Smokers have got a reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white in a dull yellow-brown.
Faced with comments similar to this, most vapers would rightly point out that nicotine in pure form is definitely colourless. It appears obvious that – much like with all the health risks – the trouble for the teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent studies on the topic have flagged up vapor cigarette being a potential concern, and although they’re quite a distance from showing dental problems in actual-world vapers, this is a sign that there could be issues in the future.
To comprehend the possible perils associated with vaping to your teeth, it seems sensible to understand somewhat regarding how smoking causes oral health issues. While there are numerous differences between the two – inhaling tar-laden smoke is very different from inhaling droplets of liquid – vapers and smokers are open to nicotine along with other chemicals in a similar way.
For smokers, dental issues are more inclined than they are in never-smokers or ex-smokers. For instance, current smokers are four times as likely to have poor dental health in comparison with people who’ve never smoked, and they’re over twice as more likely to have three or even more dental health issues.
Smoking affects your dental health in a number of ways, starting from the yellow-brown staining and bad breath it causes through to more severe dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers likewise have more tartar than non-smokers, which is a type of hardened plaque, otherwise known as calculus.
There are many outcomes of smoking that induce trouble for your teeth, too. As an example, smoking impacts your defense mechanisms and disrupts your mouth’s power to heal itself, both of which can exacerbate other conditions caused by smoking.
Gum disease is probably the most frequent dental issues in the united kingdom and around the world, and smokers are around doubly likely to have it as non-smokers. It’s an infection of the gums and the bone surrounding your teeth, which after a while brings about the tissue and bone deteriorating and may even cause tooth loss.
It’s caused by plaque, which is the reputation for a combination of saliva and the bacteria in your mouth. In addition to inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, creating tooth decay.
Once you consume food containing lots of sugar or starch, the bacteria process the carbohydrates it includes for energy. This technique creates acid being a by-product. When you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains a lot of different bacteria, and some of these directly irritate your gums too.
So while one of several consequences of plaque build-up is a lot more relevant for gum disease, both bring about issues with your teeth and smokers will probably suffer both consequences than non-smokers. The impact smoking has on the immunity mechanism signify in case a smoker receives a gum infection due to plaque build-up, her or his body is more unlikely in order to fight it well. Furthermore, when damage is completed because of the build-up of plaque, the impact of smoking on wound healing can make it more difficult for the gums to heal themselves.
After a while, when you don’t treat gum disease, spaces can begin to open up up involving the gums along with your teeth. This problem gets worse as a lot of the tissues disintegrate, and finally can bring about your teeth becoming loose as well as falling out.
Overall, smokers have twice the chance of periodontal disease in comparison to non-smokers, along with the risk is bigger for individuals that smoke more and who smoke for extended. On top of this, the thing is unlikely to react well when it gets treated.
For vapers, studying the connection between smoking and gum disease invites one question: is it the nicotine or even the tar in tobacco which causes the problems? Needless to say, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but would be ability to?
low levels of oxygen from the tissues – and also this could predispose your gums to infections, as well as decreasing the ability of your own gums to heal themselves.
Unfortunately, it’s not really clear which explanation or blend of them is bringing about the difficulties 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 will probably be less severe in vapers than smokers.
The very last two potential explanations relate instantly to nicotine, but there is a couple of things worth noting.
For the notion that nicotine reduces blood circulation which causes the problems, there are a few problems. Studies looking directly for your impact of this around the gums (here and here) are finding either no alteration of blood flow or slight increases.
Although nicotine does create your bloodstream constrict, the impact smoking has on blood pressure level has a tendency to overcome this and blood circulation for the gums increases overall. This is actually the opposite of what you’d expect in case the explanation were true, and at least shows that it isn’t the main factor at play. Vaping has less of a direct impact on hypertension, though, so the result for vapers might be different.
One other idea is the gum tissues are receiving less oxygen, and also this is causing the problem. Although studies have shown how the hypoxia brought on by smoking parallels how nicotine acts in the body, nicotine isn’t the only thing in smoke that could have this effect. Carbon monoxide particularly can be a part of smoke (although not vapour) which has exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which would be to blame, but since wound healing (which is a closely-related issue) is affected in smokers although not in NRT users, it’s unlikely that nicotine alone does all of the damage or even the majority of it.
