Smokers possess a good reputation for 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 this way, most vapers would rightly mention that nicotine in pure form is really colourless. It appears obvious that – similar to with all the health hazards – the issue for the teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent surveys on the topic have flagged up vapor cigarettes being a potential concern, and although they’re a considerable ways from showing dental problems in actual-world vapers, it really is a sign that there might be issues later on.
To know the possible hazards of vaping to the teeth, it seems sensible to learn somewhat about how exactly smoking causes oral health issues. While there are many differences in between the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are in contact with nicotine along with other chemicals inside a similar way.
For smokers, dental issues are more likely compared to they are in never-smokers or ex-smokers. As an example, current smokers are 4 times as prone to have poor oral health when compared with people who’ve never smoked, and they’re over twice as likely to have three or maybe more dental health issues.
Smoking affects your dental health in many different ways, including the yellow-brown staining and smelly breath it causes to much more serious 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, also known as calculus.
There are many results of smoking that can cause problems for your teeth, too. For instance, smoking impacts your immune system and inhibits your mouth’s capability to heal itself, both of which can exacerbate other issues due to smoking.
Gum disease is amongst the most common dental issues in the UK and around the world, and smokers are around two times as likely to get it as non-smokers. It’s contamination of the gums along with the bone surrounding your teeth, which over time results in the tissue and bone deteriorating and might cause tooth loss.
It’s caused by plaque, the good name for an assortment of saliva along with the bacteria inside your mouth. As well as creating 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 as being a by-product. Should you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and causes decay. But plaque contains lots of different bacteria, and a few of these directly irritate your gums too.
So while among the consequences of plaque build-up is a lot more relevant for gum disease, both bring about difficulties with your teeth and smokers are more likely to suffer both consequences than non-smokers. The effects smoking has on the defense mechanisms suggest that in case a smoker turns into a gum infection caused by plaque build-up, his or her body is not as likely so that you can fight it off. In addition, when damage is carried out on account of the build-up of plaque, the impact of smoking on wound healing makes it tougher to your gums to heal themselves.
With time, in the event you don’t treat gum disease, spaces can start to look at up between your gums as well as your teeth. This problem becomes worse as a lot of the tissues breakdown, and in the end can bring about your teeth becoming loose and even falling out.
Overall, smokers have twice the chance of periodontal disease in comparison with non-smokers, as well as the risk is larger for individuals that smoke more and who smoke for much longer. Along with this, the problem is less likely to respond well if it gets treated.
For vapers, researching the connection between smoking and gum disease invites one question: could it be the nicotine or the tar in tobacco which induces the issues? Needless to say, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but could be straight to?
lower levels of oxygen from the tissues – and this could predispose your gums to infections, and also decreasing the ability of your respective gums to heal themselves.
Unfortunately, it’s not really clear which explanation or combination of them causes the problems for smokers. For vaping, though, there are actually clearly some potential benefits. You can find far fewer toxins in vapour, so any issues caused because of them will likely be less severe in vapers than smokers.
The last two potential explanations relate right to nicotine, but you can find a couple of things worth noting.
For the notion that nicotine reduces the flow of blood and that causes the difficulties, there are many problems. Studies looking directly for your impact of this around the gums (here and here) are finding either no improvement in blood flow or slight increases.
Although nicotine does help make your arteries constrict, the impact smoking has on blood pressure has a tendency to overcome this and blood circulation on the gums increases overall. This is basically the opposite of what you’d expect if the explanation were true, and at least demonstrates that it isn’t the major factor at play. Vaping has a smaller amount of a direct impact on hypertension, though, and so the result for vapers may be different.
Another idea is that the gum tissues are getting less oxygen, and this is bringing about the problem. Although studies have shown the hypoxia due to smoking parallels how nicotine acts in the body, nicotine isn’t one and only thing in smoke that could have this effect. Deadly carbon monoxide in particular is actually a component of smoke (but not vapour) containing exactly 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 but not in NRT users, it’s unlikely that nicotine alone does all of the damage or even most of it.
Unsurprisingly, a lot of the discussion on this topic conflates nicotine with smoke, and it is then hard to determine the amount of a part 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 by any means.
First, there were some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the shape of cell culture studies. These are called “in vitro” (literally “in glass”) studies, even though they’re ideal for comprehending the biological mechanisms underpinning the possible health negative effects of vaping (along with other exposures, medicines and pretty much anything), it is actually a limited kind of evidence. Even though something affects a number of cells within a culture doesn’t mean it can have the same effect in the real body.
With that in mind, the investigation on vaping as well as 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 within the gums. Aldehydes in e-cig vapour may have impacts on proteins and damage DNA. Most of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also offers the potential to cause problems for the teeth too, although again this is based on cell studies and evidence from people smoking tobacco. The authors reason that vaping may lead to impaired healing.
However that right now, we don’t have significantly evidence specifically concerning vaping, and much of the above is ultimately speculation. It’s speculation according to mechanistic studies of methods nicotine interacts with cells in your mouth, so it can’t be completely ignored, however the evidence we have now so far can’t really say excessive regarding what may happen to real-world vapers in reality.
However, there exists one study that looked at oral health in actual-world vapers, as well as its outcome was generally positive. The studies included 110 smokers who’d switched to vaping along with their oral health examined at the start of the investigation, after 60 days and after 120 days. The vapers were split up into those who’d smoked for under 10 years (group 1) and others who’d smoked for much longer (group 2).
