The hidden dangers of e-cigarettes on oral health in conjunction with dental implants: A narrative review

Abstract

The use of electronic cigarettes (e-cigarettes) has gained significant popularity in recent years, apparently as a safer alternative to conventional tobacco smoking. However, emerging evidence suggests potential adverse effects on oral health and dental implant outcomes. This review aims to explore the intricate interplay between e-cigarette usage, oral health, and dental implant success. The search strategy utilized pubmed.gov to identify articles pertinent to the mechanisms underlying the impact of e-cigarettes on osseointegration, peri-implant tissue health, and inflammatory responses within the oral environment. Studies reveal that e-cigarette aerosols contain various harmful compounds that may disrupt the delicate balance required for optimal dental implant integration. Furthermore, investigations into the immunomodulatory effects of e-cigarettes highlight their potential to exacerbate inflammatory responses, posing challenges to successful osseointegration. Despite some conflicting findings, evidence suggests an association between e-cigarette use and increased risk of peri-implant diseases and compromised healing processes. Additionally, comparisons with traditional cigarette smoking underscore the need for further research to elucidate the unique risks posed by e-cigarettes in the context of dental implantology. Understanding the multifaceted impact of e-cigarettes on oral health and dental implants is imperative for clinicians to make informed decisions and tailor treatment strategies accordingly. Future research directions should focus on longitudinal studies and mechanistic investigations to unravel the hidden dangers of e-cigarettes and optimize dental implant outcomes in e-cigarette users.