Smokers possess a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth from a brilliant white in a dull yellow-brown.
Up against comments such as this, most vapers would rightly point out that nicotine in pure form is really colourless. It seems like obvious that – similar to using the health threats – the trouble to your teeth from smoking isn’t the nicotine, it’s the tar.
But are we actually right? Recent studies on the subject have flagged up vapor cigarette being a potential concern, and although they’re quite a distance from showing dental problems in real-world vapers, this is a sign that there may be issues in the future.
To know the opportunity perils associated with vaping in your teeth, it seems sensible to learn a little about how smoking causes oral health issues. While there are lots of differences involving 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 inside a similar way.
For smokers, dental issues are more inclined than they are in never-smokers or ex-smokers. By way of example, current smokers are four times as more likely to have poor dental health when compared with people who’ve never smoked, and they’re over twice as prone to have three or higher oral health issues.
Smoking affects your dental health in various ways, ranging from the yellow-brown staining and smelly breath it causes to more serious oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers likewise have more tartar than non-smokers, and that is a form of hardened plaque, referred to as calculus.
There are additional outcomes of smoking that can cause problems for your teeth, too. As an illustration, smoking impacts your defense mechanisms and inhibits your mouth’s capability to heal itself, each of which can exacerbate other conditions brought on by smoking.
Gum disease is amongst the most frequent dental issues in the united kingdom and round the world, and smokers are around doubly likely to have it as non-smokers. It’s an infection in the gums along with the bone surrounding your teeth, which over time brings about the tissue and bone deteriorating and might cause tooth loss.
It’s a result of plaque, which is the good name for a combination of saliva along with the bacteria with your mouth. In addition to inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in cavities.
When you consume food containing lots of sugar or starch, the bacteria process the carbohydrates its content has for energy. This process creates acid as being a by-product. When you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and causes decay. But plaque contains lots of different bacteria, and a number of these directly irritate your gums too.
So while one of many consequences of plaque build-up is more relevant for gum disease, both bring about problems with your teeth and smokers are more likely to suffer both consequences than non-smokers. The results smoking has in your defense mechanisms imply that if your smoker turns into a gum infection resulting from plaque build-up, his or her body is not as likely so that you can fight it well. Additionally, when damage is completed because of the build-up of plaque, the impact of smoking on wound healing will make it more challenging to your gums to heal themselves.
Over time, in the event you don’t treat gum disease, spaces may start to look at up between your gums and your teeth. This concern becomes worse as a lot of the tissues breakdown, and finally can bring about your teeth becoming loose as well as falling out.
Overall, smokers have twice the risk of periodontal disease compared to non-smokers, as well as the risk is bigger for individuals that smoke more and who smoke for extended. On top of this, the thing is not as likely to react well in the event it gets treated.
For vapers, learning about the connection between smoking and gum disease invites one question: is it the nicotine or maybe the tar in tobacco which causes the difficulties? Needless to say, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but can be directly to?
lower levels of oxygen from the tissues – which could predispose your gums to infections, and also decreasing the ability of the gums to heal themselves.
Unfortunately, it’s not necessarily clear which explanation or mixture of them is causing the down sides for smokers. For vaping, though, you will find clearly some potential benefits. You will find far fewer toxins in vapour, so any issues caused as a result of them will probably be less severe in vapers than smokers.
The past two potential explanations relate right to nicotine, but there are a few things worth noting.
For the notion that nicotine reduces circulation of blood and therefore causes the issues, there are many problems. Studies looking directly to the impact on this in the gums (here and here) have discovered either no alternation in the flow of blood or slight increases.
Although nicotine does help make your bloodstream constrict, the impact smoking has on blood pressure levels tends to overcome this and blood flow towards the gums increases overall. This is basically the opposite of what you’d expect in the event the explanation were true, and also at least implies that it isn’t the main factor at play. Vaping has a smaller amount of a positive change on blood pressure levels, though, and so the result for vapers could possibly be different.
