Smokers have a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white right into a dull yellow-brown.
Confronted with comments like this, most vapers would rightly point out that nicotine in pure form is actually colourless. It appears to be obvious that – just like with the health hazards – the problem for your personal teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent reports on the subject have flagged up vapor e cig as being a potential concern, and although they’re a long way from showing dental problems in actual-world vapers, this is a sign that there can be issues later on.
To understand the potential perils of vaping in your teeth, it seems sensible to learn a lttle bit about how precisely smoking causes oral health issues. While there are several differences between the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are exposed to nicotine and other chemicals in the similar way.
For smokers, dental issues are more likely than they will be in never-smokers or ex-smokers. For instance, current smokers are 4 times as very likely to have poor oral health in comparison to people who’ve never smoked, and they’re over doubly more likely to have three or more oral health issues.
Smoking affects your dental health in various ways, including the yellow-brown staining and smelly breath it causes right through to more serious dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also have more tartar than non-smokers, and that is a method of hardened plaque, referred to as calculus.
There are many effects of smoking that create trouble for your teeth, too. As an illustration, smoking impacts your immunity process and inhibits your mouth’s capacity to heal itself, both of which can exacerbate other problems caused by smoking.
Gum disease is probably the most frequent dental issues in the united kingdom and round the world, and smokers are around twice as likely to get it as non-smokers. It’s disease from the gums as well as the bone surrounding your teeth, which with time brings about the tissue and bone breaking down and might cause tooth loss.
It’s brought on by plaque, which is the name for a blend of saliva as well as the bacteria with your mouth. Along with causing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, leading to teeth cavities.
If you consume food containing a lot of sugar or starch, the bacteria process the carbohydrates it has for energy. This method creates acid like a by-product. In the event you don’t keep the teeth clean, this acid eventually impacts your tooth’s surface to result in decay. But plaque contains lots of different bacteria, and a few of these directly irritate your gums too.
So while one of the consequences of plaque build-up is a lot more relevant for gum disease, both cause issues with your teeth and smokers are more inclined to suffer both consequences than non-smokers. The effects smoking has in your immunity process mean that if your smoker receives a gum infection as a result of plaque build-up, their body is unlikely to be able to fight it away. Moreover, when damage is carried out because of the build-up of plaque, the impact of smoking on wound healing will make it tougher for the gums to heal themselves.
Over time, if you don’t treat gum disease, spaces can start to look at up involving the gums plus your teeth. This concern worsens as more of the tissues break down, and eventually can bring about your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the chance of periodontal disease compared to non-smokers, as well as the risk is larger for people who smoke more and who smoke for extended. On top of this, the thing is more unlikely to react well if it gets treated.
For vapers, researching the bond between smoking and gum disease invites one question: is it the nicotine or maybe the tar in tobacco which induces the problems? Obviously, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but will be straight to?
lower levels of oxygen from the tissues – which could predispose your gums to infections, along with lowering the ability of your own gums to heal themselves.
Unfortunately, it’s definitely not clear which explanation or blend of them is bringing about the issues for smokers. For vaping, though, you will find clearly some potential benefits. You can find far fewer toxins in vapour, so any issues caused because of them will probably be less severe in vapers than smokers.
The very last two potential explanations relate directly to nicotine, but there is a couple of things worth noting.
For the notion that nicotine reduces circulation of blood and therefore causes the difficulties, there are a few problems. Studies looking directly for the impact on this on the gums (here and here) have found either no alternation in circulation of blood or slight increases.
Although nicotine does help make your veins constrict, the impact smoking has on blood pressure levels has a tendency to overcome this and blood flow towards the gums increases overall. Here is the complete opposite of what you’d expect if the explanation were true, and also at least implies that it isn’t the key factor at play. Vaping has a smaller amount of an impact on blood pressure level, though, therefore the result for vapers could possibly be different.
