Smokers use a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth coming from a brilliant white in a dull yellow-brown.
Faced with comments like this, most vapers would rightly mention that nicotine in pure form is definitely colourless. It seems obvious that – much like together with the health threats – the situation for the teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent studies on the subject have flagged up vapor cigarettes like a potential concern, and although they’re a long way from showing dental problems in real-world vapers, this is a sign that there may be issues from now on.
To know the possibility risks of vaping for your teeth, it makes sense to understand a bit about how precisely smoking causes dental health issues. While there are several differences involving the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are exposed to nicotine as well as other chemicals inside a similar way.
For smokers, dental issues are more likely compared to what they will be in never-smokers or ex-smokers. For example, current smokers are 4 times as likely to have poor oral health in comparison to people who’ve never smoked, and they’re over twice as more likely to have three or even more oral health issues.
Smoking affects your oral health in a number of ways, including the yellow-brown staining and stinky breath it causes right through to more severe oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also provide more tartar than non-smokers, which is actually a kind of hardened plaque, also referred to as calculus.
There are other results of smoking that induce trouble for your teeth, too. For instance, smoking impacts your immunity mechanism and interferes with your mouth’s capacity to heal itself, each of which can exacerbate other difficulties caused by smoking.
Gum disease is amongst the most typical dental issues in the UK and around the world, and smokers are around twice as likely to get it as non-smokers. It’s an infection from the gums as well as the bone surrounding your teeth, which over time results in the tissue and bone breaking down and may cause tooth loss.
It’s due to plaque, the term for a mixture of saliva and the bacteria with your mouth. And also resulting in the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in teeth cavities.
When you consume food containing lots of sugar or starch, the bacteria process the carbohydrates it contains for energy. This procedure creates acid as a by-product. When you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface and causes decay. But plaque contains lots of different bacteria, and many of these directly irritate your gums too.
So while one of the consequences of plaque build-up is more relevant for gum disease, both cause problems with your teeth and smokers are more likely to suffer both consequences than non-smokers. The effects smoking has on the defense mechanisms imply that if your smoker turns into a gum infection due to plaque build-up, her or his body is less likely to be able to fight it well. Moreover, when damage is done as a result of the build-up of plaque, the impact of smoking on wound healing makes it harder for the gums to heal themselves.
As time passes, when you don’t treat gum disease, spaces may start to start up between gums along with your teeth. This concern worsens as more of the tissues disintegrate, and in the end can bring about your teeth becoming loose or even falling out.
Overall, smokers have twice the danger of periodontal disease compared to non-smokers, and also the risk is bigger for those who smoke more and who smoke for prolonged. In addition to this, the issue is less likely to react well if it gets treated.
For vapers, studying the bond between smoking and gum disease invites one question: will it be the nicotine or the tar in tobacco that causes the problems? Obviously, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but would be right to?
lower levels of oxygen from the tissues – and also this could predispose your gums to infections, in addition to lowering the ability of your gums to heal themselves.
Unfortunately, it’s not really clear which explanation or mix of them causes the problems for smokers. For vaping, though, you can find clearly some potential benefits. There are far fewer toxins in vapour, so any issues caused on account of them will probably be less severe in vapers than smokers.
The final two potential explanations relate straight to nicotine, but there is a few things worth noting.
For the concept that nicotine reduces the flow of blood which causes the problems, there are a few problems. Studies looking directly to the impact on this in the gums (here and here) have found either no change in blood circulation or slight increases.
Although nicotine does help make your arteries constrict, the impact smoking has on hypertension tends to overcome this and blood flow towards the gums increases overall. This is actually the opposite of what you’d expect when the explanation were true, and also at least suggests that it isn’t the key factor at play. Vaping has a smaller amount of an impact on blood pressure level, though, hence the result for vapers might be different.
Other idea is the fact that gum tissues are getting less oxygen, which is bringing about the situation. Although studies have shown how the hypoxia due to smoking parallels how nicotine acts within your body, nicotine isn’t the sole thing in smoke which could have this effect. Carbon monoxide especially can be a element of smoke (yet not vapour) that has exactly that effect, and hydrogen cyanide is another.
It’s not completely clear which is to blame, but because wound healing (that 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 perhaps almost all of it.
Unsurprisingly, the vast majority of discussion of the topic conflates nicotine with smoke, and this makes it hard to determine how much of a role nicotine really has. There isn’t much evidence looking at this associated with e cig reviews specifically, as you’d expect, but there isn’t much concerning nicotine out of smoke whatsoever.
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 known as “in vitro” (literally “in glass”) studies, and although they’re a good choice for understanding the biological mechanisms underpinning the possibility health negative effects of vaping (and other exposures, medicines and virtually anything), it is a limited kind of evidence. Just because something affects a lot of cells in a culture doesn’t mean it is going to have similar effect in the real human body.
Knowing that, the study on vaping and your teeth is summarized with 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 inside the gums. Aldehydes in e-cig vapour may have impacts on proteins and affect DNA. Most of these effects could theoretically cause periodontal disease in vapers.
Nicotine also has the possible to cause trouble for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors debate that vaping may lead to impaired healing.
However that currently, we don’t have significantly evidence specifically concerning vaping, and far of the above is ultimately speculation. It’s speculation based upon mechanistic studies of how nicotine interacts with cells within your mouth, therefore it can’t be completely ignored, nevertheless the evidence we have so far can’t really say excessive as to what will occur to real-world vapers in reality.
However, there exists one study that checked out oral health in actual-world vapers, as well as its outcome was generally positive. The study included 110 smokers who’d switched to vaping and had their oral health examined at the outset of the investigation, after 60 days and after 120 days. The vapers were break up into those who’d smoked for less than several years (group 1) and the ones who’d smoked for much longer (group 2).
