Smokers have a track record of having bad teeth. They get “nicotine stains,” people say, turning their teeth from a brilliant white right into a dull yellow-brown.
Up against comments such as this, most vapers would rightly explain that nicotine in pure form is definitely colourless. It seems like obvious that – similar to with all the health hazards – the problem 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 best vapor cigarette like a potential concern, and although they’re a long way from showing dental problems in real-world vapers, it really is a sign that there may be issues in future.
To comprehend the opportunity risks of vaping in your teeth, it seems sensible to learn a bit regarding how smoking causes oral 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 subjected to nicotine and other chemicals in the similar way.
For smokers, dental issues are more likely compared to they will be in never-smokers or ex-smokers. By way of example, current smokers are 4 times as very likely to have poor dental health when compared with people who’ve never smoked, and they’re over two times as likely to have three or even more dental health issues.
Smoking affects your oral health in a number of ways, which range from the yellow-brown staining and smelly breath it causes through to more severe oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, which is a type of hardened plaque, otherwise known as calculus.
There are additional outcomes of smoking that create trouble for your teeth, too. For instance, smoking impacts your immune system and inhibits your mouth’s power to heal itself, each of which can exacerbate other issues caused by smoking.
Gum disease is probably the most common dental issues in the united kingdom and around the world, and smokers are around doubly likely to get it as non-smokers. It’s disease of the gums along with the bone surrounding your teeth, which as time passes leads to the tissue and bone breaking down and may even cause tooth loss.
It’s brought on by plaque, which is the term for a mixture of saliva and also the bacteria with your mouth. In addition to resulting in the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in tooth decay.
When you consume food containing plenty of sugar or starch, the bacteria process the carbohydrates it has for energy. This technique creates acid being a by-product. When you don’t keep the 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 one of several consequences of plaque build-up is far more relevant for gum disease, both cause problems with your teeth and smokers are more inclined to suffer both consequences than non-smokers. The consequences smoking has in your immune system suggest that if your smoker turns into a gum infection due to plaque build-up, their body is not as likely to be able to fight it well. In addition, when damage is performed as a result of the build-up of plaque, the impact of smoking on wound healing can make it harder for your gums to heal themselves.
Over time, when you don’t treat gum disease, spaces can start to open up up between gums along with your teeth. This concern gets worse as a lot of tissues disintegrate, and eventually can bring about your teeth becoming loose and even falling out.
Overall, smokers have twice the chance of periodontal disease in comparison to non-smokers, and also the risk is larger for people who smoke more and who smoke for prolonged. Along with this, the problem is unlikely to react well in the event it gets treated.
For vapers, understanding the bond between smoking and gum disease invites one question: would it be the nicotine or maybe the tar in tobacco which induces the issues? Of course, as vapers we’d be inclined to blame the smoke and tar instead of the nicotine, but will be right to?
low levels of oxygen in the tissues – and also this could predispose your gums to infections, as well as lowering the ability of your gums to heal themselves.
Unfortunately, it’s definitely not clear which explanation or blend of them is causing the down sides 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 probably be less severe in vapers than smokers.
The past two potential explanations relate directly to nicotine, but you can find a couple of things worth noting.
For the idea that nicotine reduces blood flow which causes the difficulties, there are some problems. Studies looking directly for the impact with this about the gums (here and here) are finding either no improvement in blood circulation or slight increases.
Although nicotine does make the veins constrict, the impact smoking has on blood pressure level tends to overcome this and the flow of blood towards the gums increases overall. This is actually the complete opposite of what you’d expect when the explanation were true, and at least demonstrates that it isn’t the major factor at play. Vaping has less of a direct impact on blood pressure levels, though, so the result for vapers might be different.
Other idea would be that the gum tissues are receiving less oxygen, and that causes the trouble. Although studies show how the hypoxia caused by smoking parallels how nicotine acts within the body, nicotine isn’t the sole thing in smoke that can have this effect. Carbon monoxide in particular is actually a aspect of smoke (although not vapour) which includes just that effect, and hydrogen cyanide is 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 but not in NRT users, it’s unlikely that nicotine alone is doing each of the damage or perhaps almost all of it.
Unsurprisingly, many of the discussion with this topic conflates nicotine with smoke, and this makes it hard to work out how much of a part nicotine really has. There isn’t much evidence looking at this concerning e-cig reviews specifically, as you’d expect, but there isn’t much in relation to nicotine away from smoke by any means.
First, we have seen some studies looking specifically at how vaping affects the teeth. However, these studies have mainly taken the type of cell culture studies. These are classified as “in vitro” (literally “in glass”) studies, and while they’re ideal for understanding the biological mechanisms underpinning the potential health effects of vaping (and also other exposures, medicines and virtually anything), this is a limited method of evidence. Even though something affects a lot of cells in a culture doesn’t mean it will have a similar effect within a real body system.
Bearing that in mind, the study on vaping plus your teeth is summarized from a review from March 2017. The authors address evidence about gum disease, including 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. All of these effects could theoretically cause periodontal disease in vapers.
Nicotine also has the potential to result in difficulties for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors reason that vaping could lead to impaired healing.
However that presently, we don’t have greatly evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation based upon mechanistic studies of how nicotine interacts with cells in your mouth, therefore it can’t be completely ignored, however the evidence we now have to date can’t really say too much about what may happen to real-world vapers in practice.
However, there is one study that looked at dental health in actual-world vapers, and its particular results were generally positive. The studies included 110 smokers who’d switched to vaping and had their oral health examined at the outset of the study, after two months and after 120 days. The vapers were separate into those who’d smoked cheaper than 10 years (group 1) and those who’d smoked for prolonged (group 2).
