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Tobacco Use

Tobacco use is causally associated with higher rates of tooth decay, receding gums, periodontal disease, mucosial lesions, bone damage, tooth loss, jaw bone loss and more. That is why the ADA is working with dentists, educators, public health officials, lawmakers and the public to prevent and, hopefully, eliminate the use of all tobacco products.

The Association is especially concerned about efforts to characterize some nicotine-containing products as less harmful that cigarettes, particularly electronic nicotine delivery systems (ENDS) (also called vapes, vaporizers, vape pens, hookah pens, e-cigarettes and e-pipes).

While the oral health effects of vaping are not fully studied, there is some evidence that vaping increases the likelihood that tobacco users will not be able to quit. There have also been reports of orofacial damage when these devices have suddenly overheated, sometimes to the point of exploding.

Aside from the intended use of approved nicotine cessation products, the ADA discourages the use of all nicotine products made or derived from tobacco.


Prepared by: Division of Government and Public Affairs
Last Updated: October 31, 2019