Vaping vs smoking: Is one less harmful to oral health? Here’s the truth

Book Appointment

Smokers diagnosed with periodontitis may consider vaping a ‘healthier’ alternative.

Spoiler alert: the science is showing that vaping isn’t a safer or healthier alternative to cigarette smoking.

In this post we’ll explore the impact of smoking vs vaping on periodontal health and treatment. Considering vaping as an alternative to smoking? Keep reading to find out why it’s not a less harmful option.

What is vaping?

Vaping refers to the use of an electronic device (e-cigarette) to inhale vapour. There are different vaping devices on the market, all of which have the same basic features. They contain a battery, sensor, atomiser, and cartridge. The cartridge houses the substance/flavour (referred to as e-liquid or e-juice).

The substances vaped (inhaled and exhaled) usually contain nicotine, flavouring and other chemicals. The atomiser heats the e-liquid, converting it into aerosol. The aerosol mist is inhaled into the lungs where the nicotine and chemicals pass into the bloodstream.

Vaping vs smoking: Why it’s NOT a safer option

We are still learning about the long-term health effects of vaping devices. Yet, studies to date suggest they are by no means safe. Vaping can put you at risk of:

Nicotine dependency

While traditional cigarettes contain nicotine from tobacco plants, most vapes use synthetic nicotine. Despite the source and strength of nicotine, the repeated use of nicotine vaping products can lead to addiction. Some vapes contain up to 50mg of nicotine which is equal to around 50 cigarettes. This highlights the hidden risks of vaping on health and nicotine dependency.

By choosing nicotine-free vapes, some people believe they avoid the health risks associated with traditional tobacco smoking. Yet, even vapes labelled ‘nicotine-free’ can contain harmful substances. In fact, an Australian study found that six out of 10 ‘nicotine-free’ vapes contain nicotine. 

Chemical exposure

Of particular interest is the research into the effects of vaping on the oral microbiome. Many of the ingredients in vaping products can have detrimental effects on periodontal health. 

The table below shows the common ingredients in vape liquid and the proposed risk to the supporting structure of the tooth (periodontium) and oral health.

Ingredient Impact on oral health
Propylene glycol Toxic to enamel and soft tissue. Draws moisture from oral tissue, which can cause dry mouth.
Glycerine Promotes the growth of plaque and harmful bacteria.
Flavourings Make it easier for bacteria to stick to the pits and fissures. These ingredients can be toxic, causing inflammation and tissue damage.
Nicotine A vasoconstrictor that causes a
reduction in the inflammatory response. Can interfere with cell immune function. Addictive.

Young lady vaping outdoors.
We are still learning about the long-term health effects of vaping devices. Yet, studies to date suggest they are by no means safe. Vaping can put you at risk of Nicotine dependency and Chemical exposure

Periodontal disease

Studies show that e-cigarettes may play a part in the initiation and progression of periodontitis. Vaping can change the oral microflora and alter the body’s immune response. These mechanisms can have a negative effect on periodontal health.

Furthermore, a study exploring the link between e-cigarette use and non-surgical periodontal therapy found that e-cigarette users had a poorer response to treatment compared to non-smokers. 

Beyond oral health

Vaping devices produce several harmful chemicals. This includes acetaldehyde, acrolein, mercury, lead, and formaldehyde. These have been linked to cancer, irreversible lung damage, fertility problems, and heart disease. 

Studies have found that the ultra-fine particles produced by vapes can deposit in the airways, causing heightened inflammation, scarring and DNA damage. This can lower the body’s natural immunity and response to infection. 

Final thought…

Emerging evidence shows that vaping is equally as bad as smoking traditional cigarettes. 

Given that vaping is a relatively new phenomenon, there may be other long-term health effects that are as yet unknown. 

Rather than replacing one addiction with another, attempting to quit smoking is the best option. Stopping smoking can improve oral microflora and periodontal health. A recommended method of reducing nicotine dependence and maximising the chances of successful long-term cessation is to combine behavioural support along with pharmacotherapy.

Whether you smoke or not, if you have a diagnosis of gum disease, it’s important to restore your oral health. A periodontist is the gum disease specialist you need on your side. Contact our team for advice on all your options to get on top of your gum disease.

Gum disease doesn’t have to mean tooth loss.

We have extensive experience in gum disease and can talk you through ALL your options. Get the outcome you deserve.

Book an appointment

Next article

Pondering “Can gum disease kill you”? Here’s what we know about the risks of gum disease and mortality

Read