At the beginning of the research, 85 % of group 1 possessed a plaque index score of 1, with just 15 of them having no plaque in any way. For group 2, not one of the participants experienced a plaque score of , with about three-quarters scoring 2 from 3, and the remainder of the participants split between lots of 1 and three. At the end in 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 by using a probe. By the final follow-up, 92% of group 1 and 98% of group 2 had no bleeding. They also took a papillary bleeding index, that requires a probe being inserted 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 at the conclusion of the analysis, this had increased to 98% of group 1 and 100% of group 2.
It may only be one study, but the message it sends is quite clear: switching to vaping from smoking appears to be a positive move with regards to your teeth are involved.
The research looking at real-world vapers’ teeth had pretty positive results, but as the cell research shows, there may be still some prospect of issues on the long-term. Unfortunately, adding to that study there is little we can do but speculate. However, we all do have some extra evidence we can ask.
If nicotine is responsible for the dental conditions that smokers experience – or at a minimum partially responsible for them – we should see signs of problems in individuals that use nicotine without smoking. Snus – the Swedish form of smokeless tobacco that’s essentially snuff in a mini teabag – and nicotine gums give two great types of evidence we could use to research the situation in a little more detail.
About the whole, the evidence doesn’t manage to point the finger at nicotine quite definitely. One study considered evidence covering two decades from Sweden, with 1,600 participants in total, and located that while severe gum disease was more widespread in smokers, snus users didn’t seem to be at increased risk whatsoever. There is some indication that gum recession and loss of tooth attachment is a lot more common on the location the snus is held, but around the whole the chance of issues is a lot more closely associated with smoking than snus use.
Even though this hasn’t been studied just as much as you may be thinking, research in nicotine gum users provides yet more evidence that nicotine isn’t truly the issue. Chewing sugar-containing gum obviously has got the potential to affect your teeth even without nicotine, but a comparison between 78 individuals who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference in any way on such things as plaque, gingivitis, tartar and also other oral health related outcomes. Again, smoking did increase the danger of tartar and gingivitis.
Overall, while there are several plausible explanations based on how nicotine could affect your dental health, the evidence really doesn’t support a hyperlink. This is certainly very good news for virtually any vapers, snus users or long-term NRT users, but it ought to go without praoclaiming that avoiding smoking and seeking after your teeth in general continues to be important for your dental health.
In terms of nicotine, evidence we have now so far suggests that there’s little to worry about, and the cell studies directly addressing vaping are hard to attract firm conclusions from without further evidence. Nevertheless these aren’t the only ways that vaping could impact your teeth and dental health.
One thing 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 obtaining a dry mouth after vaping is actually common. The mouth area is in near-constant exposure to PG and VG and the majority of vapers quickly get comfortable with drinking more than ever before to make up. The question is: accomplishes this constant dehydration pose a danger for your personal 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 lots of indirect pieces 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 could reverse the effects of acids on the teeth and containing proteins that impact how molecules connect to your teeth, saliva looks to be an important aspect in maintaining dental health. If dehydration – from vaping or anything else – contributes to reduced saliva production, this will have a knock-on influence on your teeth making tooth decay along with other issues more likely.
The paper indicates that there a great deal of variables to consider and this makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease is not really directly proved, although there is considerable circumstantial evidence to indicate that this kind of link exists.”
And this is actually the closest we can really be able to an answer to the question. However, there are many interesting anecdotes within the comments to this particular post on vaping plus your teeth (although the article itself just speculates around the risk for gum disease).
One commenter, “Skwurl,” after a year of exclusive vaping, indicates that dry mouth and cotton mouth are typical, and this can lead to foul breath and seems to cause complications with dental cavities. The commenter claims to practice good oral hygiene, but of course there’s no 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 bring about dehydration-related difficulties with your teeth.
The potential of risk is far from certain, but it’s clear that you have some simple things you can do to reduce your probability of dental health problems from vaping.
Avoid dehydration. This is important for just about any vaper anyway, but considering the potential risks linked to dehydration, it’s particularly important for your personal teeth. I have a bottle water with me all the time, but however you practice it, be sure you fight dry mouth with plenty of fluids.
Vape less often with higher-nicotine juice. One idea that originally originated 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 incredibly valid – the dehydration is related to PG and VG, hence the a smaller amount of it you inhale, the lesser the impact is going to be. Technically, in case the theories about nicotine’s role in gum disease are true, increasing your intake wouldn’t be ideal, but overall it seems like nicotine isn’t the key factor.
Pay extra focus on your teeth and keep brushing. Although some vapers could possibly have problems, it’s obvious that many of us haven’t experienced issues. The explanation for this is likely that numerous vapers look after their teeth generally speaking. Brush at least 2 times each day to minimise any risk and be on the lookout for potential issues. If you notice a difficulty, visit your dentist and obtain it sorted out.
The great thing is this is all pretty simple, and in addition to the second suggestion you’ll most likely be doing everything you should anyway. However, if you start to notice issues or perhaps you feel ecigrreviews your teeth are becoming worse, taking steps to lower dehydration and paying extra awareness of your teeth is a good idea, in addition to seeing your dentist.
While ecig might be much better for the teeth than smoking, you can still find potential issues as a result of dehydration and also possibly related to nicotine. However, it’s important to acquire 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 method of nicotine use, it’s unlikely to become due to your teeth. You have lungs to worry about, in addition to your heart and a lot else. The investigation up to now mainly focuses on these more dangerous risks. So even when vaping does find yourself having some impact on your teeth or gums, it won’t change the truth that vaping is a better idea than smoking. There are more priorities.