Smokers have got a track record of having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white into a dull yellow-brown.
Confronted by comments such as this, most vapers would rightly explain that nicotine in pure form is in fact colourless. It seems like obvious that – very much like together with the health threats – the trouble for your teeth from smoking isn’t the nicotine, it’s the tar.
But are we actually right? Recent surveys on the subject have flagged up vapor cigs being a potential concern, and although they’re quite a distance from showing dental problems in actual-world vapers, it is a sign that there may be issues later on.
To know the possible perils associated with vaping for your teeth, it makes sense to understand a little about how smoking causes oral health issues. While there are several differences involving the two – inhaling tar-laden smoke is very different from inhaling droplets of liquid – vapers and smokers are in contact with nicotine along with other chemicals within a similar way.
For smokers, dental issues are more likely compared to what 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 doubly more likely to have three or higher oral health issues.
Smoking affects your oral health in many different ways, ranging from the yellow-brown staining and bad breath it causes to much more serious oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, and that is a type of hardened plaque, also known as calculus.
There are other outcomes of smoking that can cause difficulties for your teeth, too. As an example, smoking impacts your immunity process and interferes with your mouth’s capability to heal itself, each of which can exacerbate other issues a result of smoking.
Gum disease is amongst the most common dental issues in the UK and round the world, and smokers are around two times as likely to get it as non-smokers. It’s disease from the gums as well as the bone surrounding your teeth, which over time results in the tissue and bone breaking down and could cause tooth loss.
It’s caused by plaque, the good name for a mixture of saliva along with the bacteria with your mouth. In addition to inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in cavities.
Whenever you consume food containing a lot of sugar or starch, the bacteria process the carbohydrates it includes for energy. This method creates acid as 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 few of these directly irritate your gums too.
So while one of many consequences of plaque build-up is much more relevant for gum disease, both bring about difficulties with your teeth and smokers will probably suffer both consequences than non-smokers. The effects smoking has in your immune system suggest that if a smoker receives a gum infection caused by plaque build-up, his or her body is less likely so that you can fight it off. In addition, when damage is done as a result of the build-up of plaque, the impact of smoking on wound healing causes it to be tougher for the gums to heal themselves.
As time passes, in the event you don’t treat gum disease, spaces can start to open up up between gums along with your teeth. This challenge gets worse as a lot of the tissues break down, and in the end can bring about your teeth becoming loose and even falling out.
Overall, smokers have twice the chance of periodontal disease compared to non-smokers, along with the risk is larger for individuals that smoke more and who smoke for much longer. On top of this, the issue is less likely to respond well when it gets treated.
For vapers, researching the connection between smoking and gum disease invites one question: is it the nicotine or even the tar in tobacco which induces the problems? Naturally, as vapers we’d be inclined to blame the smoke and tar as opposed to the nicotine, but will be ability to?
lower levels of oxygen in the tissues – and also this could predispose your gums to infections, in addition to lowering the ability of your own gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or combination of them is bringing about the issues for smokers. For vaping, though, you can find clearly some potential benefits. You will find far fewer toxins in vapour, so any issues caused as a result of them will be less severe in vapers than smokers.
The last two potential explanations relate directly to nicotine, but you can find a few things worth noting.
For the idea that nicotine reduces blood circulation and this causes the problems, there are a few problems. Studies looking directly to the impact on this on the gums (here and here) have realized either no improvement in the flow of blood or slight increases.
Although nicotine does help make your bloodstream constrict, the impact smoking has on blood pressure is likely to overcome this and blood flow for the gums increases overall. This is the complete opposite of what you’d expect if the explanation were true, and at least suggests that it isn’t the main factor at play. Vaping has a smaller amount of a direct impact on blood pressure levels, though, hence the result for vapers could possibly be different.
One other idea is that the gum tissues are becoming less oxygen, and this is bringing about the problem. Although studies show that the hypoxia caused by smoking parallels how nicotine acts within the body, nicotine isn’t the one thing in smoke that can have this effect. Carbon monoxide especially is really a part of smoke (but not vapour) containing just that effect, and hydrogen cyanide is an additional.
It’s not completely clear which would be to blame, but because wound healing (that 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 or perhaps nearly all of it.
Unsurprisingly, most of the discussion with this 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 taking a look at this associated with e cigarette reviews specifically, as you’d expect, but there isn’t much associated with nicotine out of smoke in any way.
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, even though they’re a good choice for comprehending the biological mechanisms underpinning the potential health effects of vaping (as well as other exposures, medicines and just about anything), it is actually a limited type of evidence. Simply because something affects a lot of cells inside a culture doesn’t mean it is going to have the identical effect in the real body of a human.
Bearing that in mind, the investigation on vaping as well as 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 may have impacts on proteins and damage DNA. Every one of these effects could theoretically result in periodontal disease in vapers.
Nicotine also has the potential to result in problems for the teeth too, although again this is founded on cell studies and evidence from people smoking tobacco. The authors debate that vaping could lead to impaired healing.
But the truth is that currently, we don’t have greatly evidence specifically concerning vaping, and a lot of the above is ultimately speculation. It’s speculation based on mechanistic studies of methods nicotine interacts with cells inside your mouth, so that it can’t be completely ignored, but the evidence we now have up to now can’t really say too much about what can happen to real-world vapers in reality.
However, there is certainly one study that considered dental health in real-world vapers, and its particular effects were generally positive. The studies included 110 smokers who’d switched to vaping and had their dental health examined at the start of the study, after 60 days and after 120 days. The vapers were separate into those who’d smoked for under 10 years (group 1) and people who’d smoked for longer (group 2).
