Smokers use a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth from your brilliant white in a dull yellow-brown.
Faced with comments similar to this, most vapers would rightly explain that nicotine in pure form is definitely colourless. It appears to be obvious that – much like with the health problems – 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 topic have flagged up vapor cigarette being a potential concern, and although they’re a long way from showing dental problems in actual-world vapers, it really is a sign that there could be issues in future.
To learn the possible risks of vaping to the teeth, it seems sensible to discover a bit about how exactly smoking causes dental 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 and other chemicals within a similar way.
For smokers, dental issues are more likely compared to they have been in never-smokers or ex-smokers. As an example, 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 two times as prone to have three or more dental health issues.
Smoking affects your oral health in several ways, including the yellow-brown staining and foul breath it causes right through to much more serious dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers likewise have more tartar than non-smokers, which is a kind of hardened plaque, also referred to as calculus.
There are many effects of smoking that induce trouble for your teeth, too. As an example, smoking impacts your immune system and inhibits your mouth’s ability to heal itself, both of which can exacerbate other difficulties a result of smoking.
Gum disease is amongst the most common dental issues in the united kingdom and around the world, and smokers are around doubly likely to obtain it as non-smokers. It’s infection of your gums and also the bone surrounding your teeth, which over time contributes to the tissue and bone wearing down and may even cause tooth loss.
It’s caused by plaque, which is the term for a combination of saliva and the bacteria with your mouth. And also creating the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, leading to cavities.
Whenever you consume food containing plenty of sugar or starch, the bacteria process the carbohydrates it includes for energy. This procedure creates acid like a by-product. If you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface to result in decay. But plaque contains a lot of different bacteria, and some of these directly irritate your gums too.
So while one of the consequences of plaque build-up is much more relevant for gum disease, both lead to problems with your teeth and smokers are more likely to suffer both consequences than non-smokers. The impact smoking has on the defense mechanisms suggest that in case a smoker gets a gum infection caused by plaque build-up, their body is more unlikely so as to fight it away. Additionally, when damage is completed as a result of the build-up of plaque, the impact of smoking on wound healing causes it to be harder to your gums to heal themselves.
After a while, in the event you don’t treat gum disease, spaces can start to start up in between your gums and your teeth. This issue worsens as a lot of tissues breakdown, and in the end can result in your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the danger of periodontal disease when compared with non-smokers, and the risk is bigger for folks who smoke more and who smoke for prolonged. Along with this, the thing is unlikely to respond well if it gets treated.
For vapers, understanding the link between smoking and gum disease invites one question: could it be the nicotine or perhaps the tar in tobacco which causes the problems? Obviously, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but will be directly to?
lower levels of oxygen inside the tissues – and also this could predispose your gums to infections, as well as reducing the ability of your respective gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or blend of them is causing the problems for smokers. For vaping, though, you can find clearly some potential benefits. You can find 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 instantly to nicotine, but you can find a couple of things worth noting.
For the notion that nicotine reduces the flow of blood and therefore causes the problems, there are some problems. Studies looking directly for your impact of this on the gums (here and here) have discovered either no improvement in blood flow or slight increases.
Although nicotine does create your blood vessels constrict, the impact smoking has on hypertension has a tendency to overcome this and the flow of blood on the gums increases overall. This is actually the complete opposite of what you’d expect in the event the explanation were true, and at least demonstrates that it isn’t the most important factor at play. Vaping has a smaller amount of a direct impact on blood pressure, though, therefore the result for vapers might be different.
The other idea is the gum tissues are receiving less oxygen, and this is bringing about the issue. Although studies show that this hypoxia a result of smoking parallels how nicotine acts in your body, nicotine isn’t one and only thing in smoke that could have this effect. Carbon monoxide especially can be a element of smoke (yet not vapour) that has exactly that effect, and hydrogen cyanide is an additional.
It’s not completely clear which is to blame, but because wound healing (which is actually a closely-related issue) is affected in smokers however, not in NRT users, it’s unlikely that nicotine alone does all the damage or even most of it.
Unsurprisingly, many of the discussion of the topic conflates nicotine with smoke, and this will make it hard to work through how much of a role nicotine really has. There isn’t much evidence taking a look at this concerning e cig reviews specifically, as you’d expect, but there isn’t much in relation to nicotine out of smoke in any way.
First, there has been some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the type of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and while they’re helpful for understanding the biological mechanisms underpinning the possible health effects of vaping (as well as other exposures, medicines and virtually anything), it is actually a limited method of evidence. Simply because something affects a bunch of cells in a culture doesn’t mean it would have a similar effect inside a real body system.
Knowing that, the studies on vaping as well as your teeth is summarized by a review from March 2017. The authors address evidence about gum disease, which includes cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues inside the gums. Aldehydes in e-cig vapour might have impacts on proteins and cause damage to DNA. All of these effects could theoretically cause periodontal disease in vapers.
Nicotine even offers 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 might lead to impaired healing.
But the truth is that at the moment, we don’t have significantly evidence specifically concerning vaping, and a lot of the aforementioned is ultimately speculation. It’s speculation according to mechanistic studies of how nicotine interacts with cells with your mouth, so that it can’t be completely ignored, however the evidence we have now so far can’t really say a lot of in regards to what will occur to real-world vapers in practice.
However, there is one study that investigated dental health in actual-world vapers, along with its outcome was generally positive. The investigation included 110 smokers who’d switched to vaping and had their oral health examined at the start of the analysis, after two months and after 120 days. The vapers were break up into those who’d smoked cheaper than 10 years (group 1) and those who’d smoked for much longer (group 2).
