Smokers have a reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from your brilliant white in a dull yellow-brown.
Faced with comments this way, most vapers would rightly mention that nicotine in pure form is really colourless. It appears obvious that – very much like together with the health problems – the trouble for your personal teeth from smoking isn’t the nicotine, it’s the tar.
But they are we actually right? Recent surveys on the topic have flagged up vapor cigarettes like 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 may be issues in future.
To understand the possible hazards of vaping for your teeth, it seems sensible to find out a bit about how smoking causes dental health issues. While there are many differences between the two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are subjected to nicotine and other chemicals inside a similar way.
For smokers, dental issues are more inclined compared to what they will be in never-smokers or ex-smokers. By way of example, current smokers are 4x as very likely to have poor dental health compared 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 dental health in several ways, ranging from the yellow-brown staining and foul breath it causes right through to more dangerous oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, that is a form of hardened plaque, referred to as calculus.
There are many negative effects of smoking that cause trouble for your teeth, too. For example, smoking impacts your immunity mechanism and inhibits your mouth’s power to heal itself, each of which can exacerbate other conditions caused by smoking.
Gum disease is among the most common dental issues in the united kingdom and round the world, and smokers are around twice as likely to obtain it as non-smokers. It’s disease of the gums and also the bone surrounding your teeth, which with time contributes to the tissue and bone deteriorating and may even cause tooth loss.
It’s brought on by plaque, the term for a combination of saliva as well as the bacteria within your mouth. In addition to causing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in teeth cavities.
If you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it contains for energy. This technique creates acid as being a by-product. Should you don’t keep your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains lots of different bacteria, and a few of these directly irritate your gums too.
So while one of several consequences of plaque build-up is far more relevant for gum disease, both cause troubles with your teeth and smokers are more inclined to suffer both consequences than non-smokers. The consequences smoking has on your own immunity process imply that if a smoker turns into a gum infection due to plaque build-up, his / her body is less likely to be able to fight it off. Furthermore, when damage is performed due to the build-up of plaque, the impact of smoking on wound healing will make it tougher for your gums to heal themselves.
As time passes, when you don’t treat gum disease, spaces will start to open up involving the gums and your teeth. This concern worsens as a lot of tissues break up, and ultimately can lead to your teeth becoming loose or perhaps falling out.
Overall, smokers have twice the risk of periodontal disease in comparison with non-smokers, along with the risk is larger for people who smoke more and who smoke for longer. Along with this, the catch is unlikely to react well when it gets treated.
For vapers, learning about the link between smoking and gum disease invites one question: could it be the nicotine or even the tar in tobacco that triggers the issues? Needless to say, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but will be straight to?
low levels of oxygen in the tissues – and also this could predispose your gums to infections, as well as lowering the ability of the gums to heal themselves.
Unfortunately, it’s definitely not clear which explanation or combination of them is bringing about the issues for smokers. For vaping, though, there are clearly some potential benefits. There are far fewer toxins in vapour, so any issues caused due to them will be less severe in vapers than smokers.
The final two potential explanations relate straight to nicotine, but you will find a couple of things worth noting.
For the concept that nicotine reduces blood circulation which causes the problems, there are many problems. Studies looking directly to the impact on this around the gums (here and here) have discovered either no alternation in blood circulation or slight increases.
Although nicotine does create your blood vessels constrict, the impact smoking has on hypertension is likely to overcome this and circulation of blood 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 shows that it isn’t the main factor at play. Vaping has a smaller amount of a direct impact on blood pressure levels, though, and so the result for vapers could possibly be different.
The other idea would be that the gum tissues are becoming less oxygen, which causes the situation. Although research has shown that this hypoxia due to smoking parallels how nicotine acts within your body, nicotine isn’t the only thing in smoke that can have this effect. Carbon monoxide particularly is actually a element of smoke (however, not vapour) which has exactly that effect, and hydrogen cyanide is yet 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 is performing all of the damage or perhaps nearly all of it.
