Bachelor of Dental Surgery, University of Nairobi, Nairobi, Kenya.
Private Practice, Chicago, Illinois, USA.
J Esthet Restor Dent. 2020 Apr;32(3):260-264. doi: 10.1111/jerd.12583. Epub 2020 Apr 3.
In this article, the potential oral health consequences of vaping are described. While most dentists are likely aware of the potential serious health effects involved with vaping, the aim of this article was to raise awareness on identified oral health consequences.
Three patients presented to one dental practice with unusual patterns of dental caries, and all three admitted to regular vaping. Vaping components include propylene glycol, glycerin, nicotine, and flavors, which contain sucrose, sucralose, and ethyl maltol. The vapor produced by vaping devices is thick and viscous and much of it is retained on oral tissues. There are over 10 000 different vaping liquids, including some that contain tetrahydrocannabinol (THC) and vitamin E acetate. Vaping clearly has the potential to negatively affect general health, periodontal health, and accelerate the development of caries. There is also evidence that teenagers are being attracted to vaping in astonishing numbers.
The general health consequences of vaping have received considerable attention in the national media. There is much to be learned about the consequences of this behavior. There are also potential serious oral health consequences to vaping. It is likely that the composition of certain vaping solutions may make them more harmful than others CLINICAL SIGNIFICANCE: It is important that dental professionals are made aware of the potential problems related to vaping. Initial reports show that the effect of e-cigarettes on periodontal tissues is similar to that of conventional cigarettes. Some vaping formulations may be highly cariogenic, especially those with sweet flavors, which are used to attract young people. Patients should be routinely questioned about their vaping habits in the medical-dental history.
本文描述了蒸气吸入对口腔健康的潜在影响。虽然大多数牙医可能都知道蒸气吸入对健康造成的潜在严重影响，但本文的目的是提高对已识别的口腔健康后果的认识。
有三位患者到一家牙科诊所就诊，他们的龋齿模式不同，且均承认经常使用蒸气吸入器。蒸气吸入器的成分包括丙二醇、甘油、尼古丁和香精，其中含有蔗糖、三氯蔗糖和乙基麦芽酚。蒸气吸入器产生的蒸气又稠又粘，其中大部分残留在口腔组织上。有超过 10000 种不同的蒸气吸入液，其中一些含有四氢大麻酚（THC）和维生素 E 醋酸盐。蒸气吸入显然有可能对整体健康、牙周健康和龋齿的发展产生负面影响。有证据表明，青少年正以惊人的数量被吸引到蒸气吸入器的使用中来。
蒸气吸入对健康的总体影响在全国性媒体上受到了相当大的关注。人们需要了解这种行为带来的后果。蒸气吸入也可能会带来严重的口腔健康问题。某些蒸气吸入液的成分可能比其他成分更有害。
牙科专业人员了解与蒸气吸入相关的潜在问题非常重要。初步报告显示，电子烟对牙周组织的影响与传统香烟相似。一些蒸气吸入液可能具有高度致龋性，尤其是那些带有甜味的配方，这些配方被用来吸引年轻人。在医疗历史记录中，患者应定期被询问有关他们蒸气吸入习惯的问题。