The other idea is the fact that gum tissues are becoming less oxygen, and that is bringing about the problem. Although research has shown the hypoxia caused by smoking parallels how nicotine acts within your body, nicotine isn’t one and only thing in smoke that may have this effect. Carbon monoxide specifically is actually a aspect of smoke (but not vapour) containing exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which would be to blame, but because wound healing (and that is a closely-related issue) is affected in smokers but not in NRT users, it’s unlikely that nicotine alone is doing all of the damage or even most of it.
Unsurprisingly, the vast majority of discussion with this topic conflates nicotine with smoke, and it is then hard to work out how much of a role nicotine really has. There isn’t much evidence considering this concerning electronic cigarette review specifically, as you’d expect, but there isn’t much associated with nicotine out from smoke at all.
First, there has been some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the sort of cell culture studies. These are called “in vitro” (literally “in glass”) studies, and while they’re ideal for knowing the biological mechanisms underpinning the opportunity health outcomes of vaping (as well as other exposures, medicines and just about anything), it is actually a limited form of evidence. Simply because something affects a number of cells inside a culture doesn’t mean it is going to have a similar effect inside a real body system.
With that in mind, the research on vaping along with your teeth is summarized by a review from March 2017. The authors address evidence about gum disease, including cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues from the gums. Aldehydes in e-cig vapour can have impacts on proteins and cause damage to DNA. Most of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also offers the possible to result in difficulties for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors believe that vaping may lead to impaired healing.
However that presently, we don’t have significantly evidence specifically concerning vaping, and much of the aforementioned is ultimately speculation. It’s speculation according to mechanistic studies of how nicotine interacts with cells within your mouth, therefore it can’t be completely ignored, nevertheless the evidence we have to date can’t really say too much regarding what will occur to real-world vapers in practice.
However, there is certainly one study that looked at dental health in actual-world vapers, along with its outcome was generally positive. The studies included 110 smokers who’d switched to vaping along with their oral health examined at the beginning of the analysis, after two months and after 120 days. The vapers were split up into those who’d smoked for under ten years (group 1) and those who’d smoked for extended (group 2).
At the start of the analysis, 85 % of group 1 experienced a plaque index score of 1, with only 15 of which without plaque by any means. For group 2, not one of the participants enjoyed a plaque score of , with around three-quarters scoring 2 away from 3, and all of those other participants split between lots of 1 and three. By the end in the study, 92% of group 1 and 87 % from the longer-term smokers in group 2 had plaque lots 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 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 between the gum-line along with 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 after the investigation, this had increased to 98% of group 1 and 100% of group 2.
It may basically be one study, but the message it sends is rather clear: switching to vaping from smoking looks to be a confident move with regards to your teeth are worried.
The research taking a look at real-world vapers’ teeth had pretty positive results, but as the cell research shows, there may be still some possibility of issues within the long-term. Unfortunately, aside from that study there is very little we can do but speculate. However, perform have some extra evidence we could call on.
If nicotine is responsible for the dental problems that smokers experience – or at best partially in charge of them – we should see signs of problems in individuals that use nicotine without smoking. Snus – the Swedish form of smokeless tobacco that’s essentially snuff in a mini teabag – and nicotine gums give two great resources for evidence we can easily use to look into the matter in much more detail.
On the whole, the evidence doesn’t seem to point the finger at nicotine greatly. One study considered evidence covering 20 years from Sweden, with over 1,600 participants as a whole, and located that while severe gum disease was more usual in smokers, snus users didn’t appear to be at increased risk whatsoever. There is certainly some indication that gum recession and lack of tooth attachment is more common on the location the snus is held, but in the whole the likelihood of issues is much more closely associated with smoking than snus use.
