Smokers possess a good reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from a brilliant white into a dull yellow-brown.
Confronted by comments similar to this, most vapers would rightly point out that nicotine in pure form is actually colourless. It appears to be obvious that – much like together with the health hazards – the situation for the teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent reports on the topic have flagged up best vapor cigarette being a potential concern, and although they’re a considerable ways from showing dental problems in real-world vapers, it is a sign that there might be issues in the future.
To understand the potential risks of vaping for your teeth, it makes sense to discover somewhat regarding how smoking causes oral health issues. While there are many differences in between the two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are open to nicotine and other chemicals inside a similar way.
For smokers, dental issues are more likely than they have been in never-smokers or ex-smokers. By way of example, current smokers are 4x as likely to have poor oral health in comparison to people who’ve never smoked, and they’re over twice as very likely to have three or higher dental health issues.
Smoking affects your dental health in many different ways, ranging from the yellow-brown staining and bad breath it causes 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 form of hardened plaque, otherwise known as calculus.
There are other results of smoking that can cause trouble for your teeth, too. As an illustration, smoking impacts your defense mechanisms and inhibits your mouth’s capability to heal itself, both of which can exacerbate other problems a result of smoking.
Gum disease is one of the most common dental issues in britain and around the world, and smokers are around two times as likely to get it as non-smokers. It’s disease in the gums along with the bone surrounding your teeth, which with time contributes to the tissue and bone breaking down and might cause tooth loss.
It’s a result of plaque, the reputation for a combination of saliva and the bacteria with your mouth. In addition to causing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in dental cavities.
If you consume food containing a lot of sugar or starch, the bacteria process the carbohydrates it contains for energy. This technique creates acid being a by-product. In the event 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 some 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 will probably suffer both consequences than non-smokers. The results smoking has on your immune system mean that if a smoker receives a gum infection due to plaque build-up, her or his body is not as likely to be able to fight it away. Additionally, when damage is carried out on account of the build-up of plaque, the impact of smoking on wound healing can make it more challenging for your personal gums to heal themselves.
As time passes, should you don’t treat gum disease, spaces may start to open up between gums plus your teeth. This problem worsens as a lot of the tissues breakdown, and in the end can cause your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the potential risk of periodontal disease compared to non-smokers, and also the risk is bigger for people who smoke more and who smoke for much longer. In addition to this, the catch is not as likely to respond well when it gets treated.
For vapers, learning about the bond between smoking and gum disease invites one question: would it be the nicotine or the tar in tobacco that triggers the problems? Naturally, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but can be straight to?
low levels of oxygen inside the tissues – which could predispose your gums to infections, in addition to lowering the ability of your gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or combination of them causes the problems for smokers. For vaping, though, you will find clearly some potential benefits. There are actually far fewer toxins in vapour, so any issues caused because of them will probably be less severe in vapers than smokers.
The past two potential explanations relate straight to nicotine, but there is a few things worth noting.
For the notion that nicotine reduces blood flow and therefore causes the issues, there are many problems. Studies looking directly for that impact of this on the gums (here and here) have realized either no alteration of blood flow or slight increases.
Although nicotine does make the arteries constrict, the impact smoking has on blood pressure has a tendency to overcome this and circulation of blood towards the gums increases overall. This is basically the complete opposite of what you’d expect if the explanation were true, as well as least implies that it isn’t the major factor at play. Vaping has less of a direct impact on hypertension, though, so the result for vapers might be different.
Another idea is the gum tissues are getting less oxygen, which is causing the problem. Although research indicates how the hypoxia a result of smoking parallels how nicotine acts in your body, nicotine isn’t the only thing in smoke that can have this effect. Deadly carbon monoxide particularly is actually a component of smoke (however, not vapour) that has just that effect, and hydrogen cyanide can be another.
It’s not completely clear which would be to blame, but as wound healing (which is a closely-related issue) is affected in smokers yet not in NRT users, it’s unlikely that nicotine alone is performing all of the damage or even most 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 relating to e-cig reviews specifically, as you’d expect, but there isn’t much concerning nicotine from smoke at all.
First, there were some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the type of cell culture studies. These are classified as “in vitro” (literally “in glass”) studies, and even though they’re ideal for understanding the biological mechanisms underpinning the possibility health effects of vaping (as well as other exposures, medicines and basically anything), it is a limited type of evidence. Just because something affects a bunch of cells in a culture doesn’t mean it is going to have a similar effect in a real body of a human.
Bearing that in mind, the study on vaping plus 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 inside the gums. Aldehydes in e-cig vapour could have impacts on proteins and damage DNA. Most of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also provides the potential to cause problems for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors reason that vaping might lead to impaired healing.
However that at the moment, we don’t have significantly evidence specifically concerning vaping, and much of the above is ultimately speculation. It’s speculation based upon mechanistic studies of methods nicotine interacts with cells within your mouth, thus it can’t be completely ignored, nevertheless the evidence we certainly have so far can’t really say an excessive amount of as to what can happen to real-world vapers in practice.
However, there exists one study that considered dental health in real-world vapers, as well as its results were 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 under a decade (group 1) and the ones who’d smoked for prolonged (group 2).
