Smokers use a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white into a dull yellow-brown.
Faced with comments similar to this, most vapers would rightly mention that nicotine in pure form is actually colourless. It seems obvious that – just like with all the health hazards – the problem for your personal teeth from smoking isn’t the nicotine, it’s the tar.
However are we actually right? Recent surveys on the subject have flagged up vapor cigs as a potential concern, and although they’re a long way from showing dental problems in real-world vapers, this is a sign that there might be issues from now on.
To know the possibility perils of vaping for your teeth, it makes sense to discover a lttle bit regarding how smoking causes dental health issues. While there are numerous differences between your two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are open to nicotine along with other chemicals in 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 prone to have poor oral health compared to people who’ve never smoked, and they’re over twice as likely to have three or more oral health issues.
Smoking affects your oral health in several ways, which range from the yellow-brown staining and bad breath it causes through to more dangerous dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also provide more tartar than non-smokers, and that is a kind of hardened plaque, also known as calculus.
There are many effects of smoking that cause difficulties for your teeth, too. As an example, smoking impacts your immunity process and disrupts your mouth’s capacity to heal itself, both of which can exacerbate other problems brought on by smoking.
Gum disease is probably the most frequent dental issues in britain and around the world, and smokers are around doubly likely to get it as non-smokers. It’s contamination of your gums and the bone surrounding your teeth, which as time passes results in the tissue and bone deteriorating and may even cause tooth loss.
It’s due to plaque, the term for a mixture 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 cavities.
If you consume food containing plenty of sugar or starch, the bacteria process the carbohydrates it includes for energy. This process creates acid being a by-product. Should you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains a lot of different bacteria, and a number 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 cause difficulties with your teeth and smokers will probably suffer both consequences than non-smokers. The consequences smoking has on the immunity mechanism mean that in case a smoker receives a gum infection due to plaque build-up, his / her body is unlikely to be able to fight them back. Furthermore, when damage is carried out because of the build-up of plaque, the impact of smoking on wound healing will make it more difficult for the gums to heal themselves.
With time, should you don’t treat gum disease, spaces may start to start up in between your gums and your teeth. This issue worsens as a lot of the tissues disintegrate, and eventually can cause your teeth becoming loose as well as falling out.
Overall, smokers have twice the risk of periodontal disease when compared with non-smokers, and the risk is larger for individuals that smoke more and who smoke for prolonged. On top of this, the issue is more unlikely to react well in the event it gets treated.
For vapers, studying the link between smoking and gum disease invites one question: would it be the nicotine or perhaps the tar in tobacco that triggers the problems? Of course, as vapers we’d be inclined to blame the smoke and tar instead of the nicotine, but can be ability to?
low levels of oxygen in the tissues – and that could predispose your gums to infections, and also decreasing the ability of your respective gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or mix 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 as a result of them will likely be less severe in vapers than smokers.
The final two potential explanations relate right to nicotine, but there is a few things worth noting.
For the idea that nicotine reduces the flow of blood and that causes the issues, there are some problems. Studies looking directly for the impact with this around the gums (here and here) have discovered either no alteration of blood flow or slight increases.
Although nicotine does make your bloodstream constrict, the impact smoking has on blood pressure levels tends to overcome this and blood circulation towards the gums increases overall. This is basically the opposite of what you’d expect in case the explanation were true, as well as least demonstrates that it isn’t the most important factor at play. Vaping has a smaller amount of a direct impact on hypertension, though, and so the result for vapers could be different.
Another idea would be that the gum tissues are getting less oxygen, and also this causes the issue. Although studies show that the hypoxia brought on by smoking parallels how nicotine acts within the body, nicotine isn’t the one thing in smoke that can have this effect. Carbon monoxide particularly can be a aspect of smoke (but not vapour) that has exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which would be to blame, but because wound healing (which is a closely-related issue) is affected in smokers yet not in NRT users, it’s unlikely that nicotine alone is performing all the damage and even most of it.
Unsurprisingly, the vast majority of discussion of the topic conflates nicotine with smoke, and this makes it hard to work through the amount of a role nicotine really has. There isn’t much evidence considering this concerning e cigarette reviews specifically, as you’d expect, but there isn’t much in relation to nicotine away 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 called “in vitro” (literally “in glass”) studies, and even though they’re a good choice for comprehending the biological mechanisms underpinning the possibility health negative effects of vaping (and also other exposures, medicines and virtually anything), it is a limited kind of evidence. Just because something affects a variety of cells within a culture doesn’t mean it is going to have a similar effect inside a real body of a human.
With that in mind, the studies on vaping plus your teeth is summarized by way of 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 may have impacts on proteins and damage DNA. Every one of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also offers the potential to cause difficulties for the teeth too, although again this will depend on cell studies and evidence from people smoking tobacco. The authors reason that vaping can lead to impaired healing.
However that presently, we don’t have very much evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation according to mechanistic studies of how nicotine interacts with cells inside your mouth, so that it can’t be completely ignored, nevertheless the evidence we have thus far can’t really say too much regarding what will happen to real-world vapers in reality.
However, there may be one study that considered dental health in real-world vapers, and its results were generally positive. The research included 110 smokers who’d switched to vaping and had their oral 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 ten years (group 1) and others who’d smoked for much longer (group 2).
