Smokers use a good reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white in a dull yellow-brown.
Confronted by comments like this, most vapers would rightly point out that nicotine in pure form is definitely colourless. It seems like obvious that – similar to with all the health threats – the issue for your teeth from smoking isn’t the nicotine, it’s the tar.
But they are we actually right? Recent reports on the subject have flagged up vapor cigarettes like a potential concern, and although they’re quite a distance from showing dental problems in actual-world vapers, it really is a sign that there might be issues later on.
To learn the potential hazards of vaping for your teeth, it seems sensible to understand a little regarding how smoking causes dental health issues. While there are many differences between the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are open to nicotine and other chemicals in the similar way.
For smokers, dental issues are more inclined compared to what they will be in never-smokers or ex-smokers. For instance, current smokers are 4 times as prone to have poor dental health in comparison with people who’ve never smoked, and they’re over two times as very likely to have three or maybe more dental health issues.
Smoking affects your oral health in various ways, ranging from the yellow-brown staining and stinky breath it causes through to more serious oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also provide more tartar than non-smokers, that is a kind of hardened plaque, referred to as calculus.
There are more outcomes of smoking that create difficulties for your teeth, too. For example, smoking impacts your immunity mechanism and disrupts your mouth’s capability to heal itself, both of which can exacerbate other problems due to smoking.
Gum disease is amongst the most popular dental issues in the united kingdom and around the world, and smokers are around two times as likely to obtain it as non-smokers. It’s infection of the gums as well as the bone surrounding your teeth, which over time results in the tissue and bone wearing down and may even cause tooth loss.
It’s due to plaque, the name for a mixture of saliva as well as the bacteria with your mouth. And also inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in cavities.
Whenever you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it has for energy. This technique creates acid as a by-product. When you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface to result in decay. But plaque contains lots of different bacteria, and a number of these directly irritate your gums too.
So while one of the consequences of plaque build-up is more relevant for gum disease, both result in difficulties with your teeth and smokers will probably suffer both consequences than non-smokers. The consequences smoking has on your immunity process signify when a smoker turns into a gum infection caused by plaque build-up, his or her body is unlikely so that you can fight them back. Moreover, when damage is carried out as a result of the build-up of plaque, the impact of smoking on wound healing makes it more challenging for the gums to heal themselves.
Over time, should you don’t treat gum disease, spaces can start to open up involving the gums as well as your teeth. This concern gets worse as more of the tissues break down, and ultimately can result in your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the potential risk of periodontal disease in comparison with non-smokers, along with the risk is bigger for folks who smoke more and who smoke for extended. On top of this, the issue is not as likely to respond well when it gets treated.
For vapers, understanding the bond between smoking and gum disease invites one question: will it be the nicotine or maybe the tar in tobacco that causes the problems? Obviously, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but can be directly to?
low levels of oxygen within the tissues – and also this could predispose your gums to infections, in addition to decreasing the ability of your respective gums to heal themselves.
Unfortunately, it’s not necessarily clear which explanation or combination of them is causing 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 past two potential explanations relate directly to nicotine, but there are a couple of things worth noting.
For the concept that nicotine reduces blood flow and this causes the issues, there are many problems. Studies looking directly for your impact of this about the gums (here and here) have discovered either no alternation in blood flow or slight increases.
Although nicotine does make your veins constrict, the impact smoking has on blood pressure level is likely to overcome this and the flow of blood for the gums increases overall. This is the opposite of what you’d expect if the explanation were true, and also at least shows that it isn’t the major factor at play. Vaping has a smaller amount of a direct impact on blood pressure, though, hence the result for vapers may be different.
The other idea is the gum tissues are getting less oxygen, and also this causes the situation. Although research has shown that this hypoxia a result of smoking parallels how nicotine acts within your body, nicotine isn’t the sole thing in smoke that may have this effect. Carbon monoxide specifically is really a component of smoke (but not vapour) containing just that effect, and hydrogen cyanide can be another.