At the outset of the study, 85 % of group 1 experienced a plaque index score of 1, with just 15 of which without plaque whatsoever. For group 2, none of the participants had a plaque score of , with about three-quarters scoring 2 away from 3, and the other participants split between lots of 1 and 3. By the end of the 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 research, 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. They also took a papillary bleeding index, that requires a probe being inserted in between the gum-line and the teeth, and other improvements were seen. At the start 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 might simply be one study, however the message it sends is quite clear: switching to vaping from smoking seems to be a positive move in terms of your teeth are involved.
The study looking at real-world vapers’ teeth had pretty good results, but as the cell research shows, there may be still some possibility of issues over the long-term. Unfortunately, aside from that study there is very little we can easily do but speculate. However, perform get some extra evidence we can easily contact.
If nicotine is responsible for the dental conditions that smokers experience – or at a minimum partially accountable for them – then we should see signs of problems in individuals that use nicotine without smoking. Snus – the Swedish kind of smokeless tobacco that’s essentially snuff in the mini teabag – and nicotine gums give two great resources for evidence we can easily use to research the situation in a little more detail.
On the whole, evidence doesn’t manage to point the finger at nicotine greatly. One study looked at evidence covering two decades from Sweden, with over 1,600 participants altogether, and discovered that although severe gum disease was more widespread in smokers, snus users didn’t appear to be at increased risk in any way. There exists some indication that gum recession and reduction in tooth attachment is much more common at the location the snus is held, but on the whole the likelihood of issues is far more closely associated with smoking than snus use.
Even if this hasn’t been studied as much as it may seem, research in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously provides the potential to affect your teeth even without nicotine, but a comparison between 78 those who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference in any way on things like plaque, gingivitis, tartar along with other oral 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 dental health, the evidence really doesn’t support a web link. This can be fantastic news for virtually any vapers, snus users or long-term NRT users, but it really ought to go without stating that avoiding smoking and looking after your teeth generally speaking remains vital for your dental health.
With regards to nicotine, evidence we have now thus far demonstrates that there’s little to be concerned about, along with the cell studies directly addressing vaping are hard to draw firm conclusions from without further evidence. However, these aren’t the only real ways in which vaping could impact your teeth and dental health.
One thing 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 getting a dry mouth after vaping is very common. The mouth area is near-constant experience of PG and VG and the majority of vapers quickly get familiar with drinking more than usual to make up. The question is: does this constant dehydration pose a danger for your personal teeth?
It comes with an interesting paper in the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct evidence of a web link. However, there are many indirect bits of evidence and suggestive findings that hint at potential problems.
This largely comes down to your saliva. By literally “washing” your teeth as it moves throughout the mouth, containing ions that neutralise acids out of your diet, containing calcium and phosphate that could reverse the effects of acids on the teeth and containing proteins which also impact how molecules communicate with your teeth, saliva looks to be an essential factor in maintaining dental health. If dehydration – from vaping or anything else – brings about reduced saliva production, this will have a knock-on impact on your teeth and then make dental cavities as well as other issues very likely.
The paper indicates that there lots of variables to take into consideration which makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease is not really directly proved, while there is considerable circumstantial evidence to indicate that such a link exists.”
And here is the closest we could really get to a solution for this question. However, there are some interesting anecdotes within the comments to this particular post on vaping as well as your teeth (even though the article itself just speculates on the risk for gum disease).
One commenter, “Skwurl,” after having a year of exclusive vaping, indicates that dry mouth and cotton mouth are normal, and this may lead to stinky breath and generally seems to cause complications with cavities. The commenter states practice good oral hygiene, however there’s absolutely no way of knowing this, nor what their teeth were like before switching to vaping.
However, this isn’t the sole story within the comments, and although it’s all speculative, using the evidence discussed above, it’s certainly plausible that vaping can bring about dehydration-related problems with your teeth.
The opportunity of risk is significantly from certain, but it’s clear that there are some simple things you can do to lower your likelihood of oral health problems from vaping.
Stay hydrated. This is important for just about any vaper anyway, but considering the potential risks associated with dehydration, it’s especially vital for your personal teeth. I keep a bottle of water with me constantly, but however, you get it done, make sure you fight dry mouth with lots of fluids.
Vape less often with higher-nicotine juice. One idea that originally came from Dr. Farsalinos (more broadly about reducing 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 extremely valid – the dehydration is related to PG and VG, therefore the a smaller amount of it you inhale, small the impact is going to be. Technically, in the event 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 whilst keeping brushing. However some vapers could have problems, it’s obvious that most of us haven’t experienced issues. The explanation for this particular is likely that numerous vapers care for their teeth in general. Brush at least two times every day to minimise any risk and keep an eye out for potential issues. When you notice a difficulty, see your dentist and have it dealt with.
Fortunately this is all easy enough, and apart from the second suggestion you’ll most likely be doing all you need to anyway. However, when you start to notice issues or maybe you feel ecigrreviews your teeth are getting worse, taking steps to lower dehydration and paying extra attention to your teeth is a great idea, together with seeing your dentist.
While e cigs will probably be significantly better to your teeth than smoking, there are still potential issues on account of dehydration as well as possibly with regards to nicotine. However, it’s important to acquire a little perspective before you take any drastic action, particularly with so little evidence to back any concerns.
If you’re switching to some low-risk type of nicotine use, it’s unlikely to get because of your teeth. You have lungs to be concerned about, not forgetting your heart and a lot else. The study thus far mainly concentrates on these more severe risks. So even if vaping does wind up having some impact on your teeth or gums, it won’t change the fact that vaping is really a better idea than smoking. There are many priorities.