At the beginning of the study, 85 % of group 1 experienced a plaque index score of 1, with only 15 of these having no plaque in any way. For group 2, none of the participants experienced a plaque score of , with around three-quarters scoring 2 out of 3, and the remainder of the participants split between lots of 1 and 3. By the end from the study, 92% of group 1 and 87 % in the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the beginning of the research, 61% of group 1 participants and 65% of group 2 participants bled after being poked having 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 involves a probe being inserted involving the gum-line along with the teeth, and other improvements were seen. At the beginning of the analysis, 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 might basically be one study, although the message it sends is pretty clear: switching to vaping from smoking appears to be a confident move in terms of your teeth are worried.
The analysis looking at real-world vapers’ teeth had pretty great results, but since the cell research shows, there is certainly still some prospect of issues over the long-term. Unfortunately, aside from that study there is very little we can easily do but speculate. However, we all do possess some extra evidence we can easily call on.
If nicotine is mainly responsible for the dental conditions that smokers experience – or otherwise partially responsible for them – then we should see indications of problems in individuals that use nicotine without smoking. Snus – the Swedish type of smokeless tobacco that’s essentially snuff in a mini teabag – and nicotine gums give two great causes of evidence we are able to use to research the issue in a bit more detail.
In the whole, evidence doesn’t appear to point the finger at nicotine greatly. One study looked at evidence covering 20 years from Sweden, with 1,600 participants as a whole, and discovered that while severe gum disease was more usual in smokers, snus users didn’t are at increased risk at all. There exists some indication that gum recession and loss in tooth attachment is more common on the location the snus is held, but about the whole the likelihood of issues is a lot more closely relevant to smoking than snus use.
Even though this hasn’t been studied around you might think, an investigation 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 people that chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference whatsoever on such things as plaque, gingivitis, tartar as well as other dental health related outcomes. Again, smoking did increase the risk of tartar and gingivitis.
Overall, while there are a few plausible explanations for a way nicotine could affect your oral health, evidence really doesn’t support a link. This really is great news for any vapers, snus users or long term NRT users, but it really ought to go without praoclaiming that avoiding smoking and searching after your teeth generally is still vital for your oral health.
With regards to nicotine, evidence we certainly have up to now shows that there’s little to be concerned about, and also the cell studies directly addressing vaping are difficult to attract firm conclusions from without further evidence. But these aren’t the sole ways in which vaping could impact your teeth and dental health.
A very important factor 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. That is why receiving a dry mouth after vaping is actually common. Your mouth is in near-constant contact with PG and VG and most vapers quickly get used to drinking more than usual to make up. The question is: does this constant dehydration pose a danger to your teeth?
It comes with an interesting paper on the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct proof a web link. However, there are several indirect items of evidence and suggestive findings that hint at potential problems.
This largely comes down to your saliva. By literally “washing” your teeth mainly because it moves across the mouth, containing ions that neutralise acids through your diet, containing calcium and phosphate that may turn back the effects of acids on your own teeth and containing proteins which impact how molecules interact with your teeth, saliva seems to be an essential element in maintaining dental health. If dehydration – from vaping or anything else – contributes to reduced saliva production, this could have a knock-on impact on your teeth making teeth cavities as well as other issues more inclined.
The paper points out that there a great deal of variables to take into consideration and this makes drawing firm conclusions difficult, however the authors write:
“The link between dehydration and dental disease will not be directly proved, while there is considerable circumstantial evidence to indicate that this kind of link exists.”
And here is the closest we are able to really reach a solution to this question. However, there are many interesting anecdotes from the comments to this particular post on vaping as well as your teeth (even though article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” after having a year of exclusive vaping, points out that dry mouth and cotton mouth are typical, and this might lead to stinky breath and generally seems to cause issues with tooth decay. The commenter claims to practice good dental hygiene, but of course there’s no chance of knowing this, nor what her or his teeth were like before switching to vaping.
However, this isn’t really the only 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 issues with your teeth.
The potential of risk is much from certain, but it’s clear that we now have some simple things you can do to lessen your likelihood of dental health problems from vaping.
Stay hydrated. This is important for virtually any vaper anyway, but given the potential risks related to dehydration, it’s particularly important for your teeth. I keep a bottle of water with me at all times, but however you do it, make sure you fight dry mouth with plenty of fluids.
Vape less often with higher-nicotine juice. One idea that originally has come from Dr. Farsalinos (more broadly about reducing the risk from vaping) is that vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. To your teeth, this same advice is quite valid – the dehydration relates to PG and VG, hence the a smaller amount of it you inhale, the lesser the impact will probably be. Technically, if 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 key factor.
Pay extra awareness of your teeth and maintain brushing. Even though some vapers could have problems, it’s obvious that most of us haven’t experienced issues. The explanation for this particular is likely that many vapers look after their teeth generally speaking. Brush at least two times a day to minimise any risk and be on the lookout for potential issues. If you see a challenge, see your dentist and get it dealt with.
The good news is this can be all quite simple, and in addition to the second suggestion you’ll most likely be doing all that you should anyway. However, if you start to notice issues or you feel ecigrreviews your teeth are getting worse, taking steps to reduce dehydration and paying extra awareness of your teeth is a good idea, as well as seeing your dentist.
While e-cig will probably be much better for your personal teeth than smoking, you will still find potential issues due to dehydration as well as possibly to do with nicotine. However, it’s important to get a bit of perspective before you take any drastic action, especially with so little evidence to back any concerns.
If you’re switching to a low-risk form of nicotine use, it’s unlikely being because of your teeth. You possess lungs to think about, along with your heart as well as a lot else. The investigation up to now mainly focuses on these more dangerous risks. So even when vaping does wind up having some result on your teeth or gums, it won’t change the reality that vaping is a better idea than smoking. There are other priorities.