Assessment of University Students’ Perceptions Regarding the Effect of E-cigarettes on Oral health
DOI:
https://doi.org/10.60988/p.v37i4.122Keywords:
electronic cigarettes, vaping, oral health, dental health, university students, health knowledge, periodontal disease, health educationAbstract
Background: Electronic cigarettes (e-cigarettes) have become popular among university students, perhaps their potential negative impacts on orodental health remained underestimated by this demographic. Objective: We aimed to assess the knowledge of university students concerning the impacts of e-cigarettes on orodental health, and to investigate factors associated with knowledge deficits in this population. Methods: A cross-sectional online survey was conducted among undergraduate and graduate students aged 18-30 years at University of Mosul. Participants completed a structured Google form questionnaire about their knowledge of e-cigarette components. The Google form, included questions about periodontal complications, oral cancer risk, wound healing, and tooth enamel integrity. Demographic data and smoking history were also collected. Results: A total of 392 students participated in the present study. The respondent were highly positive linking e-cigarettes with stained teeth deficits, such as, (73%), bad breath (66%), dental decay (60%), enamel discoloration (67%), and 68% reported links to mouth irritation, dry mouth, and ulcers. Over half of responder (57%) approved that e-cigarettes change the oral microbiome, and 71% connected them to plaque accumulation. Participant positively linked e-cigarettes to serious illness, including heart disease (72%), lung cancer (80%), and oral cavity cancers (55%). Conclusions: University students revealed marked knowledge deficits concerning e-cigarette effects on oral health. These outcome mark the urgent need for public educational programs.
References
Garcia BDFS, Nascimento BDB, Marques EF, Jesus CBDD, Santana Neto IC, Rocha LST, et al. The use of electronic cigarettes and other tobacco products among university students and their potential relationship with oral health. The Journal of the American Dental Association. 2024 Aug;155(8):647–56.
Collins L, Glasser AM, Abudayyeh H, Pearson JL, Villanti AC. E-Cigarette Marketing and Communication: How E-Cigarette Companies Market E-Cigarettes and the Public Engages with E-cigarette Information. Nicotine & Tobacco Research. 2019 Jan 1;21(1):14–24.
Holliday R, Chaffee BW, Jakubovics NS, Kist R, Preshaw PM. Electronic Cigarettes and Oral Health. J Dent Res. 2021 Aug;100(9):906–13.
Raj AT, Sujatha G, Muruganandhan J, Kumar SS, Bharkavi SI, Varadarajan S, et al. Reviewing the oral carcinogenic potential of E-cigarettes using the Bradford Hill criteria of causation. Transl Cancer Res TCR. 2020 Apr;9(4):3142–52.
Warnakulasuriya KAAS, Harris CK, Scarrott DM, Watt R, Gelbier S, Peters TJ, et al. An alarming lack of public awareness towards oral cancer. Br Dent J. 1999 Sep;187(6):319–22.
Saad MS, Hamad AS, Alasmari MAN, Alamri AA, Alamri HMS, Alhamoud SM, et al. The Impact of E-Cigarettes on Oral and Dental Health: Narrative Review. Saudi J Med Pharm Sci. 2023 Dec 27;9(12):863–7.
Mammen MJ, Sethi S. COPD and the microbiome. Respirology. 2016 May;21(4):590–9.
Kato I, Vasquez AA, Moyerbrailean G, Land S, Sun J, Lin HS, et al. Oral microbiome and history of smoking and colorectal cancer. JER. 2016 Apr 22;2(2):p92.
Javed F, Kellesarian S, Sundar I, Romanos G, Rahman I. Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Diseases. 2017 Nov;23(8):1052–7.
Tomar SL, Hecht SS, Jaspers I, Gregory RL, Stepanov I. Oral Health Effects of Combusted and Smokeless Tobacco Products. Adv Dent Res. 2019 Oct;30(1):4–10.
Salamanca JC, Munhenzva I, Escobedo JO, Jensen RP, Shaw A, Campbell R, et al. Formaldehyde Hemiacetal Sampling, Recovery, and Quantification from Electronic Cigarette Aerosols. Sci Rep. 2017 Sep 8;7(1):11044.
Sleiman M, Logue JM, Montesinos VN, Russell ML, Litter MI, Gundel LA, et al. Emissions from Electronic Cigarettes: Key Parameters Affecting the Release of Harmful Chemicals. Environ Sci Technol. 2016 Sep 6;50(17):9644–51.
Iacob AM, Escobedo Martínez MF, Barbeito Castro E, Junquera Olay S, Olay García S, Junquera Gutiérrez LM. Effects of Vape Use on Oral Health: A Review of the Literature. Medicina. 2024 Feb 21;60(3):365.
Shadid RM, Alsaeed R. What Do Dental Students Know About E-Cigarettes? A Cross-Sectional Survey from One Palestinian Dental School. IJERPH. 2024 Dec 23;21(12):1711.
Iacob AM, Escobedo Martínez MF, Barbeito Castro E, Junquera Olay S, Olay García S, Junquera Gutiérrez LM. Effects of Vape Use on Oral Health: A Review of the Literature. Medicina. 2024 Feb 21;60(3):365.
Jităreanu A, Agoroaei L, Aungurencei OD, Goriuc A, Diaconu Popa D, Savin C, et al. Electronic Cigarettes’ Toxicity: From Periodontal Disease to Oral Cancer. Applied Sciences. 2021 Oct 19;11(20):9742.
Scherer G, Pluym N, Scherer M. Oral health risks in adults who use electronic nicotine delivery systems and oral nicotine pouches: a critical review of the literature and qualitative synthesis of the available evidence. Harm Reduct J. 2024 Dec 31;21(1):229.