It’s not completely clear which is to blame, but since wound healing (and that is a closely-related issue) is affected in smokers however, not in NRT users, it’s unlikely that nicotine alone does all the damage as well as most 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 part nicotine really has. There isn’t much evidence considering this concerning electronic cigarette reviews specifically, as you’d expect, but there isn’t much associated with nicotine out from smoke whatsoever.
First, there have been some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the form of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and while they’re ideal for learning the biological mechanisms underpinning the possibility health outcomes of vaping (and also other exposures, medicines and just about anything), it really is a limited method of evidence. Even though something affects a variety of cells inside a culture doesn’t mean it can have a similar effect within a real body of a human.
Bearing that in mind, the studies on vaping and 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 from the gums. Aldehydes in e-cig vapour might have impacts on proteins and damage DNA. All of these effects could theoretically result in periodontal disease in vapers.
Nicotine also has the possibility to cause problems for the teeth too, although again this will depend 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 a lot of the aforementioned is ultimately speculation. It’s speculation based on mechanistic studies of how nicotine interacts with cells inside your mouth, so that it can’t be completely ignored, nevertheless the evidence we certainly have thus far can’t really say excessive in regards to what can happen to real-world vapers in practice.
However, there may be one study that checked out oral health in actual-world vapers, and its particular outcome was generally positive. The studies included 110 smokers who’d switched to vaping and had their dental health examined at the start of the research, after two months and after 120 days. The vapers were split up into those who’d smoked for less than several years (group 1) and people who’d smoked for prolonged (group 2).
At the beginning of the study, 85 % of group 1 experienced a plaque index score of 1, with only 15 of these without plaque at all. For group 2, no participants possessed a plaque score of , with about three-quarters scoring 2 out of 3, and the remainder of the participants split between lots of 1 and 3. By the end of your study, 92% of group 1 and 87 % in the longer-term smokers in group 2 had plaque lots of .
For gum bleeding, at the outset of the study, 61% of group 1 participants and 65% of group 2 participants bled after being poked using a probe. From the final follow-up, 92% of group 1 and 98% of group 2 had no bleeding. They also took a papillary bleeding index, that requires a probe being inserted between the gum-line along with the teeth, and other improvements were seen. At the start of the investigation, 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 simply be one study, but the message it sends is rather clear: switching to vaping from smoking looks to be a positive move as far as your teeth have concerns.
The investigation looking at real-world vapers’ teeth had pretty positive results, but as the cell research shows, there is certainly still some possibility of issues across the long-term. Unfortunately, aside from that study there is very little we can do but speculate. However, perform have some extra evidence we can turn to.
If nicotine accounts for the dental issues that smokers experience – or at a minimum partially in charge of them – we should see indications of problems in individuals that use nicotine without smoking. Snus – the Swedish form of smokeless tobacco that’s essentially snuff in the mini teabag – and nicotine gums give two great types of evidence we can use to look into the matter in a bit more detail.
In the whole, the evidence doesn’t appear to point the finger at nicotine significantly. One study considered evidence covering two decades from Sweden, with over 1,600 participants as a whole, and found that while severe gum disease was more usual in smokers, snus users didn’t are at increased risk whatsoever. There may be some indication that gum recession and loss of tooth attachment is a lot more common on the location the snus is held, but around the whole the chance of issues is a lot more closely related to smoking than snus use.
Even though this hasn’t been studied around it may seem, an investigation in nicotine gum users provides yet more evidence that nicotine isn’t truly the issue. Chewing sugar-containing gum obviously has the potential to affect your teeth even without nicotine, but an evaluation between 78 people that chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference whatsoever on things such as plaque, gingivitis, tartar as well as other dental health related outcomes. Again, smoking did increase the chance of tartar and gingivitis.
