Smokers have a reputation for having bad teeth. They get “nicotine stains,” people say, turning their teeth coming from a brilliant white in a dull yellow-brown.
Confronted with comments similar to this, most vapers would rightly point out that nicotine in pure form is in fact colourless. It seems like obvious that – similar to with all the health threats – the problem for your personal teeth from smoking isn’t the nicotine, it’s the tar.
But they are we actually right? Recent reports on the subject have flagged up vapor cigs like a potential concern, and although they’re quite a distance from showing dental problems in actual-world vapers, this is a sign that there may be issues later on.
To comprehend the opportunity perils associated with vaping for your teeth, it seems sensible to understand a little regarding how smoking causes dental health issues. While there are lots of 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 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 in comparison to people who’ve never smoked, and they’re over two times as very 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 foul breath it causes right through to more serious dental health issues like gum disease (technically called periodontal disease) and oral cancer. Smokers have more tartar than non-smokers, that is a form of hardened plaque, otherwise known as calculus.
There are more negative effects of smoking that induce difficulties for your teeth, too. For example, smoking impacts your immune system and disrupts your mouth’s power to heal itself, both of which can exacerbate other difficulties brought on by smoking.
Gum disease is one of the most typical dental issues in britain and round the world, and smokers are around twice as likely to get it as non-smokers. It’s an infection from the gums and the bone surrounding your teeth, which with time results in the tissue and bone wearing down and may cause tooth loss.
It’s a result of plaque, the reputation for a blend of saliva as well as the bacteria in your mouth. And also creating the gum irritation and inflammation that characterises gum disease, plaque also directly impacts your teeth, creating teeth cavities.
When you consume food containing a lot of sugar or starch, the bacteria process the carbohydrates it includes for energy. This procedure creates acid as a by-product. When you don’t maintain your teeth clean, this acid eventually impacts your tooth’s surface and results in decay. But plaque contains lots of different bacteria, and many of these directly irritate your gums too.
So while among the consequences of plaque build-up is a lot more relevant for gum disease, both cause difficulties with your teeth and smokers will probably suffer both consequences than non-smokers. The effects smoking has in your defense mechanisms suggest that if a smoker receives a gum infection as a result of plaque build-up, his / her body is not as likely to be able to fight it off. Additionally, when damage is completed because of the build-up of plaque, the impact of smoking on wound healing makes it more challenging to your gums to heal themselves.
With time, when you don’t treat gum disease, spaces can start to start up involving the gums as well as your teeth. This problem worsens as a lot of the tissues break up, and eventually can cause your teeth becoming loose or even falling out.
Overall, smokers have twice the danger of periodontal disease in comparison to non-smokers, along with the risk is bigger for people who smoke more and who smoke for longer. Along with this, the thing is unlikely to react well if it gets treated.
For vapers, learning about the connection between smoking and gum disease invites one question: will it be the nicotine or maybe the tar in tobacco that triggers the down sides? Needless to say, as vapers we’d be inclined to blame the smoke and tar rather than nicotine, but could be straight to?
low levels of oxygen in the tissues – and this could predispose your gums to infections, along with decreasing the ability of your gums to heal themselves.
Unfortunately, it’s not really clear which explanation or mix of them is bringing about the issues for smokers. For vaping, though, there are actually 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 right to nicotine, but you will find 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 the impact of the around the gums (here and here) have realized either no alteration of blood flow 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 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 shows that it isn’t the most important factor at play. Vaping has a smaller amount of a direct impact on blood pressure level, though, hence the result for vapers could possibly be different.
Other idea would be that the gum tissues are obtaining less oxygen, which is causing the issue. Although studies have shown how the hypoxia brought on by smoking parallels how nicotine acts in your body, nicotine isn’t the only thing in smoke that may have this effect. Carbon monoxide particularly is actually a component of smoke (yet not vapour) which has just that effect, and hydrogen cyanide is another.
It’s not completely clear which would be to blame, but because wound healing (that is a closely-related issue) is affected in smokers although not in NRT users, it’s unlikely that nicotine alone has been doing each of the damage as well as the majority of it.
