Smokers use a track record of having bad teeth. They get “nicotine stains,” people say, turning their teeth from a brilliant white into a dull yellow-brown.
Faced with comments such as this, most vapers would rightly explain that nicotine in pure form is definitely colourless. It appears obvious that – just like together with the health risks – the situation for your personal teeth from smoking isn’t the nicotine, it’s the tar.
But 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 can be issues in the future.
To know the possibility risks of vaping to the teeth, it seems sensible to find out a lttle bit about how exactly smoking causes oral health issues. While there are many differences involving the two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are subjected to nicotine along with other chemicals in the similar way.
For smokers, dental issues are more likely than they will be in never-smokers or ex-smokers. For example, current smokers are four times as more likely to have poor dental health in comparison to people who’ve never smoked, and they’re over doubly prone to have three or maybe more oral health issues.
Smoking affects your dental health in a number of ways, including the yellow-brown staining and smelly breath it causes right through to more severe dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also provide more tartar than non-smokers, which is a form of hardened plaque, also known as calculus.
There are more outcomes of smoking that induce trouble for your teeth, too. For instance, smoking impacts your immunity process and disrupts your mouth’s ability to heal itself, both of which can exacerbate other issues due to smoking.
Gum disease is one of the most popular dental issues in the united kingdom and around the world, and smokers are around two times as likely to get it as non-smokers. It’s infection of the gums as well as the bone surrounding your teeth, which as time passes brings about the tissue and bone wearing down and may cause tooth loss.
It’s due to plaque, the good name for a mixture of saliva along with the bacteria with your mouth. Along with resulting in the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, ultimately causing tooth decay.
When you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it contains for energy. This method creates acid as a by-product. If you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains a lot of different bacteria, and some of these directly irritate your gums too.
So while one of several consequences of plaque build-up is much more relevant for gum disease, both cause issues with your teeth and smokers are more likely to suffer both consequences than non-smokers. The consequences smoking has on the immunity process suggest that if a smoker turns into a gum infection resulting from plaque build-up, his / her body is more unlikely in order to fight it away. Furthermore, when damage is done on account of the build-up of plaque, the impact of smoking on wound healing makes it more challenging for your gums to heal themselves.
After a while, in the event you don’t treat gum disease, spaces will start to look at up in between your gums and your teeth. This challenge worsens as more of the tissues break up, and finally can cause your teeth becoming loose and even falling out.
Overall, smokers have twice the risk of periodontal disease compared to non-smokers, and also the risk is larger for folks who smoke more and who smoke for prolonged. In addition to this, the problem is not as likely to respond well in the event it gets treated.
For vapers, learning about the bond between smoking and gum disease invites one question: will it be the nicotine or the tar in tobacco that causes the down sides? Of course, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but would be ability to?
lower levels of oxygen inside the tissues – and that could predispose your gums to infections, along with reducing the ability of your gums to heal themselves.
Unfortunately, it’s not really clear which explanation or combination of them is bringing about the down sides for smokers. For vaping, though, there are clearly some potential benefits. There are actually far fewer toxins in vapour, so any issues caused due to them will probably be less severe in vapers than smokers.
The very last two potential explanations relate directly to nicotine, but you will find a few things worth noting.
For the concept that nicotine reduces blood flow and that causes the difficulties, there are some problems. Studies looking directly for that impact on this on the gums (here and here) are finding either no change in blood flow or slight increases.
Although nicotine does make the blood vessels constrict, the impact smoking has on hypertension has a tendency to overcome this and blood flow for the gums increases overall. Here is the opposite of what you’d expect in the event the explanation were true, as well as at least implies that it isn’t the main factor at play. Vaping has a smaller amount of a direct impact on hypertension, though, hence the result for vapers could be different.
Other idea would be that the gum tissues are obtaining less oxygen, which is bringing about the problem. Although studies have shown that this hypoxia due to smoking parallels how nicotine acts within your body, nicotine isn’t the sole thing in smoke that may have this effect. Deadly carbon monoxide specifically is a aspect of smoke (although not vapour) which has just that effect, and hydrogen cyanide is another.
It’s not completely clear which would be to blame, but as 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 the damage as well as most of it.
Unsurprisingly, the vast majority of discussion of this topic conflates nicotine with smoke, and this will make it hard to sort out the amount of a role nicotine really has. There isn’t much evidence looking at this relating to e cig reviews specifically, as you’d expect, but there isn’t much associated with nicotine from smoke by any means.
First, there have been some studies looking specifically at how vaping affects the teeth. However, these studies have mainly taken the type of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and while they’re useful for knowing the biological mechanisms underpinning the opportunity health outcomes of vaping (and also other exposures, medicines and just about anything), it is actually a limited method of evidence. Even though something affects a lot of cells inside a culture doesn’t mean it is going to have the identical effect in the real body system.
Bearing that in mind, the studies on vaping and 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 might have impacts on proteins and affect DNA. Every one of these effects could theoretically bring about periodontal disease in vapers.
Nicotine even offers the opportunity to cause problems for the teeth too, although again this is based on cell studies and evidence from people smoking tobacco. The authors debate that vaping could lead to impaired healing.
However that right now, we don’t have quite definitely evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation based upon mechanistic studies of how nicotine interacts with cells in your mouth, so it can’t be completely ignored, nevertheless the evidence we have now thus far can’t really say excessive as to what may happen to real-world vapers in practice.
However, there is certainly one study that investigated dental health in real-world vapers, as well as its outcome was generally positive. The studies included 110 smokers who’d switched to vaping along with their dental health examined at the beginning of the research, after two months and after 120 days. The vapers were break up into those who’d smoked cheaper than several years (group 1) and the ones who’d smoked for longer (group 2).
