Smokers possess a track record of having bad teeth. They get “nicotine stains,” people say, turning their teeth from your brilliant white in a dull yellow-brown.
Confronted with comments this way, most vapers would rightly explain that nicotine in pure form is actually colourless. It seems obvious that – much like with all the health problems – the issue for your teeth from smoking isn’t the nicotine, it’s the tar.
But they are we actually right? Recent surveys on the subject have flagged up vapor cigarettes as being a potential concern, and although they’re a long way from showing dental problems in real-world vapers, this is a sign that there could be issues in the future.
To learn the possibility perils associated with vaping to your teeth, it makes sense to learn a lttle bit about how precisely smoking causes dental health issues. While there are lots of differences in between the two – inhaling tar-laden smoke is quite different from 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 what they are in never-smokers or ex-smokers. As an example, current smokers are four times as prone to have poor dental health when compared with people who’ve never smoked, and they’re over doubly likely to have three or more oral health issues.
Smoking affects your oral health in various ways, ranging from the yellow-brown staining and foul breath it causes through to more severe dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers likewise have more tartar than non-smokers, that is a method of hardened plaque, also known as calculus.
There are more outcomes of smoking that induce problems for your teeth, too. For instance, smoking impacts your defense mechanisms and disrupts your mouth’s ability to heal itself, both of which can exacerbate other conditions brought on by smoking.
Gum disease is probably the most typical dental issues in britain and around the world, and smokers are around doubly likely to obtain it as non-smokers. It’s disease of your gums along with the bone surrounding your teeth, which after a while leads to the tissue and bone breaking down and might cause tooth loss.
It’s brought on by plaque, the term for a blend of saliva and the bacteria in your mouth. As well as creating the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, creating cavities.
If you consume food containing a great deal of sugar or starch, the bacteria process the carbohydrates it contains for energy. This procedure creates acid as a by-product. If you don’t make your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains lots of different bacteria, and some of these directly irritate your gums too.
So while one of the consequences of plaque build-up is much more relevant for gum disease, both bring about troubles with your teeth and smokers will probably suffer both consequences than non-smokers. The impact smoking has on the immunity process signify if your smoker receives a gum infection as a result of plaque build-up, their body is more unlikely to be able to fight it away. Moreover, when damage is done due to the build-up of plaque, the impact of smoking on wound healing can make it harder for your gums to heal themselves.
As time passes, should you don’t treat gum disease, spaces may start to start up between gums as well as your teeth. This concern becomes worse as a lot of tissues break down, and ultimately can result in your teeth becoming loose and even falling out.
Overall, smokers have twice the risk of periodontal disease compared to non-smokers, and also the risk is larger for people who smoke more and who smoke for prolonged. On the top of this, the issue is unlikely to react well in the event it gets treated.
For vapers, understanding the bond between smoking and gum disease invites one question: could it be the nicotine or maybe the tar in tobacco that triggers the problems? Naturally, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but can be directly to?
low levels of oxygen inside the tissues – and that could predispose your gums to infections, in addition to lowering the ability of the gums to heal themselves.
Unfortunately, it’s certainly not clear which explanation or mix of them causes the difficulties 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 probably be less severe in vapers than smokers.
The final two potential explanations relate instantly to nicotine, but you can find a few things worth noting.
For the notion that nicotine reduces blood flow and that causes the issues, there are many problems. Studies looking directly for that impact of this around the gums (here and here) are finding either no alteration of blood circulation or slight increases.
Although nicotine does create your arteries constrict, the impact smoking has on hypertension has a tendency to overcome this and blood circulation to the gums increases overall. This is basically the complete opposite of what you’d expect in case the explanation were true, as well as least implies that it isn’t the main factor at play. Vaping has a smaller amount of a positive change on blood pressure levels, though, hence the result for vapers could be different.
Another idea is that the gum tissues are obtaining less oxygen, and this is bringing about the problem. Although studies show the hypoxia due to smoking parallels how nicotine acts in your body, nicotine isn’t one and only thing in smoke that may have this effect. Deadly carbon monoxide in particular can be a component of smoke (yet not vapour) which has exactly that effect, and hydrogen cyanide is another.
It’s not completely clear which is to blame, but since wound healing (and that is a closely-related issue) is affected in smokers but not in NRT users, it’s unlikely that nicotine alone has been doing all the damage or even almost all of it.
Unsurprisingly, the vast majority of discussion on this topic conflates nicotine with smoke, and it is then hard to work through how much of a part 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 concerning nicotine out of smoke by any means.
First, there were some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the shape of cell culture studies. These are known as “in vitro” (literally “in glass”) studies, and even though they’re a good choice for understanding the biological mechanisms underpinning the possibility health outcomes of vaping (as well as other exposures, medicines and just about anything), it really is a limited kind of evidence. Even though something affects a lot of cells within a culture doesn’t mean it would have similar effect within a 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, which include cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues within the gums. Aldehydes in e-cig vapour may have impacts on proteins and cause damage to DNA. All of these effects could theoretically result in periodontal disease in vapers.
Nicotine also has the possible to cause trouble for the teeth too, although again this is dependant on cell studies and evidence from people smoking tobacco. The authors debate that vaping might lead to impaired healing.
However that currently, we don’t have very much evidence specifically concerning vaping, and far of the above is ultimately speculation. It’s speculation depending on mechanistic studies of how nicotine interacts with cells within your mouth, therefore it can’t be completely ignored, but the evidence we now have so far can’t really say a lot of regarding what will occur to real-world vapers in practice.
However, there exists one study that considered dental health in actual-world vapers, and its results were generally positive. The investigation included 110 smokers who’d switched to vaping and had their oral health examined at the beginning of the research, after 60 days and after 120 days. The vapers were split up into those who’d smoked cheaper than a decade (group 1) and people who’d smoked for prolonged (group 2).