Unsurprisingly, a lot of the discussion of this topic conflates nicotine with smoke, and this will make it hard to sort out how much of a role nicotine really has. There isn’t much evidence taking a look at this associated with electronic cigarette review specifically, as you’d expect, but there isn’t much associated with nicotine away from smoke at all.
First, we have seen some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the type of cell culture studies. These are called “in vitro” (literally “in glass”) studies, and although they’re ideal for learning the biological mechanisms underpinning the possible health results of vaping (and other exposures, medicines and virtually anything), it really is a limited method of evidence. Even though something affects a lot of cells inside a culture doesn’t mean it is going to have similar effect inside a real body system.
With that in mind, the investigation 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 inside the gums. Aldehydes in e-cig vapour can have impacts on proteins and cause damage to DNA. Every one of these effects could theoretically cause periodontal disease in vapers.
Nicotine also has the opportunity to cause difficulties for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors debate that vaping could lead to impaired healing.
But the truth is that presently, we don’t have greatly evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation based on mechanistic studies of how nicotine interacts with cells within your mouth, so that it can’t be completely ignored, although the evidence we certainly have to date can’t really say excessive in regards to what can happen to real-world vapers in reality.
However, there is one study that checked out dental health in actual-world vapers, as well as its outcome was generally positive. The investigation included 110 smokers who’d switched to vaping and had their oral health examined at the beginning of the investigation, after two months and after 120 days. The vapers were split up into those who’d smoked for less than a decade (group 1) and people who’d smoked for much longer (group 2).
At the start of the study, 85 % of group 1 experienced a plaque index score of 1, with just 15 of those without plaque by any means. For group 2, none of the participants enjoyed a plaque score of , with about three-quarters scoring 2 away from 3, and the remainder of the participants split between lots of 1 and three. At the end from the study, 92% of group 1 and 87 % of the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the start of the study, 61% of group 1 participants and 65% of group 2 participants bled after being poked by using a probe. Through the final follow-up, 92% of group 1 and 98% of group 2 had no bleeding. The researchers also took a papillary bleeding index, which involves a probe being inserted involving the gum-line and also the teeth, and similar improvements were seen. At the beginning of the analysis, 66% of group 1 and 60% of group 2 participants showed no bleeding, but at the end of the research, this had increased to 98% of group 1 and 100% of group 2.
It may just be one study, although the message it sends is fairly clear: switching to vaping from smoking looks to be a good move so far as your teeth are concerned.
The analysis checking out real-world vapers’ teeth had pretty great results, but since the cell research has revealed, there is still some potential for issues over the long-term. Unfortunately, aside from that study there is little we could do but speculate. However, we do incorporate some extra evidence we could ask.
If nicotine is responsible for the dental issues that smokers experience – or otherwise partially liable for them – we should see signs and symptoms of problems in individuals that use nicotine without smoking. Snus – the Swedish method of smokeless tobacco that’s essentially snuff inside a mini teabag – and nicotine gums give two great causes of evidence we could use to investigate the issue in much more detail.
Around the whole, evidence doesn’t manage to point the finger at nicotine very much. One study looked at evidence covering 20 years from Sweden, with more than 1,600 participants altogether, and found that although severe gum disease was more widespread in smokers, snus users didn’t appear to be at increased risk at all. There is certainly some indication that gum recession and loss of tooth attachment is far more common at the location the snus is held, but around the whole the likelihood of issues is far more closely related to smoking than snus use.
Even though this hasn’t been studied up to it may seem, research in nicotine gum users provides yet more evidence that nicotine isn’t really the issue. Chewing sugar-containing gum obviously has the possible ways to affect your teeth even without nicotine, but an evaluation between 78 individuals who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference by any means on stuff like plaque, gingivitis, tartar and also other oral health related outcomes. Again, smoking did increase the chance of tartar and gingivitis.