Unsurprisingly, a lot of the discussion of the topic conflates nicotine with smoke, and it is then hard to work through the amount of a role nicotine really has. There isn’t much evidence considering this associated with e cig reviews specifically, as you’d expect, but there isn’t much concerning nicotine away from smoke by any means.
First, there has been some studies looking specifically at how vaping affects the teeth. However, these research has mainly taken the sort of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and although they’re helpful for understanding the biological mechanisms underpinning the potential health negative effects of vaping (as well as other exposures, medicines and pretty much anything), it is a limited form of evidence. Just because something affects a bunch of cells in a culture doesn’t mean it is going to have the identical effect in the real body of a human.
Knowing that, the research on vaping as well as your teeth is summarized by a review from March 2017. The authors address evidence about gum disease, consisting of cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues inside the gums. Aldehydes in e-cig vapour could have impacts on proteins and cause damage to DNA. Most of these effects could theoretically cause periodontal disease in vapers.
Nicotine also has the opportunity to cause problems for the teeth too, although again this is based on cell studies and evidence from people smoking tobacco. The authors believe that vaping might lead to impaired healing.
But the truth is that presently, we don’t have greatly evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation according to mechanistic studies of methods nicotine interacts with cells in your mouth, so that it can’t be completely ignored, although the evidence we have now up to now can’t really say a lot of about what may happen to real-world vapers in reality.
However, there is certainly one study that considered dental health in real-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 beginning of the analysis, after 60 days and after 120 days. The vapers were separate into those who’d smoked for under several years (group 1) and others who’d smoked for extended (group 2).
At the beginning of the analysis, 85 % of group 1 experienced a plaque index score of 1, with only 15 of them without plaque in any way. For group 2, no participants had a plaque score of , with around three-quarters scoring 2 away from 3, and the rest of the participants split between scores of 1 and 3. In the end of your study, 92% of group 1 and 87 % of the longer-term smokers in group 2 had plaque lots of .
For gum bleeding, at the start of the study, 61% of group 1 participants and 65% of group 2 participants bled after being poked having 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 requires a probe being inserted between your gum-line and also the teeth, and similar improvements were seen. At the start of the analysis, 66% of group 1 and 60% of group 2 participants showed no bleeding, but at the conclusion of the research, this had increased to 98% of group 1 and 100% of group 2.
It may possibly basically be one study, but the message it sends is fairly clear: switching to vaping from smoking looks to be a good move so far as your teeth have concerns.
The research taking a look at real-world vapers’ teeth had pretty good results, but as being the cell research has revealed, there may be still some likelihood of issues on the long-term. Unfortunately, adding to that study there is very little we can do but speculate. However, we do have some extra evidence we are able to turn to.
If nicotine is accountable for the dental conditions that smokers experience – or at best partially accountable for them – then we should see signs and symptoms of problems in people who use nicotine without smoking. Snus – the Swedish form of smokeless tobacco that’s essentially snuff within a mini teabag – and nicotine gums give two great sources of evidence we can easily use to analyze the matter in a bit more detail.
Around the whole, the evidence doesn’t appear to point the finger at nicotine quite definitely. One study checked out evidence covering 20 years from Sweden, with well over 1,600 participants in total, and discovered that although severe gum disease was more usual in smokers, snus users didn’t seem to be at increased risk by any means. There may be some indication that gum recession and loss of tooth attachment is more common with the location the snus is held, but on the whole the likelihood of issues is a lot more closely associated with smoking than snus use.
Even though this hasn’t been studied as much as 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 has got the possible ways 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 such things as plaque, gingivitis, tartar as well as other oral health related outcomes. Again, smoking did increase the chance of tartar and gingivitis.
Overall, while there are many plausible explanations based on how nicotine could affect your oral health, evidence really doesn’t support the link. This is certainly very good news for almost any vapers, snus users or long term NRT users, but it really should go without praoclaiming that avoiding smoking and seeking after your teeth in general is still important for your oral health.