Overall, while there are some plausible explanations for how nicotine could affect your dental health, evidence really doesn’t support a link. This is very good news for any vapers, snus users or long term NRT users, but it really should go without saying that avoiding smoking and looking after your teeth on the whole remains to be necessary for your dental health.
With regards to nicotine, the evidence we now have up to now implies that there’s little to concern yourself with, as well as the cell studies directly addressing vaping are hard to draw in firm conclusions from without further evidence. However, these aren’t the only ways that vaping could impact your teeth and oral health.
A very important factor most vapers know is that vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture from their immediate environment. This is why receiving a dry mouth after vaping is very common. Your mouth is near-constant connection with PG and VG and the majority of vapers quickly get familiar with drinking more than ever before to compensate. The question is: can this constant dehydration pose a danger for your teeth?
It comes with an interesting paper about the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct evidence of a hyperlink. However, there are many indirect items of evidence and suggestive findings that hint at potential issues.
This largely relies on your saliva. By literally “washing” your teeth as it moves throughout the mouth, containing ions that neutralise acids through your diet, containing calcium and phosphate that may turn back effects of acids on your teeth and containing proteins which also impact how molecules communicate with your teeth, saliva looks to be an important element in maintaining dental health. If dehydration – from vaping or another type – results in reduced saliva production, this could have a knock-on effect on your teeth to make teeth cavities along with other issues much more likely.
The paper highlights that there lots of variables to take into account which makes drawing firm conclusions difficult, but the authors write:
“The link between dehydration and dental disease is not directly proved, while there is considerable circumstantial evidence to indicate that this sort of link exists.”
And this is the closest we can really be able to an answer to the question. However, there are several interesting anecdotes within the comments to this post on vaping plus your teeth (even though 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 standard, and this might lead to smelly breath and seems to cause complications with dental cavities. The commenter states practice good dental hygiene, however there’s no way of knowing this, nor what his / her teeth were like before switching to vaping.
However, this isn’t the sole story from the comments, and even though it’s all speculative, with all the evidence discussed above, it’s certainly plausible that vaping can lead to dehydration-related problems with your teeth.
The chance of risk is way from certain, but it’s clear that we now have some simple steps you can take to lessen your chance of oral health problems from vaping.
Avoid dehydration. This will be significant for just about any vaper anyway, but because of the potential risks linked to dehydration, it’s particularly important for the teeth. I have a bottle of water with me constantly, but however, you do it, ensure you fight dry mouth with plenty of fluids.
Vape less often with higher-nicotine juice. One concept that originally originated from Dr. Farsalinos (more broadly about lowering the risk from vaping) is the fact vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. To your teeth, this same advice is extremely valid – the dehydration is related to PG and VG, so the a smaller amount of it you inhale, small the impact will be. Technically, if the theories about nicotine’s role in gum disease are true, upping 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. Although some vapers may have problems, it’s obvious that most of us haven’t experienced issues. The explanation for this particular is likely that numerous vapers take care of their teeth generally. Brush at least twice per day to minimise any risk and keep an eye out for potential issues. If you see a problem, see your dentist and have it taken care of.
The great thing is this is certainly all pretty simple, and besides the second suggestion you’ll most likely be doing everything you need to anyway. However, should you start to notice issues or else you feel ecigrreviews your teeth are receiving worse, taking steps to lessen dehydration and paying extra awareness of your teeth is a good idea, along with seeing your dentist.
While e-cig is likely to be much better to your teeth than smoking, there are still potential issues because of dehydration as well as possibly concerning nicotine. However, it’s important to acquire a little perspective prior to taking any drastic action, especially with so little evidence to support any concerns.
If you’re switching to some low-risk form of nicotine use, it’s unlikely to get because of your teeth. You may have lungs to worry about, not to mention your heart as well as a lot else. The research to date mainly is focused on these much more serious risks. So regardless of whether vaping does find yourself having some impact on your teeth or gums, it won’t change the truth that vaping is a better idea than smoking. There are many priorities.