2f - RFOP E cig

Question 1

why are you more likely to have periodontitis if you smoke and by how much?

Answer 1

OR - 2.5-6x more likely to have Periodontitis

BECAUSE
- Contributes to formation of dysbiotic biofilm

• Impair healing

Question 2

STATS - need to know or delete???

n.o US + UK users?

Answer 2

US users – 20.4 million people (including 2.5 million high schoolers) are using this product

UK users – 2.9 million people (ons.gov.uk 2016 data)

Question 3

1
Are e-cigarette better than conventional cigs?

2
Negative factors about E-cigs

Answer 3

1
Debatable, E-cigs also have negatives
- e-cig contains 40 or more chemicals VS 4000
- very few studies , need morw

2
- e-cig comp of chem still include carcinogenic chemical, neurotoxic chemicals, toxins

• E-cig contain propylene glycol (PG) - breakdown prod = acetic acid, lactic acid, and propionaldehyde = all toxic
• E-cig contain vegetable glycerin (VG) - sweetener + not metabolised by cariogenic bacteria.
  VG with flavorings increases microbial adhesion to enamel x4 and biofilm formation x2. The viscosity of the e-liquid also allows Streptococcus mutans to adhere to pits and fissures

Question 4

Switching from Conventional to E-cigarettes studies done

Answer 4

Can see one study says it improves perio health other suggest the opposite

Question 5

Effect of e-cigarettes on microbiome

Answer 5

Question 6

SUMMARY

Answer 6

• • The chemicals in the e-cigarette contribute to plaque formation and microbial colonisation
• more research needed
• e-cig comp of chem still include carcinogenic chemical, neurotoxic chemicals, toxins
• E-cig contain propylene glycol (PG) - breakdown prod = acetic acid, lactic acid, and propionaldehyde = all toxic
• E-cig contain vegetable glycerin (VG) - cariogenic. VG with flavorings increases microbial adhesion to enamel x4 and biofilm formation x2. The viscosity of the e-liquid also allows Streptococcus mutans to adhere to pits and fissures