Another idea would be that the gum tissues are getting less oxygen, and this is causing the problem. Although studies have shown that this hypoxia caused by smoking parallels how nicotine acts in the body, nicotine isn’t one and only thing in smoke that may have this effect. Carbon monoxide especially is actually a component of smoke (although not vapour) that has exactly that effect, and hydrogen cyanide can be another.
It’s not completely clear which would be to blame, but since wound healing (which is a closely-related issue) is affected in smokers but not in NRT users, it’s unlikely that nicotine alone has been doing every one of the damage or perhaps most of it.
Unsurprisingly, a lot of the discussion of this topic conflates nicotine with smoke, and it is then hard to determine how much of a role nicotine really has. There isn’t much evidence checking out this associated with electronic cigarette reviews specifically, as you’d expect, but there isn’t much relating to nicotine out from smoke at all.
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 classified as “in vitro” (literally “in glass”) studies, and while they’re ideal for understanding the biological mechanisms underpinning the possibility health effects of vaping (as well as other exposures, medicines and virtually anything), it is a limited form of evidence. Even though something affects a variety of cells inside a culture doesn’t mean it would have the same effect in the real body system.
With that in mind, the studies on vaping plus your teeth is summarized from 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 from the gums. Aldehydes in e-cig vapour might have impacts on proteins and affect DNA. All of these effects could theoretically result in periodontal disease in vapers.
Nicotine also provides the possibility to cause trouble for the teeth too, although again this will depend on cell studies and evidence from people smoking tobacco. The authors debate that vaping can lead to impaired healing.
But the truth is that currently, we don’t have significantly evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation depending on mechanistic studies of methods nicotine interacts with cells in your mouth, so it can’t be completely ignored, although the evidence we have so far can’t really say an excessive amount of regarding what may happen to real-world vapers in reality.
However, there is certainly one study that checked out oral health in actual-world vapers, and its particular outcome was generally positive. The investigation included 110 smokers who’d switched to vaping and had their dental health examined at the outset of the analysis, after two months and after 120 days. The vapers were break up into those who’d smoked cheaper than several years (group 1) and others who’d smoked for extended (group 2).
At the beginning of the study, 85 % of group 1 enjoyed a plaque index score of 1, with just 15 of which without plaque whatsoever. For group 2, not one of the participants possessed a plaque score of , with around three-quarters scoring 2 from 3, and the other participants split between scores of 1 and 3. At the end from the study, 92% of group 1 and 87 % from the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the start of the analysis, 61% of group 1 participants and 65% of group 2 participants bled after being poked 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 between your gum-line and also the teeth, and similar improvements were seen. At the outset of the research, 66% of group 1 and 60% of group 2 participants showed no bleeding, but at the end of the study, this had increased to 98% of group 1 and 100% of group 2.
It might just be one study, although the message it sends is quite clear: switching to vaping from smoking seems to be a good move with regards to your teeth have concerns.
The research taking a look at real-world vapers’ teeth had pretty good results, but since the cell research has shown, there is certainly still some potential for issues within the long-term. Unfortunately, aside from that study there is very little we are able to do but speculate. However, perform possess some extra evidence we could ask.
If nicotine accounts for the dental issues that smokers experience – or otherwise partially responsible for them – we should see signs of problems in other people who use nicotine without smoking. Snus – the Swedish method of smokeless tobacco that’s essentially snuff inside a mini teabag – and nicotine gums give two great sources of evidence we are able to use to analyze the situation in a bit more detail.
In the whole, the evidence doesn’t appear to point the finger at nicotine very much. One study investigated evidence covering 2 decades from Sweden, with well over 1,600 participants in total, and discovered that although severe gum disease was more common in smokers, snus users didn’t appear to be at increased risk at all. There may be some indication that gum recession and reduction in tooth attachment is a lot more common in the location the snus is held, but around the whole the chance of issues is much more closely linked to smoking than snus use.
Even though this hasn’t been studied as much as you may be thinking, research in nicotine gum users provides yet more evidence that nicotine isn’t truly 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 by any means on things such as plaque, gingivitis, tartar as well as other oral health related outcomes. Again, smoking did increase the risk of tartar and gingivitis.