In terms of nicotine, the evidence we certainly have up to now shows that there’s little to worry about, and the cell studies directly addressing vaping take time and effort to draw firm conclusions from without further evidence. But these aren’t the sole ways in which vaping could impact your teeth and dental health.
Something most vapers know is the fact that vaping can dehydrate you. Both PG and VG are hygroscopic, which means they suck moisture from their immediate environment. For this reason getting a dry mouth after vaping is absolutely common. Your mouth is near-constant connection with PG and VG and the majority of vapers quickly get comfortable with drinking more than usual to make up. The question is: can this constant dehydration pose a danger for the teeth?
There is an interesting paper on the potential link between mild dehydration and dental issues, and overall it stresses that there is no direct proof of a web link. However, there are lots of indirect items of evidence and suggestive findings that hint at potential problems.
This largely boils down to your saliva. By literally “washing” your teeth mainly because it moves throughout the mouth, containing ions that neutralise acids from your diet, containing calcium and phosphate that will reverse the outcomes of acids on the teeth and containing proteins which impact how molecules interact with your teeth, saliva is apparently an essential factor in maintaining oral health. If dehydration – from vaping or anything else – leads to reduced saliva production, this could have a knock-on influence on your teeth and then make teeth cavities and other issues very likely.
The paper indicates that there a great deal of variables to consider and also this makes drawing firm conclusions difficult, however 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 type of link exists.”
And this is the closest we can really get to an answer for this question. However, there are several interesting anecdotes from the comments to this post on vaping plus your teeth (even though article itself just speculates in the risk for gum disease).
One commenter, “Skwurl,” after a year of exclusive vaping, points out that dry mouth and cotton mouth are common, and this may lead to smelly breath and appears to cause problems with tooth decay. The commenter promises to practice good oral hygiene, nonetheless 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 from the comments, and while it’s all speculative, together with the evidence discussed above, it’s certainly plausible that vaping can lead to dehydration-related problems with your teeth.
The opportunity of risk is way from certain, but it’s clear there are some simple things you can do to minimize your risk of oral health problems from vaping.
Stay hydrated. This is important for almost any vaper anyway, but because of the potential risks linked to dehydration, it’s especially vital to your teeth. I have a bottle of water with me at all times, but however you practice it, make sure you fight dry mouth with plenty fluids.
Vape less often with higher-nicotine juice. One concept that originally originated from Dr. Farsalinos (more broadly about lowering the risk from vaping) is the fact vaping less often with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For the teeth, this same advice is quite valid – the dehydration is related to PG and VG, hence the a smaller amount of it you inhale, small the result is going to be. Technically, when 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 main factor.
Pay extra focus on your teeth and keep brushing. Although some vapers may have problems, it’s obvious that many people haven’t experienced issues. The explanation just for this is likely that numerous vapers take care of their teeth on the whole. Brush twice a day to minimise any risk and keep an eye out for potential issues. If you see a challenge, go to your dentist and get it taken care of.
The great thing is this really is all easy enough, and apart from the second suggestion you’ll more likely be doing everything you should anyway. However, if you commence to notice issues or you feel ecigrreviews your teeth are receiving worse, taking steps to lower dehydration and paying extra focus on your teeth is advisable, together with seeing your dentist.
While ecig might be a lot better for your teeth than smoking, you will still find potential issues on account of dehydration and in many cases possibly concerning nicotine. However, it’s important to get a amount of perspective before you take any drastic action, especially with so little evidence to back up any concerns.
If you’re switching to a low-risk form of nicotine use, it’s unlikely to be because of your teeth. You may have lungs to think about, in addition to your heart as well as a lot else. The research up to now mainly concentrates on these more serious risks. So even if vaping does wind up having some influence on your teeth or gums, it won’t change the fact that vaping can be a better idea than smoking. There are many priorities.