IMPACT OF ELECTRONIC CIGARETTES ON THE ORAL CAVITY: SCOPING REVIEW
DOI:
https://doi.org/10.56238/arev8n4-027Keywords:
Electronic Nicotine Delivery Systems, Vaping, Mouth Neoplasms, Smokers, Mouth MucosaAbstract
Electronic Nicotine Delivery Systems (ENDS) are devices that vaporize a liquid containing nicotine and other potentially toxic substances, such as heavy metals, aldehydes, and carcinogenic compounds. Popular among younger populations, their use has been associated with adverse health effects, particularly in the oral cavity, the first site of contact with aerosols. This study aims to identify conceptual categories and gaps related to the effects of e-cigarettes on the oral cavity. A scoping review was conducted following the Joanna Briggs Institute (JBI) protocol and the PRISMA-ScR checklist. The research question, based on the PEO (Participants, Exposure, Outcome) strategy, investigated the effects of e-cigarette use on oral health. Pilot studies, randomized clinical trials, controlled and non-randomized studies, and case reports were included without restrictions on language or publication date. A total of 68 studies were identified, of which 7 met the inclusion criteria. The results revealed cytotoxic, inflammatory, infectious, and carcinogenic effects associated with e-cigarette use, even in the absence of nicotine. Lesions such as nicotine stomatitis, hairy tongue, and hyperplastic candidiasis were more frequent, along with a higher prevalence of Human Papillomavirus (HPV). Therefore, e-cigarette use may cause significant damage to the oral mucosa, altering its integrity, microbiota, and metabolism, and may contribute to the development of neoplasms. These findings reinforce that e-cigarettes are not a safe alternative to smoking and highlight the need for clinical attention, especially among young users.
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