At the beginning of the research, 85 % of group 1 possessed a plaque index score of 1, with just 15 of them having no plaque by any means. For group 2, no participants had 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. In the end of 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 outset of the research, 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. They also took a papillary bleeding index, which involves a probe being inserted between your 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 study, this had increased to 98% of group 1 and 100% of group 2.
It may possibly only be one study, although the message it sends is rather clear: switching to vaping from smoking appears to be a positive move in terms of your teeth have concerns.
The analysis checking out real-world vapers’ teeth had pretty good results, but as being the cell studies show, there is still some prospect of issues on the long term. Unfortunately, adding to that study there is little we can do but speculate. However, we do have some extra evidence we can easily call on.
If nicotine is accountable for the dental concerns that smokers experience – or at best partially accountable for them – then 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 in a mini teabag – and nicotine gums give two great causes of evidence we can easily use to research the matter in a little more detail.
Around the whole, evidence doesn’t seem to point the finger at nicotine significantly. One study considered evidence covering 20 years from Sweden, with 1,600 participants altogether, and discovered that while severe gum disease was more common in smokers, snus users didn’t are most often at increased risk in any way. There is some indication that gum recession and lack of tooth attachment is much more common at the location the snus is held, but in the whole the chance of issues is more closely relevant to smoking than snus use.
Although this hasn’t been studied around you might think, an investigation in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously provides the possible ways to affect your teeth even without nicotine, but a comparison between 78 people who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference whatsoever on things like plaque, gingivitis, tartar and other oral health related outcomes. Again, smoking did increase the risk of tartar and gingivitis.
Overall, while there are many plausible explanations for the way nicotine could affect your dental health, the evidence really doesn’t support a hyperlink. This really is great news for just about any vapers, snus users or long term NRT users, nevertheless it ought to go without stating that avoiding smoking and seeking after your teeth generally speaking is still essential for your oral health.
With regards to nicotine, evidence we certainly have up to now implies that there’s little to be concerned about, and the cell studies directly addressing vaping are difficult to draw in firm conclusions from without further evidence. However these aren’t really the only techniques that vaping could impact your teeth and dental health.
A very important factor most vapers know is the fact vaping can dehydrate you. Both PG and VG are hygroscopic, which means they suck moisture from their immediate environment. This is why receiving a dry mouth after vaping is really common. The mouth is in near-constant contact with PG and VG and most vapers quickly get accustomed to drinking more than usual to make up. Now you ask ,: performs this constant dehydration pose a risk for your teeth?
It comes with 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 lots of indirect bits of evidence and suggestive findings that hint at potential problems.
This largely comes down to your saliva. By literally “washing” your teeth since it moves round the mouth, containing ions that neutralise acids from your diet, containing calcium and phosphate that will reverse the negative effects of acids on your own teeth and containing proteins that also impact how molecules connect to your teeth, saliva appears to be an important element in maintaining oral health. If dehydration – from vaping or anything else – results in reduced saliva production, this could have a knock-on result on your teeth making dental cavities along with other issues very likely.
The paper points out there plenty of variables to take into account and that 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 here is the closest we can easily really arrive at a solution to this particular question. However, there are some interesting anecdotes within the comments for this post on vaping as well as your teeth (though 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 can lead to bad breath and appears to cause issues with teeth cavities. The commenter states to practice good dental hygiene, nonetheless there’s no chance of knowing this, nor what their teeth were like before switching to vaping.
However, this isn’t the sole story within the comments, and while it’s all speculative, together with the evidence discussed above, it’s certainly plausible that vaping can bring about dehydration-related difficulties with your teeth.
The chance of risk is way from certain, but it’s clear there are some simple things you can do to lower your likelihood of oral health problems from vaping.
Stay hydrated. This will be significant for any vaper anyway, but because of the potential risks associated with dehydration, it’s especially vital for your teeth. I keep a bottle water with me at all times, but nevertheless, you practice it, be sure you fight dry mouth with plenty of fluids.
Vape less frequently with higher-nicotine juice. One idea that originally has come from Dr. Farsalinos (more broadly about decreasing the risk from vaping) is vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your personal teeth, this same advice is quite valid – the dehydration relates to PG and VG, therefore the less of it you inhale, smaller the outcome will probably be. Technically, when 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 most important factor.
Pay extra attention to your teeth while keeping brushing. Although some vapers could have problems, it’s obvious that many of us haven’t experienced issues. The explanation for this is likely that a great many vapers maintain their teeth in general. Brush twice each day to minimise any risk and keep an eye out for potential issues. If you notice a challenge, see your dentist and acquire it taken care of.
The good thing is this is certainly all quite simple, and apart from the second suggestion you’ll more likely be doing everything you should anyway. However, should you start to notice issues or maybe you feel ecigrreviews your teeth are becoming worse, taking steps to lessen dehydration and paying extra awareness of your teeth is a good idea, together with seeing your dentist.
While e cig may very well be a lot better for your personal teeth than smoking, there are still potential issues due to dehydration and in many cases possibly to do with nicotine. However, it’s important to have a amount of perspective before you take any drastic action, particularly with so little evidence to backup any concerns.
If you’re switching to a low-risk kind of nicotine use, it’s unlikely to be from your teeth. You have lungs to concern yourself with, in addition to your heart as well as a lot else. The investigation up to now mainly targets these more severe risks. So even though vaping does wind up having some influence on your teeth or gums, it won’t change the point that vaping can be a better idea than smoking. There are additional priorities.