Smokers possess a good reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from your brilliant white right into a dull yellow-brown.
Up against comments this way, most vapers would rightly mention that nicotine in pure form is definitely colourless. It appears obvious that – much like together with the health problems – the issue to your teeth from smoking isn’t the nicotine, it’s the tar.
But are we actually right? Recent studies on the topic 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 can be issues in future.
To learn the potential perils of vaping in your teeth, it seems sensible to learn somewhat about how smoking causes dental health issues. While there are lots of differences between the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are open to nicotine and other chemicals inside a similar way.
For smokers, dental issues are more inclined compared to what they have been in never-smokers or ex-smokers. As an example, current smokers are 4x as more likely to have poor oral health in comparison with people who’ve never smoked, and they’re over doubly very likely to have three or higher oral health issues.
Smoking affects your oral health in various ways, including the yellow-brown staining and foul breath it causes through to more dangerous oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, and that is a form of hardened plaque, also known as calculus.
There are other outcomes of smoking that induce difficulties for your teeth, too. As an example, smoking impacts your immunity mechanism 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 typical dental issues throughout the uk and around the world, and smokers are around twice as likely to have it as non-smokers. It’s infection from the gums and also the bone surrounding your teeth, which with time contributes to the tissue and bone wearing down and may even cause tooth loss.
It’s a result of plaque, the name for a blend of saliva and also the bacteria in your mouth. And also creating the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, creating cavities.
When you consume food containing lots of sugar or starch, the bacteria process the carbohydrates it contains for energy. This procedure creates acid being a by-product. Should you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface and causes decay. But plaque contains lots of different bacteria, and many of these directly irritate your gums too.
So while one of many consequences of plaque build-up is more relevant for gum disease, both bring about issues with your teeth and smokers will probably suffer both consequences than non-smokers. The effects smoking has on your defense mechanisms signify when a smoker gets a gum infection caused by plaque build-up, his or her body is less likely to be able to fight it well. Additionally, when damage is done because of the build-up of plaque, the impact of smoking on wound healing makes it harder to your gums to heal themselves.
As time passes, should you don’t treat gum disease, spaces can start to open up in between your gums as well as your teeth. This problem becomes worse as more of the tissues disintegrate, and finally can bring about your teeth becoming loose as well as falling out.
Overall, smokers have twice the danger of periodontal disease compared to non-smokers, as well as the risk is bigger for folks who smoke more and who smoke for much longer. On the top of this, the issue is less likely to react well if it gets treated.
For vapers, studying the connection between smoking and gum disease invites one question: will 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 rather than nicotine, but can be directly to?
lower levels of oxygen in the tissues – and also this could predispose your gums to infections, as well as reducing the ability of your own gums to heal themselves.
Unfortunately, it’s not really clear which explanation or combination of them is bringing about the issues for smokers. For vaping, though, there are clearly some potential benefits. You can find far fewer toxins in vapour, so any issues caused because of them will be less severe in vapers than smokers.
The very last two potential explanations relate right to nicotine, but you will find a couple of things worth noting.
For the notion that nicotine reduces blood circulation and this causes the difficulties, there are a few problems. Studies looking directly for the impact of the about the gums (here and here) have found either no alternation in the flow of blood or slight increases.
Although nicotine does make your veins constrict, the impact smoking has on blood pressure levels has a tendency to overcome this and blood circulation on the gums increases overall. This is actually the opposite of what you’d expect in case the explanation were true, and also at least implies that it isn’t the major factor at play. Vaping has less of an effect on hypertension, though, and so the result for vapers could possibly be different.
One other idea would be that the gum tissues are obtaining less oxygen, which causes the issue. Although studies have shown the hypoxia due to smoking parallels how nicotine acts within the body, nicotine isn’t the only thing in smoke which could have this effect. Deadly carbon monoxide especially can be a aspect of smoke (although not vapour) that has exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which is to blame, but since wound healing (which is actually a closely-related issue) is affected in smokers yet not in NRT users, it’s unlikely that nicotine alone has been doing each of the damage or even most of it.
Unsurprisingly, many of the discussion on this topic conflates nicotine with smoke, and it is then hard to work out how much of a part nicotine really has. There isn’t much evidence taking a look at this relating to electronic cigarette reviews specifically, as you’d expect, but there isn’t much associated with nicotine away from smoke in any way.
First, we have seen some studies looking specifically at how vaping affects the teeth. However, these studies have mainly taken the sort of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and although they’re a good choice for knowing the biological mechanisms underpinning the possible health results of vaping (as well as other exposures, medicines and just about anything), it is actually a limited method of evidence. Just because something affects a bunch of cells within a culture doesn’t mean it would have similar effect in the real human body.
With that in mind, the studies on vaping plus your teeth is summarized with 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 from the gums. Aldehydes in e-cig vapour might have impacts on proteins and cause damage to DNA. All of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also provides the opportunity to cause difficulties for the teeth too, although again this is founded on cell studies and evidence from people smoking tobacco. The authors argue that vaping can lead to impaired healing.
However that presently, we don’t have significantly evidence specifically concerning vaping, and much of the aforementioned is ultimately speculation. It’s speculation based upon mechanistic studies of methods nicotine interacts with cells with your mouth, thus it can’t be completely ignored, however the evidence we certainly have to date can’t really say excessive regarding what will occur to real-world vapers in practice.
However, there may be one study that looked at oral health in actual-world vapers, and its particular effects were generally positive. The investigation included 110 smokers who’d switched to vaping along with their oral health examined at the beginning of the study, after two months and after 120 days. The vapers were break up into those who’d smoked for less than 10 years (group 1) and people who’d smoked for longer (group 2).
