Smokers use a track record of having bad teeth. They get “nicotine stains,” people say, turning their teeth coming from a brilliant white right into a dull yellow-brown.
Faced with comments this way, most vapers would rightly point out that nicotine in pure form is actually colourless. It seems obvious that – just like with the health problems – the issue for the teeth from smoking isn’t the nicotine, it’s the tar.
However are we actually right? Recent studies on the subject have flagged up vapor e cig as being a potential concern, and although they’re a considerable ways from showing dental problems in actual-world vapers, it really is a sign that there could be issues in future.
To know the possibility perils associated with vaping to the teeth, it seems sensible to understand a little about how exactly smoking causes oral health issues. While there are several differences between the two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are open to nicotine and also other chemicals within a similar way.
For smokers, dental issues are more likely compared to they are in never-smokers or ex-smokers. For example, current smokers are four times as prone to have poor dental health compared to people who’ve never smoked, and they’re over doubly prone to have three or maybe more oral health issues.
Smoking affects your oral health in various ways, starting from the yellow-brown staining and smelly breath it causes to more dangerous oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, and that is a kind of hardened plaque, also known as calculus.
There are more negative effects of smoking that cause difficulties for your teeth, too. For example, smoking impacts your immune system and interferes with your mouth’s ability to heal itself, both of which can exacerbate other conditions brought on by smoking.
Gum disease is one of the most frequent dental issues in britain and round the world, and smokers are around two times as likely to have it as non-smokers. It’s contamination from the gums and the bone surrounding your teeth, which as time passes contributes to the tissue and bone deteriorating and may even cause tooth loss.
It’s due to plaque, the name for a combination of saliva as well as the bacteria with your mouth. Along with inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, creating dental cavities.
When you consume food containing lots of sugar or starch, the bacteria process the carbohydrates its content has for energy. This procedure creates acid as being a by-product. If you don’t keep the teeth clean, this acid eventually impacts your tooth’s surface to result in decay. But plaque contains a lot of different bacteria, and some 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 issues with your teeth and smokers are more inclined to suffer both consequences than non-smokers. The effects smoking has on your own immune system suggest that if a smoker gets a gum infection resulting from plaque build-up, his / her body is less likely so that you can fight them back. In addition, when damage is performed as a result of the build-up of plaque, the impact of smoking on wound healing makes it more difficult for your gums to heal themselves.
With time, if you don’t treat gum disease, spaces may start to open up between your gums as well as your teeth. This concern worsens as a lot of tissues break up, and in the end can result in your teeth becoming loose or even falling out.
Overall, smokers have twice the risk of periodontal disease when compared with non-smokers, as well as the risk is bigger for people who smoke more and who smoke for prolonged. On the top of this, the issue is not as likely to react well whenever it gets treated.
For vapers, studying the bond between smoking and gum disease invites one question: is it the nicotine or maybe the tar in tobacco which causes the issues? Of course, as vapers we’d be inclined to blame the smoke and tar as opposed to the nicotine, but will be straight to?
low levels of oxygen inside the tissues – and that could predispose your gums to infections, in addition to reducing the ability of the gums to heal themselves.
Unfortunately, it’s not really clear which explanation or mix of them causes the problems for smokers. For vaping, though, there are actually clearly some potential benefits. There are far fewer toxins in vapour, so any issues caused because of them will be less severe in vapers than smokers.
The final two potential explanations relate straight to nicotine, but you will find a few things worth noting.
For the notion that nicotine reduces blood flow which causes the problems, there are many problems. Studies looking directly for that impact with this in the gums (here and here) have found either no improvement in blood flow or slight increases.
Although nicotine does create your arteries constrict, the impact smoking has on blood pressure level tends to overcome this and blood circulation on the gums increases overall. This is actually the complete opposite of what you’d expect in case the explanation were true, and at least implies that it isn’t the major factor at play. Vaping has a smaller amount of a positive change on blood pressure levels, though, so the result for vapers could be different.
