Smokers have got a history of having bad teeth. They get “nicotine stains,” people say, turning their teeth from the brilliant white right into a dull yellow-brown.
Confronted with comments such as this, most vapers would rightly point out that nicotine in pure form is really colourless. It appears obvious that – similar to with the health problems – the problem for your personal teeth from smoking isn’t the nicotine, it’s the tar.
However 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 actual-world vapers, it really is a sign that there could be issues in future.
To learn the potential perils associated with vaping in your teeth, it makes sense to find out somewhat regarding how smoking causes dental health issues. While there are numerous differences between your two – inhaling tar-laden smoke is not the same as inhaling droplets of liquid – vapers and smokers are open to nicotine as well as other chemicals in a similar way.
For smokers, dental issues are more inclined compared to they happen to be in never-smokers or ex-smokers. By way of example, current smokers are four times as more likely to have poor dental health in comparison to people who’ve never smoked, and they’re over twice as prone to have three or higher oral health issues.
Smoking affects your dental health in several ways, which range from the yellow-brown staining and foul breath it causes right through to much more serious oral health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers also have more tartar than non-smokers, that is a form of hardened plaque, referred to as calculus.
There are more negative effects of smoking that can cause problems for your teeth, too. As an example, smoking impacts your immune system and disrupts your mouth’s power to heal itself, each of which can exacerbate other conditions due to smoking.
Gum disease is probably the most typical dental issues throughout the uk and around the world, and smokers are around twice as likely to obtain it as non-smokers. It’s infection of your gums and the bone surrounding your teeth, which with time contributes to the tissue and bone wearing down and may even cause tooth loss.
It’s caused by plaque, the term for a mixture of saliva and also the bacteria inside your mouth. And also inducing the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, resulting in tooth decay.
When you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it has for energy. This method creates acid like a by-product. If 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 the 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 in your immunity process mean that if a smoker turns into a gum infection resulting from plaque build-up, his or her body is not as likely in order to fight it away. Moreover, when damage is performed because of the build-up of plaque, the impact of smoking on wound healing makes it more challenging for your personal gums to heal themselves.
Over time, when you don’t treat gum disease, spaces can begin to open up between gums along with your teeth. This challenge worsens as a lot of the tissues break up, and ultimately can cause your teeth becoming loose as well as falling out.
Overall, smokers have twice the danger of periodontal disease compared to non-smokers, and the risk is larger for people who smoke more and who smoke for longer. In addition to this, the issue is not as likely to respond well if it gets treated.
For vapers, learning about the connection between smoking and gum disease invites one question: is it the nicotine or perhaps the tar in tobacco that triggers the difficulties? Obviously, as vapers we’d be inclined to blame the smoke and tar instead of the nicotine, but will be ability to?
lower levels of oxygen within the tissues – which could predispose your gums to infections, as well as reducing the ability of the gums to heal themselves.
Unfortunately, it’s definitely not clear which explanation or mixture of them causes the problems for smokers. For vaping, though, you will find clearly some potential benefits. There are actually far fewer toxins in vapour, so any issues caused as a result of them is going to be less severe in vapers than smokers.
The last two potential explanations relate straight to nicotine, but you can find a few things worth noting.
For the notion that nicotine reduces the flow of blood which causes the difficulties, there are many problems. Studies looking directly for your impact of the around the gums (here and here) have realized either no alteration of circulation of blood or slight increases.
Although nicotine does help make your bloodstream constrict, the impact smoking has on blood pressure levels is likely to overcome this and blood flow on the gums increases overall. Here is the complete opposite of what you’d expect in the event the explanation were true, and at least shows that it isn’t the most important factor at play. Vaping has less of an effect on blood pressure, though, hence the result for vapers may be different.
One other idea is that the gum tissues are becoming less oxygen, which is bringing about the situation. Although studies have shown the hypoxia caused by smoking parallels how nicotine acts in your body, nicotine isn’t one and only thing in smoke that can have this effect. Carbon monoxide especially is a component of smoke (however, not vapour) containing exactly that effect, and hydrogen cyanide is yet another.
It’s not completely clear which would be to blame, but as wound healing (which is a closely-related issue) is affected in smokers although not in NRT users, it’s unlikely that nicotine alone is doing all the damage or even almost all of it.
Unsurprisingly, a lot of the discussion on this topic conflates nicotine with smoke, and this makes it hard to determine the amount of a part nicotine really has. There isn’t much evidence considering this in relation to e cig reviews specifically, as you’d expect, but there isn’t much associated with nicotine out from smoke at all.
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 ideal for comprehending the biological mechanisms underpinning the opportunity health effects of vaping (as well as other exposures, medicines and pretty much anything), it really is a limited form of evidence. Even though something affects a lot of cells within a culture doesn’t mean it will have the identical effect in the real body of a human.
Knowing that, the investigation on vaping and your teeth is summarized with 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 inside the gums. Aldehydes in e-cig vapour can have impacts on proteins and cause damage to DNA. Every one of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also offers 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 reason that vaping may lead to impaired healing.
But the truth is that right now, we don’t have quite definitely evidence specifically concerning vaping, and a lot of the aforementioned is ultimately speculation. It’s speculation according to mechanistic studies of how nicotine interacts with cells within your mouth, so it can’t be completely ignored, but the evidence we have now to date can’t really say an excessive amount of about what may happen to real-world vapers in reality.
However, there exists one study that considered oral health in actual-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 research, after two months and after 120 days. The vapers were separate into those who’d smoked for less than a decade (group 1) and people who’d smoked for prolonged (group 2).
