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Oral, Head and Neck Pathology

Vaping and E-cigarettes

Vaping devices, or e-cigarettes, have become more popular among adolescents and adults. Despite being marketed as a safer alternative to traditional tobacco products, e-cigarettes carry their own risks, especially regarding oral health.

Chemical Composition

Vaping devices heat liquid solutions that may contain nicotine, flavorings and other chemicals. Inhaling these chemicals can have adverse effects on oral health, including inflammation and tissue damage.

Dry Mouth

Smoking e-cigarettes can cause dry mouth, which limits saliva production. Saliva is important for maintaining oral health by washing away harmful bacteria and neutralizing acids. When dry mouth occurs, the mouth becomes an environment where bacteria can easily grow, increasing the risk of tooth decay, periodontal disease and oral infections.

Gingivitis

E-cigarettes have been associated with an increased risk of gingivitis and periodontal disease. Chemicals in e-cigarette aerosols can cause inflammation and damage to gum tissue, making it more susceptible to infection. Untreated gum disease can lead to tooth loss and have extensive effects on your overall health. 

Oral Lesions and Inflammation

Vaping can cause the development of oral lesions and irritations such as canker sores, ulcers or white patches in the mouth. These lesions can be painful and may require medical intervention for proper diagnosis and treatment.

Delayed Wound Healing

Nicotine, a common ingredient in e-cigarettes, can interfere with the body’s ability to heal. This interference can affect oral health, especially after dental procedures and oral surgery. Delayed wound healing can increase the risk of infection and complications. 

Increased Risk of Oral Cancer

Although more research is needed to establish a direct relationship between e-cigarettes and oral cancer, some studies suggest e-cigarette use may increase the risk of developing oral cancer. Chemicals in e-cigarettes can cause genetic damage to cells in the mouth, leading to the development of cancer cells.

Secondhand Vaping

Exposure to chemicals released into the air by e-cigarettes can irritate the oral tissues of other people nearby and cause similar oral health problems.
The long-term effects of vaping on oral health are still being studied, but potential risks and associations with oral disease and cancer are of concern. 

Risks of Marijuana

Some vapes contain marijuana concentrates instead of nicotine. Marijuana also has adverse effects on oral health, especially when used prior to oral and maxillofacial surgery. Daily long-term marijuana users may develop hyperemesis, a condition that leads to repeated, severe bouts of vomiting. Additionally, cannabinoids are known to reduce salivation, a key to oral health and recovery after surgery.

Utilizing marijuana before surgery can increase the risk of complications under anesthesia. It is always best to discuss your marijuana use with your oral and maxillofacial surgeon (OMS).

If you currently use e-cigarettes and are concerned about their effect on your oral health, an OMS can provide personalized advice, support and resources to help you quit vaping and improve your oral health.

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Last updated July 2024

The information provided here is not intended as a substitute for professional medical or dental advice, diagnosis, or treatment. It is provided to help you communicate effectively when you seek the advice of your oral and maxillofacial surgeon. Photos and videos are for illustration purposes only and are not indicative to what a patient may experience.