At the beginning of the analysis, 85 % of group 1 experienced a plaque index score of 1, with just 15 of those without plaque in any way. For group 2, none of the participants possessed a plaque score of , with around three-quarters scoring 2 away from 3, and the rest of the participants split between lots of 1 and 3. At the end of your study, 92% of group 1 and 87 % from the longer-term smokers in group 2 had plaque lots of .
For gum bleeding, at the beginning 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. The researchers also took a papillary bleeding index, that requires a probe being inserted in between the gum-line as well as the teeth, and other improvements were seen. At the outset of the analysis, 66% of group 1 and 60% of group 2 participants showed no bleeding, but at the end of the investigation, this had increased to 98% of group 1 and 100% of group 2.
It may possibly just be one study, but the message it sends is pretty clear: switching to vaping from smoking looks to be a confident move in terms of your teeth are concerned.
The research taking a look at real-world vapers’ teeth had pretty great results, but as being the cell research shows, there is still some possibility of issues across the long-term. Unfortunately, aside from that study there is very little we can easily do but speculate. However, perform possess some extra evidence we can turn to.
If nicotine is responsible for the dental concerns that smokers experience – or at best partially responsible for them – we should see indications of problems in people who use nicotine without smoking. Snus – the Swedish kind of smokeless tobacco that’s essentially snuff within a mini teabag – and nicotine gums give two great sources of evidence we could use to analyze the situation in a bit more detail.
In the whole, evidence doesn’t manage to point the finger at nicotine greatly. One study considered evidence covering two decades from Sweden, with more than 1,600 participants as a whole, and discovered that although severe gum disease was more usual in smokers, snus users didn’t are at increased risk in any way. There may be some indication that gum recession and loss in tooth attachment is far more common on the location the snus is held, but in the whole the likelihood of issues is much more closely linked to smoking than snus use.
Although this hasn’t been studied just as much as you might think, a study in nicotine gum users provides yet more evidence that nicotine isn’t really the issue. Chewing sugar-containing gum obviously provides the possible ways to affect your teeth even without nicotine, but an assessment between 78 individuals who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference by any means on things like plaque, gingivitis, tartar and other dental 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 oral health, evidence really doesn’t support a web link. This is fantastic news for any vapers, snus users or long term NRT users, however it ought to go without proclaiming that avoiding smoking and looking after your teeth in general is still important for your dental health.
With regards to nicotine, evidence we have up to now implies that there’s little to concern yourself with, and the cell studies directly addressing vaping are difficult to draw firm conclusions from without further evidence. But these aren’t really the only methods vaping could impact your teeth and dental health.
One important thing most vapers know is vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture out of their immediate environment. This is the reason getting a dry mouth after vaping is actually common. Your mouth is in near-constant contact with PG and VG and a lot vapers quickly get comfortable with drinking more than ever before to make up. Now you ask: accomplishes this constant dehydration pose a danger 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 not any direct proof the link. However, there are lots of indirect components 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 around the mouth, containing ions that neutralise acids through your diet, containing calcium and phosphate that could turn back negative effects of acids on your own teeth and containing proteins that impact how molecules connect with your teeth, saliva seems to be an essential aspect in maintaining dental health. If dehydration – from vaping or anything else – results in reduced saliva production, this will have a knock-on effect on your teeth and make cavities and other issues more likely.
The paper points out that there lots of variables to take into account and this makes drawing firm conclusions difficult, however the authors write:
“The link between dehydration and dental disease will not be directly proved, although there is considerable circumstantial evidence to indicate that this kind of link exists.”
And this is the closest we can really arrive at a response to the question. However, there are many interesting anecdotes from the comments to this particular post on vaping along with your teeth (although the article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” right after a year of exclusive vaping, points out that dry mouth and cotton mouth are normal, and this may lead to smelly breath and seems to cause difficulties with cavities. The commenter states practice good dental hygiene, nevertheless there’s not a 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 while 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 potential for risk is far from certain, but it’s clear there are some simple actions you can take to reduce your chance of oral health problems from vaping.
Avoid dehydration. This is significant for virtually any vaper anyway, but given the potential risks linked to dehydration, it’s especially vital for the teeth. I keep a bottle water with me always, but nevertheless you get it done, be sure you fight dry mouth with plenty of fluids.
Vape less frequently with higher-nicotine juice. One concept 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 the teeth, this same advice is extremely valid – the dehydration relates to PG and VG, and so the less of it you inhale, small the effect is going to 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 nicotine isn’t the main factor.
Pay extra focus on your teeth while keeping brushing. Although some vapers may have problems, it’s obvious that most of us haven’t experienced issues. The explanation with this is likely that lots of vapers look after their teeth in general. Brush twice per day to minimise any risk and be on the lookout for potential issues. When you notice an issue, visit your dentist and have it taken care of.
The great thing is this really is all easy enough, and besides the second suggestion you’ll probably be doing all you need to anyway. However, in the event you start to notice issues or perhaps you feel ecigrreviews your teeth are obtaining worse, taking steps to reduce dehydration and paying extra focus to your teeth is advisable, in addition to seeing your dentist.
While e cig is likely to be significantly better for your teeth than smoking, you may still find potential issues on account of dehydration and also possibly concerning nicotine. However, it’s important to have a amount of perspective before you take any drastic action, especially with so little evidence to support any concerns.
If you’re switching to some low-risk method of nicotine use, it’s unlikely to be because of your teeth. You might have lungs to concern yourself with, in addition to your heart and a lot else. The investigation thus far mainly concentrates on these more serious risks. So even if vaping does turn out 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.