Overall, while there are some plausible explanations for the way nicotine could affect your dental health, the evidence really doesn’t support a hyperlink. This can be very good news for any vapers, snus users or long term NRT users, nevertheless it should go without proclaiming that avoiding smoking and searching after your teeth generally speaking remains essential for your dental health.
With regards to nicotine, the evidence we now have to date implies that there’s little to concern yourself with, and also the cell studies directly addressing vaping take time and effort to get firm conclusions from without further evidence. However, these aren’t the sole techniques that vaping could impact your teeth and dental health.
Something most vapers know is vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture out of their immediate environment. For this reason receiving a dry mouth after vaping is very common. Your mouth is near-constant exposure to PG and VG and a lot vapers quickly get accustomed to drinking more than usual to compensate. Now you ask: does this constant dehydration pose a danger for the teeth?
There is an interesting paper on the potential link between mild dehydration and dental issues, and overall it stresses that there is not any direct evidence of a hyperlink. However, there are numerous indirect components of evidence and suggestive findings that hint at potential issues.
This largely is dependant on your saliva. By literally “washing” your teeth because it moves round the mouth, containing ions that neutralise acids from the diet, containing calcium and phosphate that will turn back the effects of acids on the teeth and containing proteins that impact how molecules connect with your teeth, saliva is apparently a necessary aspect in maintaining dental health. If dehydration – from vaping or anything else – results in reduced saliva production, this will have a knock-on result on your teeth to make cavities and other issues much more likely.
The paper indicates that there plenty of variables to take into account and also this makes drawing firm conclusions difficult, however the authors write:
“The link between dehydration and dental disease is not really directly proved, while there is considerable circumstantial evidence to indicate that this sort of link exists.”
And this is the closest we can really get to an answer to this particular question. However, there are many interesting anecdotes inside the comments to this post on vaping along with your teeth (though the article itself just speculates in the risk for gum disease).
One commenter, “Skwurl,” following a year of exclusive vaping, indicates that dry mouth and cotton mouth are typical, and this might lead to bad breath and seems to cause difficulties with dental cavities. The commenter states practice good dental hygiene, however there’s absolutely no way of knowing this, nor what his or her teeth were like before switching to vaping.
However, this isn’t really the only story inside the comments, and although it’s all speculative, with the evidence discussed above, it’s certainly plausible that vaping can lead to dehydration-related problems with your teeth.
The potential for risk is far from certain, but it’s clear there are some simple things you can do to lessen your probability of dental health problems from vaping.
Avoid dehydration. This will be significant for almost any vaper anyway, but considering the potential risks associated with dehydration, it’s particularly important to your teeth. I have a bottle water with me always, but however, you get it done, be sure to fight dry mouth with plenty 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 that vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your personal teeth, this same advice is very valid – the dehydration is related to PG and VG, therefore the less of it you inhale, smaller the impact will likely be. Technically, in case the theories about nicotine’s role in gum disease are true, boosting your intake wouldn’t be ideal, but overall it appears to be nicotine isn’t the main factor.
Pay extra focus to your teeth while keeping brushing. However some vapers might have problems, it’s obvious that the majority of us haven’t experienced issues. The explanation with this is likely that a great many vapers take care of their teeth in general. Brush at least 2 times every day to minimise any risk and be on the lookout for potential issues. When you notice a challenge, go to your dentist and have it sorted out.
The good news is this is all pretty simple, and aside from the second suggestion you’ll most likely be doing all you need to anyway. However, should you start to notice issues or maybe you feel ecigrreviews your teeth are becoming worse, taking steps to lower dehydration and paying extra attention to your teeth is a great idea, as well as seeing your dentist.
While e-cigs is likely to be a lot better for the teeth than smoking, you can still find potential issues as a result of dehydration and also possibly related to nicotine. However, it’s important to get a amount of perspective before you take any drastic action, particularly with so little evidence to back any concerns.
If you’re switching to a low-risk method of nicotine use, it’s unlikely being from your teeth. You possess lungs to worry about, along with your heart plus a lot else. The investigation to date mainly concentrates on these more serious risks. So even though vaping does end up having some influence on your teeth or gums, it won’t change the reality that vaping is really a better idea than smoking. There are other priorities.