Unsurprisingly, the vast majority of discussion of the topic conflates nicotine with smoke, and this will make it hard to determine the amount of a role 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 out of smoke in any way.
First, there have been some studies looking specifically at how vaping affects the teeth. However, these reports have mainly taken the sort of cell culture studies. These are referred to as “in vitro” (literally “in glass”) studies, and while they’re useful for understanding the biological mechanisms underpinning the potential health effects of vaping (as well as other exposures, medicines and just about anything), it is a limited method of evidence. Simply because something affects a number of cells within a culture doesn’t mean it will have a similar effect in a real body.
With 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, which includes cell culture studies showing that e-liquids have harmful effects on ligament cells and connective tissues in the gums. Aldehydes in e-cig vapour can have impacts on proteins and cause damage to DNA. Many of these effects could theoretically lead to periodontal disease in vapers.
Nicotine also provides the opportunity to result in difficulties for the teeth too, although again this is based on cell studies and evidence from people smoking tobacco. The authors argue that vaping might lead to impaired healing.
But the truth is that at the moment, we don’t have significantly evidence specifically concerning vaping, and far of the above is ultimately speculation. It’s speculation depending on mechanistic studies of methods nicotine interacts with cells within your mouth, thus it can’t be completely ignored, however the evidence we now have so far can’t really say excessive regarding what may happen to real-world vapers in reality.
However, there is certainly one study that checked out dental health in actual-world vapers, as well as its results were generally positive. The study included 110 smokers who’d switched to vaping along with their dental health examined at the start of the research, after 60 days and after 120 days. The vapers were separate into those who’d smoked cheaper than 10 years (group 1) and others who’d smoked for much longer (group 2).
At the outset of the research, 85 % of group 1 possessed a plaque index score of 1, with only 15 of these having no plaque in any way. For group 2, not one of the participants enjoyed a plaque score of , with around three-quarters scoring 2 out from 3, and all of those other participants split between scores of 1 and three. By the end of your 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 research, 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 your gum-line and the teeth, and similar improvements were seen. At the beginning of the analysis, 66% of group 1 and 60% of group 2 participants showed no bleeding, but following the analysis, this had increased to 98% of group 1 and 100% of group 2.
It may simply be one study, however the message it sends is pretty clear: switching to vaping from smoking looks to be a good move with regards to your teeth are worried.
The analysis considering real-world vapers’ teeth had pretty good results, but as being the cell studies show, there is still some potential for issues over the long term. Unfortunately, aside from that study there is little we are able to do but speculate. However, we all do get some extra evidence we can turn to.
If nicotine is mainly responsible for the dental issues that smokers experience – or at least partially responsible for them – then we should see signs of problems in individuals that use nicotine without smoking. Snus – the Swedish kind of smokeless tobacco that’s essentially snuff within a mini teabag – and nicotine gums give two great resources for evidence we can easily use to research the matter in much more detail.
About the whole, evidence doesn’t manage to point the finger at nicotine very much. One study considered evidence covering 2 decades from Sweden, with over 1,600 participants as a whole, and found that although severe gum disease was more usual in smokers, snus users didn’t are most often at increased risk whatsoever. There is some indication that gum recession and loss in tooth attachment is much more common at the location the snus is held, but about the whole the likelihood of issues is a lot more closely relevant to smoking than snus use.
Even if this hasn’t been studied just as much as you might think, a report in nicotine gum users provides yet more evidence that nicotine isn’t actually the issue. Chewing sugar-containing gum obviously has got the possibility to affect your teeth even without nicotine, but a comparison between 78 people that 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 also other oral health related outcomes. Again, smoking did increase the potential risk of tartar and gingivitis.
Overall, while there are several plausible explanations for how nicotine could affect your dental health, the evidence really doesn’t support a web link. This can be good news for almost any vapers, snus users or long term NRT users, however it should go without saying that avoiding smoking and searching after your teeth on the whole remains necessary for your dental health.
