Smokers possess a reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth from a brilliant white in a dull yellow-brown.
Up against comments this way, most vapers would rightly mention that nicotine in pure form is in fact colourless. It seems obvious that – just like using the health problems – the issue for your personal teeth from smoking isn’t the nicotine, it’s the tar.
However they are we actually right? Recent studies on the topic have flagged up vapor cigarettes like a potential concern, and although they’re very far from showing dental problems in actual-world vapers, it is actually a sign that there may be issues in the future.
To know the possible hazards of vaping in your teeth, it seems sensible to learn a bit about how smoking causes dental health issues. While there are many differences between the two – inhaling tar-laden smoke is quite different from inhaling droplets of liquid – vapers and smokers are in contact with nicotine and also other chemicals inside a similar way.
For smokers, dental issues are more likely than they happen to be in never-smokers or ex-smokers. As an example, current smokers are 4 times as likely to have poor oral health when compared with people who’ve never smoked, and they’re over twice as more likely to have three or more oral health issues.
Smoking affects your dental health in a number of ways, starting from the yellow-brown staining and stinky breath it causes right through to more severe dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also have more tartar than non-smokers, which is a kind of hardened plaque, otherwise known as calculus.
There are other results of smoking that can cause problems for your teeth, too. As an illustration, smoking impacts your immune system and interferes with your mouth’s ability to heal itself, both of which can exacerbate other conditions a result of smoking.
Gum disease is amongst the most popular dental issues in britain and around the world, and smokers are around twice as likely to get it as non-smokers. It’s an infection from the gums as well as the bone surrounding your teeth, which as time passes results in the tissue and bone deteriorating and could cause tooth loss.
It’s a result of plaque, which is the name for a mixture of saliva as well as 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 cavities.
If you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it includes for energy. This process creates acid as a by-product. When 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 some 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 result in problems with your teeth and smokers will probably suffer both consequences than non-smokers. The consequences smoking has on your own immunity mechanism signify if a smoker gets a gum infection due to plaque build-up, their body is less likely so as to fight it well. Moreover, when damage is done due to the build-up of plaque, the impact of smoking on wound healing will make it harder for the gums to heal themselves.
After a while, if you don’t treat gum disease, spaces may start to open up between your gums plus your teeth. This problem becomes worse as more of the tissues break down, and in the end can result in your teeth becoming loose or even falling out.
Overall, smokers have twice the chance of periodontal disease compared to non-smokers, as well as the risk is bigger for people who smoke more and who smoke for prolonged. On the top of this, the catch is less likely to respond well whenever it gets treated.
For vapers, studying the connection between smoking and gum disease invites one question: would it be the nicotine or even the tar in tobacco that causes the difficulties? Naturally, as vapers we’d be inclined to blame the smoke and tar rather than the nicotine, but could be directly to?
low levels of oxygen from the tissues – and this could predispose your gums to infections, in addition to lowering the ability of the gums to heal themselves.
Unfortunately, it’s not necessarily clear which explanation or combination of them causes the issues for smokers. For vaping, though, you can find clearly some potential benefits. There are actually far fewer toxins in vapour, so any issues caused on account of them will probably be less severe in vapers than smokers.
The past two potential explanations relate right to nicotine, but there are a few things worth noting.
For the concept that nicotine reduces the flow of blood and this causes the problems, there are many problems. Studies looking directly for your impact on this on the gums (here and here) have realized either no improvement in blood circulation or slight increases.
Although nicotine does create your blood vessels constrict, the impact smoking has on blood pressure levels has a tendency to overcome this and blood flow on the gums increases overall. This is basically the complete opposite of what you’d expect when the explanation were true, and at least suggests that it isn’t the most important factor at play. Vaping has a smaller amount of a positive change on blood pressure levels, though, hence the result for vapers could possibly be different.
The other idea is that the gum tissues are receiving less oxygen, and that is bringing about the problem. Although research indicates that this hypoxia brought on by smoking parallels how nicotine acts in the body, nicotine isn’t one and only thing in smoke that may have this effect. Deadly carbon monoxide in particular can be a aspect of smoke (although not vapour) which 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 a closely-related issue) is affected in smokers however, not in NRT users, it’s unlikely that nicotine alone has been doing every one of the damage as well as nearly all of it.
Unsurprisingly, most of the discussion of this topic conflates nicotine with smoke, and this will make it hard to determine how much of a role nicotine really has. There isn’t much evidence checking out this in relation to e cig reviews specifically, as you’d expect, but there isn’t much associated with nicotine out from smoke whatsoever.
First, we have seen some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the form of cell culture studies. These are known as “in vitro” (literally “in glass”) studies, and although they’re useful for understanding the biological mechanisms underpinning the possible health negative effects of vaping (as well as other exposures, medicines and just about anything), it really is a limited method of evidence. Simply because something affects a lot of cells inside a culture doesn’t mean it can have the identical effect within a real human body.
With that in mind, the investigation on vaping plus your teeth is summarized from 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 in 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 provides the potential to cause trouble for the teeth too, although again this is founded on cell studies and evidence from people smoking tobacco. The authors believe that vaping could lead to impaired healing.
But the truth is that right now, we don’t have quite definitely evidence specifically concerning vaping, and far of the above is ultimately speculation. It’s speculation based upon mechanistic studies of methods nicotine interacts with cells with your mouth, therefore it can’t be completely ignored, although the evidence we have thus far can’t really say excessive as to what will occur to real-world vapers in practice.
However, there is one study that investigated dental health in real-world vapers, and its results were generally positive. The studies included 110 smokers who’d switched to vaping and had their dental health examined at the outset of the study, after two months and after 120 days. The vapers were split up into those who’d smoked for less than several years (group 1) and people who’d smoked for extended (group 2).