At the beginning of the analysis, 85 % of group 1 enjoyed a plaque index score of 1, with only 15 of them having no plaque whatsoever. For group 2, not one of the participants enjoyed a plaque score of , with around three-quarters scoring 2 away from 3, and the other participants split between scores of 1 and 3. At the end of your study, 92% of group 1 and 87 % from the longer-term smokers in group 2 had plaque scores of .
For gum bleeding, at the outset of the investigation, 61% of group 1 participants and 65% of group 2 participants bled after being poked having 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 involves 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 following the investigation, this had increased to 98% of group 1 and 100% of group 2.
It could only be one study, nevertheless the message it sends is pretty clear: switching to vaping from smoking seems to be a confident move so far as your teeth have concerns.
The research considering real-world vapers’ teeth had pretty good results, but because the cell research has shown, there is certainly still some prospect of issues over the long-term. Unfortunately, aside from that study there is very little we can do but speculate. However, we all do incorporate some extra evidence we can easily call on.
If nicotine is responsible for the dental concerns that smokers experience – or at best partially liable for them – we should see signs of problems in people who use nicotine without smoking. Snus – the Swedish form of smokeless tobacco that’s essentially snuff inside a mini teabag – and nicotine gums give two great causes of evidence we can use to analyze the problem in a little bit more detail.
Around the whole, evidence doesn’t manage to point the finger at nicotine quite definitely. One study looked at evidence covering 2 decades from Sweden, with well over 1,600 participants as a whole, and located that although severe gum disease was more usual in smokers, snus users didn’t are at increased risk in any way. There is certainly some indication that gum recession and lack of tooth attachment is much more common on the location the snus is held, but about the whole the chance of issues is much more closely linked to smoking than snus use.
Even though this hasn’t been studied as much as it may seem, a report in nicotine gum users provides yet more evidence that nicotine isn’t truly the issue. Chewing sugar-containing gum obviously has the possible ways 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 whatsoever on stuff like plaque, gingivitis, tartar as well as other dental health related outcomes. Again, smoking did increase the potential risk of tartar and gingivitis.
Overall, while there are several plausible explanations for a way nicotine could affect your oral health, the evidence really doesn’t support the link. This can be good news for virtually any vapers, snus users or long-term NRT users, but it really should go without proclaiming that avoiding smoking and searching after your teeth in general remains necessary for your dental health.
When it comes to nicotine, evidence we now have to date shows that there’s little to concern yourself with, as well as the cell studies directly addressing vaping are difficult to get firm conclusions from without further evidence. However, these aren’t the only ways that vaping could impact your teeth and dental health.
One important thing most vapers know is the fact vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture from their immediate environment. That is why obtaining a dry mouth after vaping is actually common. Your mouth is near-constant exposure to PG and VG and the majority of vapers quickly get accustomed to drinking more than usual to compensate. The question is: accomplishes this constant dehydration pose a risk for your teeth?
There is an interesting paper in the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct proof of a link. However, there are many indirect components of evidence and suggestive findings that hint at potential issues.
This largely comes down to 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 will reverse the negative effects of acids in your teeth and containing proteins that impact how molecules connect to your teeth, saliva appears to be an important consider maintaining oral health. If dehydration – from vaping or another type – brings about reduced saliva production, this could have a knock-on effect on your teeth making cavities and other issues much more likely.
The paper indicates that there a lot of variables to think about and also this makes drawing firm conclusions difficult, but 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 this is actually the closest we are able to really reach a response for this question. However, there are a few interesting anecdotes inside the comments to this particular post on vaping along with your teeth (although the article itself just speculates in the risk for gum disease).
One commenter, “Skwurl,” right after a year of exclusive vaping, points out that dry mouth and cotton mouth are normal, and this might lead to bad breath and seems to cause complications with cavities. The commenter states practice good dental hygiene, nonetheless there’s no chance of knowing this, nor what his / her teeth were like before switching to vaping.
However, this isn’t the only story from the comments, even though it’s all speculative, with the evidence discussed above, it’s certainly plausible that vaping can lead to dehydration-related problems with your teeth.
The potential of risk is significantly from certain, but it’s clear that we now have some simple steps you can take to lessen your risk of oral health problems from vaping.
Avoid dehydration. This will be significant for just about any vaper anyway, but because of the potential risks related to dehydration, it’s particularly important to your teeth. I have a bottle water with me always, but nevertheless, you undertake it, be 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 decreasing 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 the teeth, this same advice is quite valid – the dehydration is related to PG and VG, hence the less of it you inhale, small the result will likely be. Technically, if the theories about nicotine’s role in gum disease are true, improving your intake wouldn’t be ideal, but overall it appears nicotine isn’t the important factor.
Pay extra attention to your teeth while keeping brushing. Even though some vapers might have problems, it’s obvious that many people haven’t experienced issues. The explanation for this is likely that lots of vapers maintain their teeth in general. Brush at least two times every day to minimise any risk and be on the lookout for potential issues. When you notice a difficulty, see your dentist and get it taken care of.
The good thing is this is certainly all easy enough, and besides the second suggestion you’ll probably be doing all that you should anyway. However, in the event you learn to notice issues or maybe you feel ecigrreviews your teeth are obtaining worse, taking steps to reduce dehydration and paying extra focus on your teeth is a good idea, in addition to seeing your dentist.
While best e cig may very well be a lot better to your teeth than smoking, there are still potential issues on account of dehydration and in many cases possibly related to nicotine. However, it’s important to have a bit of perspective prior to taking any drastic action, particularly with so little evidence to support any concerns.
If you’re switching to your low-risk type of nicotine use, it’s unlikely to get from your teeth. You may have lungs to think about, along with your heart along with a lot else. The studies thus far mainly focuses on these more serious risks. So regardless of whether vaping does turn out having some effect on your teeth or gums, it won’t change the point that vaping is really a better idea than smoking. There are more priorities.