Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey

Nkiruka C. Atuegwu, Mario F. Perez, Cheryl Oncken, Sejal Thacker, Erin L. Mead and Eric M. Mortensen
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Nkiruka C. Atuegwu: Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA
Mario F. Perez: Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA
Cheryl Oncken: Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA
Sejal Thacker: Division of Periodontology, UConn Health, University of Connecticut School of Dental Medicine, Farmington, CT 06030, USA
Erin L. Mead: Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA
Eric M. Mortensen: Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA

IJERPH, 2019, vol. 16, issue 7, 1-9

Abstract: Electronic nicotine product use is increasing in the U.S., but few studies have addressed its effects on oral health. The goal of this work was to determine the association between electronic nicotine product use and periodontal disease. Population Assessment of Tobacco and Health adult survey data from 2013–2016 (waves 1, 2 and 3) was used for the analysis. Longitudinal electronic nicotine product users used electronic nicotine products regularly every day or somedays in all three waves. Participants with new cases of gum disease reported no history of gum disease in wave 1 but reported being diagnosed with gum disease in waves 2 or 3. Odds ratios (OR) were calculated to determine the association between electronic nicotine product use and new cases of gum disease after controlling for potential confounders. Compared to never users, longitudinal electronic nicotine product users had increased odds of being diagnosed with gum disease (OR 1.76, 95% Confidence Interval (CI) 1.12–2.76) and bone loss around teeth (OR 1.67, 95% CI 1.06–2.63). These odds were higher for participants with a history of marijuana and a history of illicit or non-prescribed drug use. Our findings show that e-cigarettes may be harmful to oral health.

Keywords: electronic nicotine product; e-cigarette; periodontal disease; oral disease; oral health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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