At the outset of the research, 85 % of group 1 experienced a plaque index score of 1, with just 15 of which having no plaque by any means. For group 2, none of the participants had a plaque score of , with about three-quarters scoring 2 out of 3, and all of those other participants split between lots of 1 and three. 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. By 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 requires a probe being inserted in between the gum-line and the teeth, and other improvements were seen. At the beginning of the study, 66% of group 1 and 60% of group 2 participants showed no bleeding, but following the analysis, this had increased to 98% of group 1 and 100% of group 2.
It may possibly simply be one study, although the message it sends is pretty clear: switching to vaping from smoking seems to be a positive move as far as your teeth are involved.
The analysis looking at real-world vapers’ teeth had pretty great results, but as being the cell studies show, there is still some prospect of issues within the long-term. Unfortunately, furthermore study there is very little we are able to do but speculate. However, perform have some extra evidence we could contact.
If nicotine is mainly responsible for the dental conditions that smokers experience – or at best partially responsible for them – we should see indications of problems in individuals that use nicotine without smoking. Snus – the Swedish method of smokeless tobacco that’s essentially snuff in the mini teabag – and nicotine gums give two great causes of evidence we can use to investigate the matter in a bit more detail.
About the whole, evidence doesn’t appear to point the finger at nicotine greatly. One study considered evidence covering two decades from Sweden, with well over 1,600 participants altogether, and found that although severe gum disease was more common in smokers, snus users didn’t are at increased risk at all. There may be some indication that gum recession and loss of tooth attachment is far more common in the location the snus is held, but in the whole the chance of issues is far more closely relevant to smoking than snus use.
Even if this hasn’t been studied just as much as you might think, a report in nicotine gum users provides yet more evidence that nicotine isn’t really the issue. Chewing sugar-containing gum obviously provides the possibility to affect your teeth even without nicotine, but an evaluation between 78 people who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference by any means on things like plaque, gingivitis, tartar and also other oral health related outcomes. Again, smoking did increase the chance of tartar and gingivitis.
Overall, while there are a few plausible explanations based on how nicotine could affect your oral health, evidence really doesn’t support the link. This really is very good news for almost 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 is still important for your oral health.
In relation to nicotine, the evidence we have now up to now implies that there’s little to be concerned about, and the cell studies directly addressing vaping are hard to attract firm conclusions from without further evidence. Nevertheless these aren’t the only real methods 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 implies they suck moisture out of their immediate environment. That is why receiving a dry mouth after vaping is absolutely common. The mouth area is at near-constant contact with PG and VG and a lot vapers quickly get familiar with drinking more than ever before to make up. Now you ask: performs this constant dehydration pose a danger for the 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 proof the link. However, there are many indirect components of evidence and suggestive findings that hint at potential issues.
This largely boils down to your saliva. By literally “washing” your teeth mainly because it moves around the mouth, containing ions that neutralise acids through your diet, containing calcium and phosphate that can reverse the negative effects of acids on your teeth and containing proteins which impact how molecules connect with your teeth, saliva looks to be an essential element in maintaining dental health. If dehydration – from vaping or anything else – leads to reduced saliva production, this could have a knock-on result on your teeth and then make dental cavities along with other issues very likely.
The paper points out that there a lot of variables to think about and this makes drawing firm conclusions difficult, although 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 sort of link exists.”
And this is the closest we can really get to an answer to this question. However, there are several interesting anecdotes from the comments to this post on vaping plus your teeth (although the article itself just speculates on the risk for gum disease).
One commenter, “Skwurl,” after 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 problems with cavities. The commenter states practice good dental hygiene, however there’s not a way of knowing this, nor what his or her teeth were like before switching to vaping.
However, this isn’t the only real story in the comments, and while it’s all speculative, using the evidence discussed above, it’s certainly plausible that vaping can cause dehydration-related problems with your teeth.
The potential for risk is much from certain, but it’s clear there are some simple steps you can take to lower your chance of oral health problems from vaping.
Avoid dehydration. This will be significant for just about any vaper anyway, but given the potential risks relevant to dehydration, it’s especially vital for your personal teeth. I keep a bottle water with me always, but however you do it, ensure you fight dry mouth with lots of fluids.
Vape less frequently with higher-nicotine juice. One concept that originally has come from Dr. Farsalinos (more broadly about reducing the risk from vaping) is the fact that vaping more infrequently with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For the teeth, this same advice is incredibly valid – the dehydration is related to PG and VG, hence the less of it you inhale, the smaller the effect is going to be. Technically, in case the theories about nicotine’s role in gum disease are true, improving your intake wouldn’t be ideal, but overall it appears to be nicotine isn’t the most important factor.
Pay extra focus on your teeth whilst keeping brushing. Even though some vapers may have problems, it’s obvious that many people haven’t experienced issues. The explanation for this particular is likely that lots of vapers maintain their teeth generally. Brush at least two times a day to minimise any risk and be on the lookout for potential issues. If you notice a problem, see your dentist and acquire it taken care of.
The good thing is this can be all easy enough, and apart from the second suggestion you’ll more likely be doing all that you should anyway. However, if you start to notice issues or maybe you feel ecigrreviews your teeth are becoming worse, taking steps to reduce dehydration and paying extra focus on your teeth is a great idea, as well as seeing your dentist.
While ecigs might be significantly better for your teeth than smoking, you will still find potential issues as a result of dehydration and also possibly related to nicotine. However, it’s important to obtain a bit of perspective prior to taking any drastic action, particularly with so little evidence to back any concerns.
If you’re switching into a low-risk method of nicotine use, it’s unlikely to get from your teeth. You might have lungs to think about, not to mention your heart and a lot else. The research so far mainly is focused on these more serious risks. So even when vaping does turn out having some influence on your teeth or gums, it won’t change the truth that vaping is really a better idea than smoking. There are additional priorities.