The Use of Electronic Cigarettes and the Occurrence of Dental Caries in Young People
PDF (Português (Brasil))

Keywords

Oral Health
Dental Caries
Electronic Nicotine Delivery Systems

How to Cite

França, R. R. F., Moura Chaves, M. F. de, Fernandes, G. M. A., Queiroz , S. M. de, Torres, P. G. B. B., Cruz , G. T. R., Sousa , L. T. F. de, Araújo, S. L. P., Silva, L. V. A. da, Barbosa, R. V. M., Silva, K. M. das N., & Costa, M. M. de A. (2025). The Use of Electronic Cigarettes and the Occurrence of Dental Caries in Young People. Brazilian Journal of Implantology and Health Sciences, 7(8), 1084–1099. https://doi.org/10.36557/2674-8169.2025v7n8p1084-1099

Abstract

Introduction: Electronic cigarettes (ECs), which emerged in the 2000s, have gained popularity among young people due to their variety of flavors and the perception of lower health risks. However, their use may promote the growth of bacteria such as Streptococcus mutans, which are associated with dental caries. While there are concerns about irritations and oral cancer, the connection between ECs and caries remains underexplored. Objective: This study aims to discuss the relationship between dental caries and the use of electronic cigarettes among young people, analyzing how this practice may contribute to the occurrence of this chronic disease. Methodology: This is an integrative literature review addressing the relationship between dental caries and the use of electronic cigarettes by youth. Searches were conducted in PUBMED using the following descriptors: “Electronic Nicotine Delivery Systems” AND “Oral Health” AND “Dental Caries” in English and Portuguese, resulting in 317 studies. After applying inclusion and exclusion criteria, 10 studies were selected for analysis, encompassing various methodologies, including experimental studies, in vivo studies, and case reports. Results: The analysis of the 10 studies revealed that the majority (60%) were laboratory experimental studies. These studies indicate that nicotine and components of e-liquids increase the adhesion of S. mutans, favoring the development of caries. The chemical substances in electronic cigarettes may alter the oral microbiota and generate acids harmful to enamel. The review highlights the need for a deeper understanding of the risks posed by electronic cigarettes to oral health, particularly among young people. Conclusion: The use of electronic cigarettes may increase the risk of dental caries by promoting thick, cariogenic biofilms, altering the oral microbiota, and causing chemical damage to dental enamel. However, the current evidence is not conclusive, and long-term studies with better control of variables are needed.

https://doi.org/10.36557/2674-8169.2025v7n8p1084-1099
PDF (Português (Brasil))

References

BATISTA, Thálison Ramon de Moura; VASCONCELOS, Marcelo Gadelha; VASCONCELOS, Rodrigo Gadelha. Fisiopatologia da cárie dentária: entendendo o processo carioso. Rev. Salusvita (Online), p. 169-187, 2020.

CATALA-VALENTIN, Alma et al. E-cigarette aerosol exposure favors the growth and colonization of oral Streptococcus mutans compared to commensal streptococci. Microbiology spectrum, v. 10, n. 2, p. e02421-21, 2022.

DE OLIVEIRA JUNIOR, Julio Cezar et al. Malefícios do uso do cigarro eletrônico para a cavidade oral e para a saúde sistêmica-Revisão Integrativa de Literatura. Revista de Medicina, v. 102, n. 4, 2023.

DE SOUZA, Gabriel Alves; DE ALMEIDA, Híttalo Carlos Rodrigues. Os impactos dos cigarros eletrônicos na saúde bucal: revisão de literatura. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 3, p. 2373-2389, 2024.

FISCHMAN, Jacob S. et al. Flavorless vs. flavored electronic cigarette-generated aerosol and e-liquid on the growth of common oral commensal streptococci. Frontiers in physiology, v. 11, p. 585416, 2020.

GHAZALI, Aini Fatimah; ISMAIL, Ahmad Faisal; DAUD, Azlina. Caries experience among cigarette and e-cigarette users: a 6-month prospective study. Journal of Pharmaceutical Sciences and Research, v. 11, n. 7, p. 2566-2569, 2019.

GOEDERT, Gabriel Ribeiro et al. Cigarro Eletrônico Entre os Jovens: Consumo, Influência Midiática e Políticas Públicas: Projeto Comunitário de Extensão Universitária. Revista InterAção, v. 4, n. 2-2022, 2022.

HUANG, R.; LI, M.; GREGORY, Richard L. Nicotine promotes Streptococcus mutans extracellular polysaccharide synthesis, cell aggregation and overall lactate dehydrogenase activity. Archives of Oral Biology, v. 60, n. 8, p. 1083-1090, 2015.

IRUSA, Karina F. et al. A comparison of the caries risk between patients who use vapes or electronic cigarettes and those who do not: A cross-sectional study. The Journal of the American Dental Association, v. 153, n. 12, p. 1179-1183, 2022.

IRUSA, Karina F.; VENCE, Brian; DONOVAN, Terry. Potential oral health effects of e‐cigarettes and vaping: A review and case reports. Journal of Esthetic and Restorative Dentistry, v. 32, n. 3, p. 260-264, 2020

KIM, Shin Ae et al. Cariogenic potential of sweet flavors in electronic-cigarette liquids. PloS one, v. 13, n. 9, p. e0203717, 2018.

LIU, Shiyu et al. Nicotine is a risk factor for dental caries: an in vivo study. Journal of dental sciences, v. 13, n. 1, p. 30-36, 2018.

NOLÊTO, Francisca Karina Pereira et al. Dispositivos eletrônicos de fumar: alterações causadas na cavidade oral. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 8, n. 10, p. 643-652, 2022.

ROUABHIA, Mahmoud; SEMLALI, Abdelhabib. Electronic cigarette vapor increases Streptococcus mutans growth, adhesion, biofilm formation, and expression of the biofilm‐associated genes. Oral diseases, v. 27, n. 3, p. 639-647, 2021.

SOUSA, Samuel Campos et al. Associação entre o uso de cigarros eletrônicos e o desenvolvimento de lesões cariosas. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 9, n. 11, p. 1982-1991, 2023.

XU, Christina P.; PALAZZOLO, Dominic L.; CUADRA, Giancarlo A. Mechanistic effects of E-liquids on biofilm formation and growth of oral commensal streptococcal communities: effect of flavoring agents. Dentistry Journal, v. 10, n. 5, p. 85, 2022.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Raquel Rosa Figueiredo França, Marcos Felipe de Moura Chaves Moura Chaves, Giselly Maria Alvarenga Fernandes, Stefane Martins de Queiroz , Pabblo Gabriel Bezerra Bandeira Torres, Geovana Thais Ribeiro Cruz , Lucas Thiago Ferreira de Sousa , Sarah Letícia Pereira Araújo, Lucas Vinicius Albuquerque da Silva, Rudyan Victor Macêdo Barbosa, Kariny Maria das Neves Silva, Morgana Marielle de Almeida Costa

Downloads

Download data is not yet available.
1 1