Camoni, Nicole; Conti, Giulio; Esteves-Oliveira, Marcella; Saads Carvalho, Thiago; Roccuzzo, Andrea; Cagetti, Maria Grazia; Campus, Guglielmo (2023). Electronic Cigarettes, Heated Tobacco Products, and Oral Health: A Systematic Review and Meta- Analysis. Applied Sciences, 13(17) MDPI 10.3390/app13179654
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Smokers employing electronic nicotine delivery systems (ENDS) and heated tobacco
products (HTP) are currently the most common types of smoking patients seen in the dental practice.
Both types of smoking are currently viewed as less harmful than cigarette smoking. However, many
studies already indicate that they could harm oral health. This systematic review and meta-analysis
aimed to collect a comprehensive overview of the actual knowledge regarding ENDS and HTP from
a clinical and a laboratory perspective. Publications available through PubMed, Embase, the Web
of Science, Scopus, and Google Scholar were used to summarize the effects of ENDS and HTP on
oral health. Six surveys on self-perceived gum disease (T2 = 9.47 I2 = 99.32%), three cross-sectional
studies reporting the BOP score (T2 = 8.68 I2 = 99.13%), and four in vitro studies on apoptosis after
vaping exposure in human oral fibroblasts (T 2 = 8.10 I2 = 91.50%) were separately analyzed. The
risk of bias ranged from critical to low. Both ENDS and HTP seem to have detrimental effects on
periodontal and peri-implant parameters, and laboratory tests confirmed the presence of carcinogenic
and inflammatory biomarkers. flavored e-liquids may also be a caries risk factor. Comprehensive
smoking counseling should be carried out with all types of smoking patients, investigating the type
of habit in terms of duration, nicotine percentage, and additional flavorings. Additional research is
necessary to assess the long-term effects of alternative tobacco products on oral health.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry 04 Faculty of Medicine > School of Dental Medicine 04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology |
UniBE Contributor: |
Camoni, Nicole, Esteves Oliveira, Marcella, Saads Carvalho, Thiago, Roccuzzo, Andrea, Campus, Guglielmo Giuseppe |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2076-3417 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Beatrix Margrit Stalder |
Date Deposited: |
26 Apr 2024 08:15 |
Last Modified: |
26 Apr 2024 08:15 |
Publisher DOI: |
10.3390/app13179654 |
BORIS DOI: |
10.48350/196257 |
URI: |
https://boris.unibe.ch/id/eprint/196257 |
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