Publication:

An era of electronic nicotine delivery system: understanding the consequences of its use on oral health

Electronic nicotine delivery systems (ENDS), commonly known as e-cigarettes, are battery-powered devices that aerosolize liquid solutions containing nicotine and other substances. While promoted as safer alternatives to traditional cigarettes due to their lower toxin levels, e-cigarettes raise significant concerns regarding their long-term safety and impact on oral health. The variability in nicotine delivery, influenced by diverse device designs, complicates their regulation and potential health risks. E-cigarette usage has been associated with oral and periodontal issues, including increased plaque accumulation, deeper probing depths, and cytotoxicity in oral keratinocytes. Aerosols from e-cigarettes contain higher concentrations of metals such as nickel, lead, and chromium, which compromise the gingival epithelium, periodontal ligament, and oral mucosa. The widespread marketing of e-cigarettes poses a public health challenge. The implementation of the prohibition of electronic cigarettes act (PECA) 2019 is essential to mitigate these risks. However, gaps remain in understanding the short- and long-term oral health consequences of e-cigarette use. Public health strategies must include stringent regulation, awareness campaigns, and digital monitoring to prevent e-cigarette uptake, particularly among youth. Comprehensive preventive measures are crucial to minimizing the oral health burdens associated with e-cigarette use.