickly get accustomed to drinking more than ever before to make up. Now you ask ,: does this constant dehydration pose a risk to your teeth?
There is an interesting paper around the potential link between mild dehydration and dental issues, and overall it stresses that there is no direct proof of a web link. However, there are numerous indirect pieces of evidence and suggestive findings that hint at potential problems.
This largely relies on your saliva. By literally “washing” your teeth because it moves around the mouth, containing ions that neutralise acids from the diet, containing calcium and phosphate that may turn back the outcomes of acids on your teeth and containing proteins which impact how molecules interact with your teeth, saliva looks to be an important factor in maintaining oral health. If dehydration – from vaping or another type – contributes to reduced saliva production, this could have a knock-on influence on your teeth making dental cavities and also other issues more inclined.
The paper highlights that there lots of variables to take into consideration and also this makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease is not directly proved, while there is considerable circumstantial evidence to indicate that such a link exists.”
And this is the closest we can really get to a solution to the question. However, there are a few interesting anecdotes in the comments to the post on vaping and your teeth (although the article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” after having a year of exclusive vaping, highlights that dry mouth and cotton mouth are common, and this may lead to bad breath and seems to cause issues with cavities. The commenter promises to practice good dental hygiene, however there’s no chance of knowing this, nor what his / her teeth were like before switching to vaping.
However, this isn’t the sole story in the comments, even though it’s all speculative, using the evidence discussed above, it’s certainly plausible that vaping can lead to dehydration-related problems with your teeth.
The opportunity of risk is way from certain, but it’s clear that we now have some simple things you can do to lower your chance of dental health problems from vaping.
Stay hydrated. This is very important for any vaper anyway, but due to the potential risks related to dehydration, it’s especially vital for your teeth. I keep a bottle of water with me at all times, but nevertheless you do it, ensure you fight dry mouth with lots of fluids.
Vape less frequently with higher-nicotine juice. One idea that originally originated Dr. Farsalinos (more broadly about reducing the risk from vaping) is vaping more infrequently with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your personal teeth, this same advice is extremely valid – the dehydration is related to PG and VG, therefore the a smaller amount of it you inhale, the lesser the outcome is going to be. Technically, when the theories about nicotine’s role in gum disease are true, boosting your intake wouldn’t be ideal, but overall it appears nicotine isn’t the most important factor.
Pay extra awareness of your teeth whilst keeping brushing. Although some vapers could have problems, it’s obvious that most of us haven’t experienced issues. The explanation with this is likely that a great many vapers look after their teeth generally. Brush at least two times per day to minimise any risk and keep an eye out for potential issues. When you notice an issue, go to your dentist and acquire it taken care of.
The good news is this can be all relatively easy, and aside from the second suggestion you’ll more likely be doing all that you should anyway. However, if you begin to notice issues or else you feel ecigrreviews your teeth are becoming worse, taking steps to lower dehydration and paying extra focus to your teeth is advisable, along with seeing your dentist.
While ecig will probably be much better to your teeth than smoking, there are still potential issues due to dehydration and even possibly to do with nicotine. However, it’s important to obtain a little perspective before you take any drastic action, particularly with so little evidence to support any concerns.
If you’re switching to some low-risk form of nicotine use, it’s unlikely being because of your teeth. You may have lungs to worry about, in addition to your heart and a lot else. The investigation up to now mainly is focused on these much more serious risks. So regardless of whether vaping does wind up having some effect on your teeth or gums, it won’t change the reality that vaping is a better idea than smoking. There are additional priorities.