At the outset of the research, 85 % of group 1 had a plaque index score of 1, with just 15 of these without plaque at all. For group 2, no participants possessed a plaque score of , with around three-quarters scoring 2 out of 3, and all of those other participants split between lots of 1 and 3. At the end in 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 beginning of the investigation, 61% of group 1 participants and 65% of group 2 participants bled after being poked by using a probe. From 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 in between the gum-line along with the teeth, and similar improvements were seen. At the outset of the investigation, 66% of group 1 and 60% of group 2 participants showed no bleeding, but following the study, this had increased to 98% of group 1 and 100% of group 2.
It could just be one study, but the message it sends is rather clear: switching to vaping from smoking looks to be a positive move as far as your teeth are involved.
The investigation considering real-world vapers’ teeth had pretty good success, but since the cell research has shown, there exists still some potential for issues over the long term. Unfortunately, aside from that study there is very little we could do but speculate. However, we do incorporate some extra evidence we could ask.
If nicotine is mainly responsible for the dental problems that smokers experience – or otherwise partially accountable for them – then we should see warning signs of problems in individuals that use nicotine without smoking. Snus – the Swedish method of smokeless tobacco that’s essentially snuff in a mini teabag – and nicotine gums give two great causes of evidence we can easily use to look into the matter in much more detail.
In the whole, the evidence doesn’t manage to point the finger at nicotine significantly. One study investigated evidence covering 20 years from Sweden, with 1,600 participants in total, and found that although severe gum disease was more common in smokers, snus users didn’t are most often at increased risk whatsoever. There exists some indication that gum recession and lack of tooth attachment is more common with the location the snus is held, but on the whole the chance of issues is more closely linked to smoking than snus use.
Even if this hasn’t been studied as much as you may be thinking, a report in nicotine gum users provides yet more evidence that nicotine isn’t really the issue. Chewing sugar-containing gum obviously has got the possibility 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 stuff like plaque, gingivitis, tartar as well as other oral health related outcomes. Again, smoking did increase the potential risk of tartar and gingivitis.
Overall, while there are several plausible explanations for how nicotine could affect your oral health, the evidence really doesn’t support a link. This is certainly great news for almost any vapers, snus users or long-term NRT users, but it really ought to go without saying that avoiding smoking and searching after your teeth generally speaking remains important for your oral health.
With regards to nicotine, the evidence we have so far shows that there’s little to concern yourself with, and also the cell studies directly addressing vaping are difficult to draw in firm conclusions from without further evidence. But these aren’t the only techniques that vaping could impact your teeth and oral health.
Something most vapers know is that vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture from their immediate environment. For this reason acquiring a dry mouth after vaping is actually common. The mouth area is at near-constant connection with PG and VG and a lot vapers quickly get accustomed to drinking more than usual to compensate. Now you ask: does this constant dehydration pose a risk for your teeth?
It comes with an interesting paper in the potential link between mild dehydration and dental issues, and overall it stresses that there is no direct proof a link. However, there are several indirect bits of evidence and suggestive findings that hint at potential problems.
This largely is dependant on your saliva. By literally “washing” your teeth since it moves across the mouth, containing ions that neutralise acids from the diet, containing calcium and phosphate that could reverse the results of acids on your teeth and containing proteins which impact how molecules connect to your teeth, saliva looks to be a crucial consider maintaining oral health. If dehydration – from vaping or anything else – results in reduced saliva production, this could have a knock-on result on your teeth to make tooth decay and also other issues more likely.
The paper points out that there plenty of variables to think about and this 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 such a link exists.”
And this is basically the closest we can easily really be able to an answer for this question. However, there are many interesting anecdotes within the comments to the post on vaping as well as your teeth (although the article itself just speculates in the risk for gum disease).
One commenter, “Skwurl,” following a year of exclusive vaping, points out that dry mouth and cotton mouth are standard, and this may lead to foul breath and appears to cause problems with tooth decay. The commenter states practice good oral hygiene, however there’s not a way of knowing this, nor what her or his teeth were like before switching to vaping.
However, this isn’t really the only story within the comments, even though it’s all speculative, using the evidence discussed above, it’s certainly plausible that vaping can cause dehydration-related issues with your teeth.
The chance of risk is way from certain, but it’s clear that there are some simple steps you can take to lessen your likelihood of oral health problems from vaping.
Avoid dehydration. This is significant for just about any vaper anyway, but because of the potential risks associated with dehydration, it’s especially vital for the teeth. I keep a bottle of water with me always, but nevertheless, you practice it, 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 lowering 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 your teeth, this same advice is quite valid – the dehydration is related to PG and VG, therefore the less of it you inhale, the lesser the result is going to be. Technically, if the theories about nicotine’s role in gum disease are true, boosting your intake wouldn’t be ideal, but overall it appears nicotine isn’t the important factor.
Pay extra attention to your teeth and maintain brushing. Even though some vapers could have problems, it’s obvious that many of us haven’t experienced issues. The explanation just for this is likely that a great many vapers care for their teeth on the whole. Brush twice a day to minimise any risk and be on the lookout for potential issues. If you notice a problem, visit your dentist and obtain it taken care of.
The great thing is this is all quite simple, and aside from the second suggestion you’ll probably be doing everything you should anyway. However, should you learn to notice issues or perhaps you feel ecigrreviews your teeth are getting worse, taking steps to reduce dehydration and paying extra awareness of your teeth may be beneficial, in addition to seeing your dentist.
While ecig might be far better to your teeth than smoking, you may still find potential issues on account of 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 back up any concerns.
If you’re switching to some low-risk method of nicotine use, it’s unlikely to get from your teeth. You might have lungs to be concerned about, in addition to your heart and a lot else. The studies thus far mainly is focused on these much more serious risks. So regardless of whether vaping does wind up having some influence on your teeth or gums, it won’t change the fact that vaping is a better idea than smoking. There are more priorities.