The other idea is the fact that gum tissues are receiving less oxygen, and that causes the problem. Although research indicates that this hypoxia a result of smoking parallels how nicotine acts within your body, nicotine isn’t the one thing in smoke that can have this effect. Deadly carbon monoxide particularly is really a aspect of smoke (yet not vapour) which includes exactly that effect, and hydrogen cyanide is an additional.
It’s not completely clear which would be to blame, but since wound healing (which is actually a closely-related issue) is affected in smokers yet not in NRT users, it’s unlikely that nicotine alone does all of the damage and 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 work out the amount of a role nicotine really has. There isn’t much evidence looking at this in relation to electronic cigarette review specifically, as you’d expect, but there isn’t much associated with nicotine from smoke at all.
First, there have been some studies looking specifically at how vaping affects the teeth. However, these research has mainly taken the shape of cell culture studies. These are known as “in vitro” (literally “in glass”) studies, and although they’re a good choice for comprehending the biological mechanisms underpinning the opportunity health outcomes of vaping (and other exposures, medicines and pretty much anything), it is a limited form of evidence. Just because something affects a lot of cells in a culture doesn’t mean it would have the same effect in the real body.
With that in mind, the studies on vaping plus your teeth is summarized with a review from March 2017. The authors address evidence about gum disease, which include cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues within the gums. Aldehydes in e-cig vapour may have impacts on proteins and cause damage to DNA. Many of these effects could theoretically bring about periodontal disease in vapers.
Nicotine also offers the opportunity to cause trouble for the teeth too, although again this is based on cell studies and evidence from people smoking tobacco. The authors argue that vaping may lead to impaired healing.
However that presently, we don’t have greatly evidence specifically concerning vaping, and far of the above is ultimately speculation. It’s speculation based upon mechanistic studies of methods nicotine interacts with cells within your mouth, so it can’t be completely ignored, although the evidence we have up to now can’t really say an excessive amount of in regards to what may happen to real-world vapers in reality.
However, there is certainly one study that investigated oral health in actual-world vapers, and its outcome was generally positive. The study included 110 smokers who’d switched to vaping along with their oral health examined at the beginning of the study, after 60 days and after 120 days. The vapers were separate into those who’d smoked for less than several years (group 1) and those who’d smoked for longer (group 2).
At the beginning of the investigation, 85 % of group 1 had a plaque index score of 1, with just 15 of which having no plaque whatsoever. For group 2, no participants enjoyed a plaque score of , with around three-quarters scoring 2 from 3, and the rest of the participants split between scores of 1 and 3. In the end of your study, 92% of group 1 and 87 % in the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the outset of the analysis, 61% of group 1 participants and 65% of group 2 participants bled after being poked by using a probe. With the final follow-up, 92% of group 1 and 98% of group 2 had no bleeding. They also took a papillary bleeding index, that involves a probe being inserted between the gum-line and also the teeth, and other improvements were seen. At the start of the research, 66% of group 1 and 60% of group 2 participants showed no bleeding, but following the analysis, this had increased to 98% of group 1 and 100% of group 2.
It might basically be one study, nevertheless the message it sends is quite clear: switching to vaping from smoking is apparently a positive move in terms of your teeth are worried.
The research taking a look at real-world vapers’ teeth had pretty good success, but as being the cell research has shown, there may be still some prospect of issues over the long term. Unfortunately, aside from that study there is little we can do but speculate. However, we do have some extra evidence we could ask.
If nicotine is responsible for the dental issues that smokers experience – or at best partially accountable for them – we should see indications of problems in people who 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 causes of evidence we are able to use to look into the matter in much more detail.
On the whole, the evidence doesn’t seem to point the finger at nicotine quite definitely. One study looked at evidence covering twenty years from Sweden, with 1,600 participants overall, and discovered that although severe gum disease was more widespread in smokers, snus users didn’t are at increased risk in any way. There is certainly some indication that gum recession and reduction in tooth attachment is more common at the location the snus is held, but on the whole the likelihood of issues is a lot more closely associated with smoking than snus use.
Although this hasn’t been studied around you may think, research in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously provides the possibility to affect your teeth even without nicotine, but an assessment between 78 people who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference whatsoever on such things as plaque, gingivitis, tartar as well as other dental health related outcomes. Again, smoking did increase the danger of tartar and gingivitis.
