Access through your institution Buy or subscribe Vaping, or use of electronic cigarettes (e-cigarettes), has been proposed as a tool to help tobacco smokers quit as it is substantially less

harmful to the body.1 E-cigarettes are currently not recommended for non-smokers, pregnant women, or people under 18 years of age. They do not produce tar or carbon monoxide but do still

contain toxins albeit at a much lower level than standard cigarettes.2 They are also available at varying nicotine concentrations and different flavours to aid with gradual reduction and

eventual smoking cessation.3,4 Use of e-cigarettes is becoming increasingly common in the social histories of our patients, but how does this present in the mouth? This is a preview of

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chemicals emitted from electronic cigarettes and potential deleterious effects in the oral cavity. _Tob Induc Dis_ 2020; 18: 41. * Holliday R, Chafee B W, Jakubovics N S, Kist R and Preshaw

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Comprehensive overview of common e-liquid ingredients and how they can be used to predict an e-liquid's flavour category. _Tob Control_ 2021; 30: 055447. * Darrall K G, Figgins J A,

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pilot study of the gingival response when smokers switch from smoking to vaping. _Br Dent J_ 2016; 221: 722-726. * Goniewicz M L, Gupta R, Yong Hee L, _et al._ Nicotine levels in electronic

cigarette refill solutions: A comparative analysis of products from the U.S., Korea, and Poland. _Int J Drug Policy _2015; 26: 583-588. * Sahni V. Ultrafine particles. _Br Dent J_ 2023; 234:

136. * Sundar U K, Javed F, Romanos G E and Rahman I. E-cigarettes and flavourings induce inflammatory and pro-senescence responses in oral epithelial cells and periodontal fibroblasts.

_Oncotarget_ 2016; 7: PMC5363580. * Clair C, Bitton A, Meigs J B and Rigotti N A. Relationships of cotinine and self-reported cigarette smoking with hemoglobin A1c in the U.S.: results from

the National Health and Nutrition Examination Survey, 1999-2008. _Diabetes Care_ 2011; 34: 2250-2255. * Cheng X, Xiurong G, Huang F, _et al._ Effect of different sweeteners on the oral

microbiota and immune system of Sprague Dawley rats. _AMB Express_ 2021; 11: 8. * Afrashtehfar K I. Vape labelling fails to report possible dental erosion and caries induced by e-cigarette

fluids. _Br Dent J_ 2021; 231: 700. * Cohen J E, Gartner C, Edwards R and Hammond D. Australia tightens its prescription-only regulation of e-cigarettes. _BMJ_ 2023; 381: 1216. * Gov.uk.

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WHO. Tobacco: E-cigarettes. 2022. Available online at: www.who.int/news-room/questions-and-answers/item/tobacco-e-cigarettes (accessed June 2023). * Gov.uk. Press release: E-cigarettes

around 95% less harmful than tobacco estimates landmark review. 2015. Available online at:

www.gov.uk/government/news/e-cigarettes-around-95-less-harmful-than-tobacco-estimates-landmark-review#:~:text=the%20current%20best%20estimate%20is,95%25%20less%20harmful%20than%20smoking

(accessed June 2023). * Westgarth D. E-cigarettes: Lost in the vapour? _BDJ In Pract_ 2023; 36: 12-16. Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Academic primary and

secondary care foundation dentist, London, United Kingdom Sophie Antoniou Authors * Sophie Antoniou View author publications You can also search for this author inPubMed Google Scholar

CORRESPONDING AUTHOR Correspondence to Sophie Antoniou. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Antoniou, S. Oral impact of electronic cigarette

use. _BDJ In Pract_ 36, 22–23 (2023). https://doi.org/10.1038/s41404-023-2047-1 Download citation * Published: 10 July 2023 * Issue Date: 10 July 2023 * DOI:

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