At the outset of the research, 85 % of group 1 had a plaque index score of 1, with only 15 of them without plaque whatsoever. For group 2, none of the participants possessed a plaque score of , with around three-quarters scoring 2 out from 3, and the other participants split between scores of 1 and 3. By the end of the study, 92% of group 1 and 87 % of your 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. 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 requires a probe being inserted between the gum-line as well as the teeth, and other improvements were seen. At the start of the study, 66% of group 1 and 60% of group 2 participants showed no bleeding, but after the research, this had increased to 98% of group 1 and 100% of group 2.
It might only be one study, although the message it sends is rather clear: switching to vaping from smoking seems to be an optimistic move as far as your teeth are worried.
The analysis checking out real-world vapers’ teeth had pretty positive results, but as the cell studies show, there exists still some potential for issues over the long-term. Unfortunately, furthermore study there is little we are able to do but speculate. However, we all do incorporate some extra evidence we could call on.
If nicotine is accountable for the dental issues that smokers experience – or at least partially responsible for them – then we should see warning signs of problems in people who use nicotine without smoking. Snus – the Swedish type 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 look into the issue in a little more detail.
Around the whole, the evidence doesn’t seem to point the finger at nicotine significantly. One study checked out evidence covering 20 years from Sweden, with 1,600 participants overall, and found that while severe gum disease was more widespread in smokers, snus users didn’t appear to be at increased risk whatsoever. There may be some indication that gum recession and loss in tooth attachment is more common at the location the snus is held, but on the whole the likelihood of issues is much more closely related to smoking than snus use.
Even though this hasn’t been studied up to you may be thinking, a study in nicotine gum users provides yet more evidence that nicotine isn’t truly the issue. Chewing sugar-containing gum obviously provides the potential to affect your teeth even without nicotine, but an evaluation between 78 those 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 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 a link. This really is fantastic news for virtually any vapers, snus users or long term NRT users, nevertheless it should go without praoclaiming that avoiding smoking and seeking after your teeth generally continues to be important for your dental health.
In relation to nicotine, evidence we now have thus far shows that there’s little to worry about, and the cell studies directly addressing vaping take time and effort to draw in firm conclusions from without further evidence. Nevertheless these aren’t the sole ways in which vaping could impact your teeth and dental health.
One thing most vapers know is that vaping can dehydrate you. Both PG and VG are hygroscopic, which suggests they suck moisture out of their immediate environment. For this reason receiving a dry mouth after vaping is very common. Your mouth is at near-constant exposure to PG and VG and the majority of vapers quickly get used to drinking more than ever before to make up. Now you ask: accomplishes this constant dehydration pose a danger for the teeth?
It comes with an interesting paper in the potential link between mild dehydration and dental issues, and overall it stresses that there is not any direct proof of a link. However, there are several indirect components of evidence and suggestive findings that hint at potential issues.
This largely boils 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 turn back outcomes of acids in your teeth and containing proteins that also impact how molecules connect to your teeth, saliva looks to be a crucial factor in maintaining oral health. If dehydration – from vaping or anything else – brings about reduced saliva production, this will have a knock-on result on your teeth making dental cavities and also other issues much more likely.
The paper points out there a lot of variables to consider which makes drawing firm conclusions difficult, but 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 this is basically the closest we could really arrive at a solution to this question. However, there are a few interesting anecdotes in the comments to the post on vaping along with your teeth (though the article itself just speculates in the risk for gum disease).
One commenter, “Skwurl,” following a year of exclusive vaping, points out that dry mouth and cotton mouth are common, and this might lead to stinky breath and seems to cause complications with teeth cavities. The commenter promises to practice good dental hygiene, nevertheless there’s no 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, together with the evidence discussed above, it’s certainly plausible that vaping can cause dehydration-related difficulties with your teeth.
The potential for risk is way from certain, but it’s clear there are some simple actions you can take to lower your chance of dental health problems from vaping.
Avoid dehydration. This is important for any vaper anyway, but considering the potential risks relevant to dehydration, it’s particularly important for your teeth. I have a bottle of water with me always, but however you undertake it, be sure you fight dry mouth with plenty 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 vaping more infrequently with higher-nicotine juice is safer than vaping more with lower-nicotine juice. For your teeth, this same advice is quite valid – the dehydration is related to PG and VG, hence the a smaller amount of it you inhale, the lesser the effect will likely 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 key factor.
Pay extra awareness of your teeth and keep brushing. Although some vapers might have problems, it’s obvious that the majority of us haven’t experienced issues. The explanation with this is likely that lots of vapers care for their teeth generally. Brush at least two times each day to minimise any risk and be on the lookout for potential issues. If you see a problem, visit your dentist and acquire it dealt with.
The good thing is this is all pretty simple, and apart from the second suggestion you’ll probably be doing everything you should anyway. However, when you learn to notice issues or maybe you feel ecigrreviews your teeth are receiving worse, taking steps to reduce dehydration and paying extra focus on your teeth is advisable, as well as seeing your dentist.
While ecig might be much better for your personal teeth than smoking, you may still find potential issues as a result of dehydration and even possibly with regards to nicotine. However, it’s important to obtain a little bit of perspective before you take any drastic action, particularly with so little evidence to back up any concerns.
If you’re switching to your low-risk form of nicotine use, it’s unlikely to get because of your teeth. You possess lungs to worry about, not forgetting your heart and a lot else. The research to date mainly is focused on these more serious risks. So even when vaping does turn out having some influence on your teeth or gums, it won’t change the truth that vaping is really a better idea than smoking. There are more priorities.