Overall, while there are several plausible explanations for how nicotine could affect your dental health, the evidence really doesn’t support the link. This is very good news for virtually any vapers, snus users or long term NRT users, however it ought to go without praoclaiming that avoiding smoking and searching after your teeth generally speaking is still important for your dental health.
With regards to nicotine, evidence we have to date implies that there’s little to think about, and the cell studies directly addressing vaping are hard to draw firm conclusions from without further evidence. However, these aren’t the only methods vaping could impact your teeth and oral health.
A very important factor most vapers know is vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture from their immediate environment. This is why obtaining 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 used to drinking more than usual to make up. The question is: performs this constant dehydration pose a danger for your teeth?
There is an interesting paper in the potential link between mild dehydration and dental issues, and overall it stresses that there is no direct proof a web link. However, there are many indirect components of evidence and suggestive findings that hint at potential issues.
This largely comes down to your saliva. By literally “washing” your teeth since it moves throughout the mouth, containing ions that neutralise acids out of your diet, containing calcium and phosphate that can turn back outcomes of acids on the teeth and containing proteins which also impact how molecules connect with your teeth, saliva appears to be an essential aspect in maintaining oral health. If dehydration – from vaping or another type – brings about reduced saliva production, this will have a knock-on impact on your teeth to make dental cavities and other issues very likely.
The paper points out that there lots of variables to think about and that makes drawing firm conclusions difficult, nevertheless 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 type of link exists.”
And this is basically the closest we are able to really get to a solution for this question. However, there are many interesting anecdotes in the comments to this post on vaping as well as your teeth (even though article itself just speculates around the risk for gum disease).
One commenter, “Skwurl,” after having a year of exclusive vaping, highlights that dry mouth and cotton mouth are normal, and this may lead to smelly breath and appears to cause difficulties with tooth decay. The commenter states to practice good dental hygiene, nevertheless there’s no chance of knowing this, nor what his / her teeth were like before switching to vaping.
However, this isn’t the only story from the comments, even though it’s all speculative, together with the evidence discussed above, it’s certainly plausible that vaping can result in dehydration-related problems with your teeth.
The potential for risk is far from certain, but it’s clear that you have some simple steps you can take to minimize your chance of dental health problems from vaping.
Avoid dehydration. This will be significant for just about any vaper anyway, but considering the potential risks relevant to dehydration, it’s especially vital for the teeth. I keep a bottle of water with me constantly, but nevertheless, you undertake it, ensure you fight dry mouth with plenty of fluids.
Vape less often with higher-nicotine juice. One idea that originally originated from Dr. Farsalinos (more broadly about lowering the risk from vaping) is the fact that vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your teeth, this same advice is very valid – the dehydration relates to PG and VG, therefore the less of it you inhale, small the effect is going to be. Technically, in the event the theories about nicotine’s role in gum disease are true, improving your intake wouldn’t be ideal, but overall it seems like nicotine isn’t the key factor.
Pay extra attention to your teeth and maintain brushing. Although some vapers could possibly have problems, it’s obvious that many people haven’t experienced issues. The explanation for this particular is likely that lots of vapers look after their teeth in general. Brush at least twice a day to minimise any risk and be on the lookout for potential issues. If you notice a challenge, go to your dentist and acquire it sorted out.
The good thing is this is certainly all relatively easy, and aside from the second suggestion you’ll most likely be doing all that you should anyway. However, should you begin to notice issues or maybe you feel ecigrreviews your teeth are getting worse, taking steps to reduce dehydration and paying extra awareness of your teeth may be beneficial, as well as seeing your dentist.
While e cigs may very well be significantly better for your personal teeth than smoking, you can still find potential issues as a result of dehydration as well as possibly to do with nicotine. However, it’s important to have a little perspective before you take any drastic action, particularly with so little evidence to backup any concerns.
If you’re switching to some low-risk method of nicotine use, it’s unlikely to become because of your teeth. You have lungs to concern yourself with, not to mention your heart along with a lot else. The research to date mainly focuses on these more dangerous risks. So even if vaping does end up 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.