At the outset of the analysis, 85 % of group 1 possessed a plaque index score of 1, with just 15 of them without plaque in any way. For group 2, no participants enjoyed a plaque score of , with around three-quarters scoring 2 from 3, and the rest of the participants split between scores of 1 and 3. By the end of the 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 analysis, 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. The researchers also took a papillary bleeding index, that involves a probe being inserted between your gum-line and the teeth, and other improvements were seen. At the outset of the investigation, 66% of group 1 and 60% of group 2 participants showed no bleeding, but at the end of the study, 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 is apparently a good move with regards to your teeth are involved.
The study taking a look at real-world vapers’ teeth had pretty good success, but because the cell research shows, there exists still some prospect of issues over the long term. Unfortunately, in addition to that study there is little we can do but speculate. However, perform incorporate some extra evidence we are able to call on.
If nicotine is mainly responsible for the dental concerns that smokers experience – or otherwise 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 types of evidence we are able to use to investigate the issue in a little more detail.
About the whole, the evidence doesn’t manage to point the finger at nicotine quite definitely. One study investigated evidence covering twenty years from Sweden, with more than 1,600 participants altogether, and discovered that although severe gum disease was more widespread in smokers, snus users didn’t seem to be at increased risk by any means. There exists some indication that gum recession and loss of tooth attachment is much more common on the location the snus is held, but in the whole the chance of issues is a lot more closely related to smoking than snus use.
Although this hasn’t been studied just as much as you may be thinking, a report in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously provides the possible ways 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 whatsoever on things such as plaque, gingivitis, tartar and other dental health related outcomes. Again, smoking did increase the danger of tartar and gingivitis.
Overall, while there are many plausible explanations based on how nicotine could affect your oral health, the evidence really doesn’t support a link. This is good news for any vapers, snus users or long term NRT users, however it should go without stating that avoiding smoking and looking after your teeth on the whole is still necessary for your oral health.
With regards to nicotine, evidence we have thus far demonstrates that there’s little to concern yourself with, along with the cell studies directly addressing vaping are hard to attract firm conclusions from without further evidence. But these aren’t the only methods vaping could impact your teeth and oral 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 from their immediate environment. This is the reason receiving a dry mouth after vaping is very common. The mouth is in near-constant experience of PG and VG and most vapers quickly get familiar with drinking more than usual to compensate. Now you ask ,: can this constant dehydration pose a danger to 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 absolutely no direct proof a hyperlink. However, there are many indirect items of evidence and suggestive findings that hint at potential issues.
This largely is dependant on 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 can turn back the effects of acids in your teeth and containing proteins which also impact how molecules connect with your teeth, saliva looks to be an important element in maintaining dental health. If dehydration – from vaping or anything else – results in reduced saliva production, this could have a knock-on influence on your teeth to make dental cavities and also other issues much more likely.
The paper highlights there a great deal of variables to take into account which makes drawing firm conclusions difficult, however the authors write:
“The link between dehydration and dental disease is not directly proved, although there is considerable circumstantial evidence to indicate that such a link exists.”
And here is the closest we can easily really be able to a solution to this question. However, there are some interesting anecdotes within the comments to the post on vaping as well as your teeth (though the article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” right after a year of exclusive vaping, highlights that dry mouth and cotton mouth are normal, and this can lead to stinky breath and seems to cause difficulties with teeth cavities. The commenter promises to practice good dental hygiene, nevertheless there’s no chance of knowing this, nor what his or her teeth were like before switching to vaping.
However, this isn’t the sole story within the comments, and even though it’s all speculative, with the evidence discussed above, it’s certainly plausible that vaping can result in dehydration-related difficulties with your teeth.
The potential for risk is much from certain, but it’s clear that we now have some simple actions you can take to lessen your probability of oral health problems from vaping.
Avoid dehydration. This will be significant for just about any vaper anyway, but given the potential risks associated with dehydration, it’s particularly important to your teeth. I keep a bottle of water with me all the time, but nevertheless you undertake it, ensure you fight dry mouth with plenty of fluids.
Vape less frequently with higher-nicotine juice. One idea that originally originated from Dr. Farsalinos (more broadly about lowering the risk from vaping) is that vaping more infrequently with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your teeth, this same advice is very valid – the dehydration is related to PG and VG, and so the less of it you inhale, the smaller the effect will probably be. Technically, when 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 key factor.
Pay extra focus on your teeth and keep brushing. Even though some vapers could have problems, it’s obvious that most of us haven’t experienced issues. The explanation just for this is likely that a great many vapers care for their teeth in general. Brush at least twice each day to minimise any risk and be on the lookout for potential issues. If you notice a problem, visit your dentist and have it taken care of.
The great thing is this really is all quite simple, and in addition to the second suggestion you’ll most likely be doing all you need to anyway. However, when you commence to notice issues or perhaps you feel ecigrreviews your teeth are obtaining worse, taking steps to reduce dehydration and paying extra attention to your teeth may be beneficial, along with seeing your dentist.
While e cig will probably be significantly better for your personal teeth than smoking, there are still potential issues on account of dehydration and also possibly to do with nicotine. However, it’s important to obtain a amount of perspective before you take any drastic action, particularly with so little evidence to back any concerns.
If you’re switching to your low-risk method of nicotine use, it’s unlikely to become because of your teeth. You may have lungs to think about, in addition to your heart along with a lot else. The study up to now mainly targets these more severe risks. So regardless of whether vaping does turn out having some impact on your teeth or gums, it won’t change the point that vaping is a better idea than smoking. There are additional priorities.