Overall, while there are some plausible explanations for how nicotine could affect your dental health, the evidence really doesn’t support a hyperlink. This can be great news for any vapers, snus users or long term NRT users, however it ought to go without proclaiming that avoiding smoking and seeking after your teeth in general continues to be vital for your dental health.
When it comes to nicotine, evidence we have now to date implies that there’s little to concern yourself with, as well as the cell studies directly addressing vaping take time and effort to attract firm conclusions from without further evidence. But these aren’t the only ways in which vaping could impact your teeth and oral health.
One thing 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 getting a dry mouth after vaping is absolutely common. The mouth is in near-constant connection with PG and VG and the majority of vapers quickly get accustomed to drinking more than ever before to compensate. The question is: can this constant dehydration pose a risk for your teeth?
It comes with an interesting paper around the potential link between mild dehydration and dental issues, and overall it stresses that there is not any direct evidence of the link. However, there are lots of indirect bits of evidence and suggestive findings that hint at potential issues.
This largely boils down to your saliva. By literally “washing” your teeth since it moves throughout the mouth, containing ions that neutralise acids from the diet, containing calcium and phosphate that can reverse the effects of acids on the teeth and containing proteins that impact how molecules communicate with your teeth, saliva looks to be an important consider maintaining oral health. If dehydration – from vaping or another type – contributes to reduced saliva production, this could have a knock-on result on your teeth and make teeth cavities and other issues much more likely.
The paper highlights there plenty of variables to consider and that makes drawing firm conclusions difficult, nevertheless 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 be able to a solution to this particular question. However, there are a few interesting anecdotes inside the comments to this post on vaping along with your teeth (though the article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” after a year of exclusive vaping, indicates that dry mouth and cotton mouth are standard, and this might lead to smelly breath and has a tendency to cause difficulties with cavities. The commenter states to practice good dental hygiene, nonetheless there’s not a 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, even though it’s all speculative, using the evidence discussed above, it’s certainly plausible that vaping can result in dehydration-related complications with your teeth.
The potential of risk is way from certain, but it’s clear that there are some simple things you can do to lower your chance of oral health problems from vaping.
Avoid dehydration. This is very important for just about any vaper anyway, but due to the potential risks related to dehydration, it’s particularly important to your teeth. I keep a bottle of water with me at all times, but however you do it, ensure you fight dry mouth with lots of fluids.
Vape less often with higher-nicotine juice. One concept that originally came from Dr. Farsalinos (more broadly about lowering the risk from vaping) is that vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your teeth, this same advice is quite valid – the dehydration is related to PG and VG, so the less of it you inhale, small the effect will probably 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 like nicotine isn’t the most important factor.
Pay extra focus to your teeth and keep brushing. Although some vapers may have problems, it’s obvious that the majority of us haven’t experienced issues. The explanation just for this is likely that many vapers maintain their teeth on the whole. Brush at least twice a day to minimise any risk and be on the lookout for potential issues. If you see a problem, go to your dentist and acquire it dealt with.
The good thing is this is certainly all easy enough, and besides the second suggestion you’ll probably be doing everything you need to anyway. However, if you start to notice issues or perhaps you feel ecigrreviews your teeth are obtaining worse, taking steps to reduce dehydration and paying extra awareness of your teeth may be beneficial, as well as seeing your dentist.
While ecig may very well be a lot better for your personal teeth than smoking, you can still find potential issues because of dehydration and in many cases possibly concerning nicotine. However, it’s important to obtain a little perspective prior to taking any drastic action, especially with so little evidence to back up any concerns.
If you’re switching to some low-risk type of nicotine use, it’s unlikely to become because of your teeth. You have lungs to concern yourself with, along with your heart and a lot else. The study so far mainly focuses on these much more serious risks. So even when vaping does wind up having some influence on your teeth or gums, it won’t change the truth that vaping is a better idea than smoking. There are more priorities.