At the beginning of the research, 85 % of group 1 experienced a plaque index score of 1, with just 15 of which having no plaque whatsoever. For group 2, not one of the participants possessed a plaque score of , with about three-quarters scoring 2 out from 3, and the remainder of the participants split between lots of 1 and 3. In the end in the study, 92% of group 1 and 87 % of the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the start of the investigation, 61% of group 1 participants and 65% of group 2 participants bled after being poked by 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, that involves a probe being inserted involving the gum-line and the teeth, and similar 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 analysis, this had increased to 98% of group 1 and 100% of group 2.
It may just be one study, although the message it sends is rather clear: switching to vaping from smoking appears to be a positive move so far as your teeth are involved.
The study checking out real-world vapers’ teeth had pretty good results, but since the cell research has shown, there exists still some prospect of issues over the long term. Unfortunately, adding to that study there is little we could do but speculate. However, we all do incorporate some extra evidence we can easily call on.
If nicotine accounts for the dental issues that smokers experience – or at best partially in charge of them – we should see signs of problems in other people who use nicotine without smoking. Snus – the Swedish type of smokeless tobacco that’s essentially snuff within a mini teabag – and nicotine gums give two great resources for evidence we can use to analyze the issue in a little more detail.
Around the whole, the evidence doesn’t often point the finger at nicotine significantly. One study investigated evidence covering two decades from Sweden, with over 1,600 participants altogether, and discovered that although severe gum disease was more common in smokers, snus users didn’t are most often at increased risk whatsoever. There is certainly some indication that gum recession and lack of tooth attachment is much more common on the location the snus is held, but on 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 may be thinking, a report in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously offers the possible ways 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 at all on such things as plaque, gingivitis, tartar as well as 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, evidence really doesn’t support the link. This really is very good news for virtually any vapers, snus users or long term NRT users, nevertheless it should go without saying that avoiding smoking and looking after your teeth generally continues to be essential for your oral health.
In terms of nicotine, evidence we have so far implies that there’s little to think about, along with the cell studies directly addressing vaping are hard to get firm conclusions from without further evidence. Nevertheless these aren’t really the only ways that vaping could impact your teeth and oral health.
Something most vapers know is the fact that vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture out of their immediate environment. For this reason obtaining a dry mouth after vaping is absolutely common. Your mouth is in near-constant connection with PG and VG and a lot vapers quickly get used to drinking more than usual to make up. Now you ask: accomplishes this constant dehydration pose a risk for your teeth?
There is an interesting paper on the potential link between mild dehydration and dental issues, and overall it stresses that there is no direct proof of a hyperlink. However, there are many indirect bits of evidence and suggestive findings that hint at potential issues.
This largely relies on your saliva. By literally “washing” your teeth because it moves across the mouth, containing ions that neutralise acids from your diet, containing calcium and phosphate that may reverse the outcomes of acids on your teeth and containing proteins that also impact how molecules connect to your teeth, saliva is apparently a crucial factor in maintaining dental health. If dehydration – from vaping or anything else – contributes to reduced saliva production, this could have a knock-on influence on your teeth to make teeth cavities as well as other issues more inclined.
The paper highlights there a great deal of variables to take into consideration which makes drawing firm conclusions difficult, however the authors write:
“The link between dehydration and dental disease is just not directly proved, while there is considerable circumstantial evidence to indicate that such a link exists.”
And here is the closest we are able to really be able to a response to the question. However, there are a few interesting anecdotes within the comments to the post on vaping plus your teeth (although the 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 common, and this might lead to bad breath and appears to cause difficulties with dental cavities. The commenter states practice good dental hygiene, nonetheless there’s no way of knowing this, nor what her or his teeth were like before switching to vaping.
However, this isn’t the sole story from the comments, and while it’s all speculative, with the evidence discussed above, it’s certainly plausible that vaping can cause dehydration-related complications with your teeth.
The opportunity of risk is way from certain, but it’s clear there are some simple actions you can take to reduce your risk of oral health problems from vaping.
Avoid dehydration. This is significant for virtually any vaper anyway, but considering the potential risks associated with dehydration, it’s particularly important for the teeth. I have a bottle of water with me constantly, but however you undertake it, be sure you fight dry mouth with plenty fluids.
Vape less often with higher-nicotine juice. One idea that originally came from Dr. Farsalinos (more broadly about lowering 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 very valid – the dehydration relates to PG and VG, therefore the less of it you inhale, small the impact is going to 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 nicotine isn’t the most important factor.
Pay extra focus to your teeth while keeping brushing. Even though some vapers may have problems, it’s obvious that most of us haven’t experienced issues. The explanation for this is likely that a great many vapers take care of their teeth generally speaking. Brush twice a day to minimise any risk and keep an eye out for potential issues. When you notice a challenge, visit your dentist and have it sorted out.
The good thing is this can be all quite simple, and aside from the second suggestion you’ll probably be doing everything you need to anyway. However, when you start 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 is a great idea, together with seeing your dentist.
While ecigs will probably be much better for the teeth than smoking, you can still find potential issues due to dehydration as well as possibly related to nicotine. However, it’s important to acquire a bit 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 type of nicotine use, it’s unlikely being from your teeth. You may have lungs to worry about, in addition to your heart and a lot else. The study thus far mainly concentrates on these more severe risks. So regardless of whether vaping does end up having some influence on your teeth or gums, it won’t change the fact that vaping is actually a better idea than smoking. There are additional priorities.