Although this hasn’t been studied 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 offers the potential to affect your teeth even without nicotine, but a comparison between 78 those who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference at all on things 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 several plausible explanations for the way nicotine could affect your dental health, the evidence really doesn’t support a link. This is certainly good news for virtually any vapers, snus users or long-term NRT users, but it really should go without stating that avoiding smoking and searching after your teeth on the whole remains to be vital for your oral health.
When it comes to nicotine, evidence we now have up to now suggests that there’s little to worry about, and also the cell studies directly addressing vaping are hard to draw in firm conclusions from without further evidence. Nevertheless these aren’t the sole ways in which vaping could impact your teeth and oral health.
One thing most vapers know is vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture from their immediate environment. This is why acquiring a dry mouth after vaping is absolutely common. The mouth is in near-constant experience of PG and VG and many vapers quickly get accustomed to drinking more than usual to compensate. The question is: does this constant dehydration pose a danger for the teeth?
There is an interesting paper about the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct proof of a link. However, there are several indirect bits of evidence and suggestive findings that hint at potential problems.
This largely boils down to your saliva. By literally “washing” your teeth as it moves throughout the mouth, containing ions that neutralise acids from your diet, containing calcium and phosphate that can turn back effects of acids on the teeth and containing proteins which impact how molecules communicate with your teeth, saliva seems to be an essential consider maintaining oral health. If dehydration – from vaping or anything else – leads to reduced saliva production, this will have a knock-on impact on your teeth and make cavities along with other issues more inclined.
The paper indicates there plenty of variables to take into consideration which makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease will not be directly proved, while there is considerable circumstantial evidence to indicate that this sort of link exists.”
And this is basically the closest we can easily really be able to an answer to this question. However, there are a few interesting anecdotes in the comments for this post on vaping and your teeth (although the article itself just speculates on the risk for gum disease).
One commenter, “Skwurl,” after a year of exclusive vaping, points out that dry mouth and cotton mouth are normal, and this can lead to smelly breath and seems to cause difficulties with teeth cavities. The commenter promises to practice good oral hygiene, however there’s not a way of knowing this, nor what his / her teeth were like before switching to vaping.
However, this isn’t the only story inside the comments, and even though it’s all speculative, together with the evidence discussed above, it’s certainly plausible that vaping can bring about dehydration-related issues with your teeth.
The potential of risk is much from certain, but it’s clear that there are some simple things you can do to lower your risk of dental health problems from vaping.
Stay hydrated. This is significant for any vaper anyway, but due to the potential risks related to dehydration, it’s particularly important for your personal teeth. I have a bottle water with me at all times, but nevertheless, you do it, ensure you fight dry mouth with plenty fluids.
Vape less frequently with higher-nicotine juice. One idea that originally has come from 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, so the a smaller amount of it you inhale, small the effect 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 seems like nicotine isn’t the main factor.
Pay extra focus on your teeth and maintain brushing. Even though some vapers might have problems, it’s obvious that many of us haven’t experienced issues. The explanation with this is likely that a great many vapers maintain their teeth generally speaking. Brush at least 2 times a day to minimise any risk and keep an eye out for potential issues. If you see an issue, visit your dentist and have it dealt with.
The great thing is this is all relatively easy, and besides the second suggestion you’ll probably be doing all you need to anyway. However, should you start to notice issues or else you feel ecigrreviews your teeth are becoming worse, taking steps to reduce dehydration and paying extra focus to your teeth is advisable, together with seeing your dentist.
While e-cig will probably be a lot better to your teeth than smoking, you can still find potential issues due to dehydration and in many cases possibly concerning nicotine. However, it’s important to have a little perspective before you take any drastic action, especially with so little evidence to back any concerns.
If you’re switching to your low-risk type of nicotine use, it’s unlikely to become due to your teeth. You have lungs to worry about, in addition to your heart as well as a lot else. The studies thus far mainly focuses on these much more serious risks. So even if vaping does find yourself having some result on your teeth or gums, it won’t change the fact that vaping is actually a better idea than smoking. There are many priorities.