At the beginning of the investigation, 85 % of group 1 experienced a plaque index score of 1, with only 15 of these without plaque by any means. For group 2, not one of the participants experienced a plaque score of , with around three-quarters scoring 2 away from 3, and all of those other participants split between lots of 1 and 3. In the end in the study, 92% of group 1 and 87 % in the longer-term smokers in group 2 had plaque lots 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 using a probe. Through 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 involving the gum-line as well as the teeth, and similar improvements were seen. At the beginning of the study, 66% of group 1 and 60% of group 2 participants showed no bleeding, but after the analysis, this had increased to 98% of group 1 and 100% of group 2.
It may simply be one study, nevertheless the message it sends is quite clear: switching to vaping from smoking appears to be an optimistic move as far as your teeth are involved.
The research considering real-world vapers’ teeth had pretty good results, but as the cell research shows, there is certainly still some likelihood of issues on the long-term. Unfortunately, adding to that study there is little we can easily do but speculate. However, we do get some extra evidence we could contact.
If nicotine is responsible for the dental issues that smokers experience – or at a minimum partially in charge of them – then we should see indications of problems in people who use nicotine without smoking. Snus – the Swedish kind of smokeless tobacco that’s essentially snuff in the mini teabag – and nicotine gums give two great causes of evidence we can easily use to look into the matter in a bit more detail.
In the whole, the evidence doesn’t often point the finger at nicotine quite definitely. One study checked out evidence covering twenty years from Sweden, with more than 1,600 participants altogether, and found that although severe gum disease was more common in smokers, snus users didn’t seem to be at increased risk in any way. There exists some indication that gum recession and reduction in tooth attachment is more common with the location the snus is held, but about the whole the likelihood of issues is more closely associated with smoking than snus use.
Although 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 provides the possible ways to affect your teeth even without nicotine, but an assessment between 78 individuals who chewed nicotine gum for 15 weeks with 79 who chewed non-nicotine gum found no difference by any means on things like plaque, gingivitis, tartar and also other dental health related outcomes. Again, smoking did increase the potential risk of tartar and gingivitis.
Overall, while there are several plausible explanations based on how nicotine could affect your dental health, evidence really doesn’t support a hyperlink. This really is very good news for almost any vapers, snus users or long term NRT users, but it ought to go without saying that avoiding smoking and looking after your teeth generally continues to be vital for your dental health.
In terms of nicotine, evidence we have up to now demonstrates that there’s little to concern yourself with, and the cell studies directly addressing vaping are difficult to draw firm conclusions from without further evidence. But these aren’t the only techniques that vaping could impact your teeth and dental health.
Something most vapers know is that vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture out of their immediate environment. That is why getting a dry mouth after vaping is absolutely common. The mouth area is near-constant exposure to PG and VG and the majority of vapers quickly get familiar with drinking more than ever before to compensate. Now you ask: accomplishes this constant dehydration pose a danger to your teeth?
There is an interesting paper about the potential link between mild dehydration and dental issues, and overall it stresses that there is not any direct proof a hyperlink. However, there are numerous indirect pieces of evidence and suggestive findings that hint at potential problems.
This largely boils down to your saliva. By literally “washing” your teeth as it moves round the mouth, containing ions that neutralise acids out of your diet, containing calcium and phosphate that can turn back negative effects of acids on the teeth and containing proteins that impact how molecules connect with your teeth, saliva is apparently a necessary 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 making dental cavities along with other issues much more likely.
The paper highlights that there a lot of variables to think about and this makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease is just not directly proved, although there is considerable circumstantial evidence to indicate that this sort of link exists.”
And here is the closest we are able to really reach an answer for this question. However, there are some interesting anecdotes in 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 having a year of exclusive vaping, highlights that dry mouth and cotton mouth are common, and this might lead to stinky breath and appears to cause problems with tooth decay. The commenter claims to practice good oral hygiene, nevertheless there’s not a way 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, using the evidence discussed above, it’s certainly plausible that vaping can result in dehydration-related problems with your teeth.
The opportunity of risk is much from certain, but it’s clear that you have some simple actions you can take to lessen your chance of oral health problems from vaping.
Stay hydrated. This is very important for virtually any vaper anyway, but because of the potential risks related to dehydration, it’s particularly important to your teeth. I keep a bottle water with me all the time, but however, you get it done, ensure you fight dry mouth with plenty fluids.
Vape less frequently with higher-nicotine juice. One idea that originally has come from Dr. Farsalinos (more broadly about lowering the risk from vaping) is vaping more infrequently with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your personal teeth, this same advice is very valid – the dehydration is related to PG and VG, therefore the a smaller amount of it you inhale, the smaller the effect 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 seems nicotine isn’t the main factor.
Pay extra focus to your teeth while keeping 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 lots of vapers maintain their teeth generally. Brush at least twice a day to minimise any risk and be on the lookout for potential issues. When you notice a difficulty, go to your dentist and obtain it sorted out.
Fortunately this really is all pretty simple, and apart from the second suggestion you’ll more likely be doing all you need to anyway. However, when you learn to notice issues or perhaps you feel ecigrreviews your teeth are getting worse, taking steps to lessen dehydration and paying extra focus to your teeth is a good idea, in addition to seeing your dentist.
While e-cig might be a lot better for the teeth than smoking, you will still find potential issues as a result of dehydration and even possibly to do with nicotine. However, it’s important to obtain a little bit of perspective before you take any drastic action, particularly with so little evidence to backup any concerns.
If you’re switching to a low-risk form of nicotine use, it’s unlikely to become due to your teeth. You might have lungs to worry about, not to mention your heart along with a lot else. The study to date mainly targets these more serious risks. So even though vaping does end up having some effect on your teeth or gums, it won’t change the point that vaping is a better idea than smoking. There are more priorities.