With regards to nicotine, evidence we have so far demonstrates that there’s little to concern yourself with, and also the cell studies directly addressing vaping are hard to draw in firm conclusions from without further evidence. But these aren’t the only real methods vaping could impact your teeth and oral health.
One important thing most vapers know is vaping can dehydrate you. Both PG and VG are hygroscopic, meaning they suck moisture out of their immediate environment. This is why acquiring a dry mouth after vaping is absolutely common. Your mouth is at near-constant exposure to PG and VG and many vapers quickly get used to drinking more than ever before to make up. Now you ask ,: can this constant dehydration pose a danger for the teeth?
It comes with an interesting paper around the potential link between mild dehydration and dental issues, and overall it stresses that there is absolutely no direct proof a web link. However, there are many indirect bits of evidence and suggestive findings that hint at potential problems.
This largely relies on your saliva. By literally “washing” your teeth since it moves across the mouth, containing ions that neutralise acids from your diet, containing calcium and phosphate that could reverse the negative effects of acids on your own teeth and containing proteins which impact how molecules connect to your teeth, saliva appears to be an essential factor in maintaining dental health. If dehydration – from vaping or another type – results in reduced saliva production, this could have a knock-on influence on your teeth and make dental cavities and also other issues very likely.
The paper points out there a lot of variables to take into account and also this makes drawing firm conclusions difficult, nevertheless the authors write:
“The link between dehydration and dental disease is not directly proved, although there is considerable circumstantial evidence to indicate that this sort of link exists.”
And this is basically the closest we could really be able to a response to this particular question. However, there are many interesting anecdotes inside the comments for this post on vaping as well as your teeth (even though the article itself just speculates about the risk for gum disease).
One commenter, “Skwurl,” after having a year of exclusive vaping, indicates that dry mouth and cotton mouth are typical, and this may lead to bad breath and generally seems to cause issues with teeth cavities. The commenter states practice good dental hygiene, but of course there’s absolutely no way of knowing this, nor what her or his teeth were like before switching to vaping.
However, this isn’t the only real story inside 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 problems with your teeth.
The potential of risk is way from certain, but it’s clear that there are some simple things you can do to reduce your probability of dental health problems from vaping.
Avoid dehydration. This is very important for almost any vaper anyway, but due to the potential risks related to dehydration, it’s especially vital for the teeth. I keep a bottle of water with me all the time, but however you do it, be sure to fight dry mouth with lots of fluids.
Vape less frequently with higher-nicotine juice. One concept that originally originated 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 your teeth, this same advice is very valid – the dehydration is related to PG and VG, and so the a smaller amount of it you inhale, small the outcome is going to be. Technically, if the theories about nicotine’s role in gum disease are true, boosting your intake wouldn’t be ideal, but overall it appears to be nicotine isn’t the important factor.
Pay extra awareness of your teeth while keeping brushing. Even though some vapers could have problems, it’s obvious that many of us haven’t experienced issues. The explanation for this is likely that many vapers take care of their teeth generally. Brush at least twice per day to minimise any risk and keep an eye out for potential issues. When you notice a difficulty, go to your dentist and get it taken care of.
The great thing is this is all quite simple, and in addition to the second suggestion you’ll most likely be doing everything you need to anyway. However, should you begin to notice issues or maybe you feel ecigrreviews your teeth are getting worse, taking steps to lessen dehydration and paying extra focus on your teeth is advisable, along with seeing your dentist.
While e-cigs might be significantly better for your personal teeth than smoking, you can still find potential issues on account of dehydration and in many cases possibly concerning nicotine. However, it’s important to obtain a little bit of perspective prior to taking any drastic action, particularly with so little evidence to back any concerns.
If you’re switching into a low-risk type of nicotine use, it’s unlikely to be from your teeth. You may have lungs to think about, not to mention your heart along with a lot else. The study to date mainly targets these more serious risks. So regardless of whether vaping does find yourself having some effect on your teeth or gums, it won’t change the fact that vaping can be a better idea than smoking. There are other priorities.