What should every dental health professional know about electronic cigarettes?

Briggs, Kathryn; Bell, Christopher; Breik, Omar

doi:10.1111/adj.12818

Cited by 12 publications

(14 citation statements)

References 76 publications

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“…The largest volume of primary literature on the effects of e‐cigs on the upper aerodigestive tract is in relation to oral and dental health. 26 , 27 , 28 , 29 , 166 , 167 , 168 , 169 As expected, e‐cigs do not appear to be as harmful as conventional cigarette smoke in cell and animal models. 170 , 171 Nevertheless, numerous studies have demonstrated biological disruption as a result of even brief e‐cig exposure.…”

Section: Discussionsupporting

confidence: 71%

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

2023

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Objective The use and effects of electronic (e)‐cigarettes (e‐cigs) are particularly relevant for otolaryngology providers as tobacco plays a major role in benign and malignant diseases of the upper aerodigestive tract. This review aims to (1) summarize the recent policies regarding e‐cigs and important patterns of use and (2) serve as a comprehensive resource for clinical providers on the known biologic and clinical effects of e‐cigs on the upper aerodigestive tract. Data Sources PubMed/MEDLINE. Review Methods We conducted a narrative review on (1) general information on e‐cig use and informative findings in the lower respiratory system and a comprehensive review on (2) the effects of e‐cigs on cell and animal models and the clinical implications of these products on human health as is relevant to otolaryngology. Conclusions Although e‐cigs are likely less harmful than conventional cigarettes, preliminary research on e‐cigs suggest several deleterious effects including in the upper aerodigestive tract. Due to this, there has been increased interest in restricting e‐cig usage, particularly among the adolescent population, and caution in recommending e‐cigs to current smokers. Implications for Practice Chronic e‐cig use is likely to have clinical implications. It is critical for otolaryngology providers to be aware of the rapidly changing regulations and use patterns regarding e‐cigs and how e‐cigs influence human health, particularly with regards to the upper aerodigestive tract, to accurately council patients regarding potential risks and benefits of use.

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Section: Discussionsupporting

confidence: 71%

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

2023

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“…Driven by the critical importance of having a high level of knowledge on E-cigarettes, Briggs et al, after surveying dental professionals, dental associations, and regulatory authorities, presented updated information about E-cigarettes, its harmful effects, counseling advice, and proposed regulations [ 42 ]. The internet, represented mostly by social media, is unsurprisingly the main source of information about many daily matters, including E-cigarettes (33%), while dental schools paradoxically do not contribute more than 10%.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, beliefs, attitude, and practices of E-cigarette use among dental students: A multinational survey

Alhajj

Al‐Maweri²,

Foláyan³

et al. 2022

PLoS ONE

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Background E-cigarette use is a trend worldwide nowadays with mounting evidence on associated morbidities and mortality. Dentists can modify the smoking behaviors of their patients. This study aimed to explore the knowledge, beliefs, attitude, and practice of E-cigarette use among dental students. Materials and methods This multinational, cross-sectional, questionnaire-based study recruited undergraduate dental students from 20 dental schools in 11 countries. The outcome variable was current smoking status (non-smoker, E-cigarette user only, tobacco cigarette smoker only, dual user). The explanatory variables were country of residence, sex, age, marital status, and educational level. Multiple linear regression analysis was performed to explore the explanatory variables associated with E-cigarette smoking. Results Of the 5697 study participants, 5156 (90.8%) had heard about E-cigarette, and social media was the most reported source of information for 33.2% of the participants. For the 5676 current users of E-cigarette and/or tobacco smoking, 4.5% use E-cigarette, and 4.6% were dual users. There were significant associations between knowledge and country (P< 0.05), educational level (B = 0.12; 95% CI: 0.02, 0.21; P = 0.016) and smoking status (P< 0.05). The country of residence (P< 0.05) and smoking status (P< 0.05) were the only statistically significant factors associated with current smoking status. Similarly, there were statistically significant associations between attitude and country (P< 0.05 for one country only compared to the reference) and history of previous E-cigarette exposure (B = -0.52; 95% CI: -0.91, -0.13; P = 0.009). Also, the practice of E-cigarettes was significantly associated with country (P< 0.05 for two countries only compared to the reference) and gender (B = -0.33; 95% CI: -0.52, -0.13; P = 0.001). Conclusion The knowledge of dental students about E-cigarette was unsatisfactory, yet their beliefs and attitudes were acceptable. Topics about E-cigarette should be implemented in the dental curriculum.

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“…Como já mencionado, a exposição das células do epitélio oral ao vapor de cigarro eletrônico aumenta o estresse oxidativo e a liberação de citocinas pró-inflamatórias. Dessa maneira, estes eventos ocasionam efeitos na boca e na garganta, aumentando a probabilidade de câncer oral, sendo eles: xerostomia, secura, irritação, sensibilidade, queimação, lesões na mucosa oral, queimadura, estomatite nicotínica, língua pilosa, ardor, mau hálito, língua escurecida, quelite, atraso de cicatrização e hematoma labial, além de leucoplasia e carcinoma de células escamosas (Briggs;Bell;Breik, 2021;Ebersole, 2020, Lima Menezes Et al., 2021, Sultan Et al., 2021Yang;Sandeep;Rodriguez, 2020).…”

Section: Resultsunclassified

“…Outro ponto é que o uso excessivo dos cigarros eletrônicos implica de forma negativa na estética e anatomia dental, gerando dentes rachados, descoloração do esmalte, alteração na luminosidade e translucidez deste, dor, sensibilidade e presença de abcesso. Outrossim, os autores também apontam relatos de incidentes de lesões, traumas e avulsões ocasionadas por superaquecimento, incêndio e explosões de cigarros eletrônicos, induzindo queimaduras labiais, indução crônica de câncer nasossinusal e pulmonar (Briggs;Bell;Breik, 2021;Javed Et al., 2017;Roubahia, 2020;Vohra Et al., 2020;Yang;Sandeep;Rodriguez, 2020).…”

Section: Resultsunclassified

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Efeitos do uso de cigarros eletrônicos na saúde bucal: revisão de literatura

Silva

Coelho

Brito

et al. 2022

RSD

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Os cigarros eletrônicos são dispositivos capazes de produzir aerossóis através do aquecimento de um líquido que pode ou não apresentar nicotina. Deste modo, esta revisão de literatura tem como objetivo apontar os efeitos causados pelos cigarros eletrônicos na saúde bucal e analisar os principais prejuízos causados pelo consumo excessivo deste dispositivo à saúde bucal, identificando seus malefícios e sua relação com o desenvolvimento de patologias orais, como xerostomia, irritação, sensibilidade, queimação, queimadura, estomatite nicotínica, língua pilosa, mau hálito, queilite, atraso de cicatrização, além de leucoplasia e carcinoma de células escamosas. Abordando desde sua toxicidade até lesões por trauma. Percebe-se que a longo prazo, o uso dos dispositivos eletrônicos pode causar doenças periodontais, cárie dentária e infecções bucais, podendo assim, prejudicar a funcionalidade e a estética do sistema estomatognático. Por esta razão, é essencial o acompanhamento do cirurgião-dentista nas orientações de cuidados e prevenções que os possíveis danos que o cigarro eletrônico causa ao meio bucal.

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What should every dental health professional know about electronic cigarettes?

Cited by 12 publications

References 76 publications

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

Knowledge, beliefs, attitude, and practices of E-cigarette use among dental students: A multinational survey

Efeitos do uso de cigarros eletrônicos na saúde bucal: revisão de literatura

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