The effect of electric cigarette uses on oral health and the risk of dental caries: Implications for dental conservation practices

The use of electric cigarettes (e-cigarettes) has risen sharply, especially among teenagers and young adults, as an alternative to conventional cigarettes. Although perceived as safer, electric cigarettes have a significant impact on oral health, which in turn affects the practice of dental conservation. This literature review examines the effects of electric cigarette use on the oral mucosa, soft tissues, oral microbiota, saliva production, and risk of dental caries. Electric cigarette use can cause irritation and inflammation of oral tissues, alter the composition and function of oral microorganisms, and disrupt saliva production, which reduces buffering capacity and the remineralization process of enamel. As a result, the risk of dental caries increases, although it remains lower compared to conventional cigarette smokers. The clinical implications include the need for more thorough risk assessment, modifications in conservative dental care protocols, and effective education and prevention for electric cigarette users. This article emphasizes the importance of comprehensive understanding of the impact of electric cigarette in the context of dental conservation to improve the quality of care and therapeutic outcomes.