Evidence map›Paper›PMID 40291822›Full record

SynthesisFrontiers in oral health2025

The effects of electronic smoking on dental caries and proinflammatory markers: a systematic review and meta-analysis.

Abedelmalek Kalefh Tabnjh, Sara Alizadehgharib, Guglielmo Campus, Peter Lingström

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Abedelmalek Kalefh TabnjhDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sara AlizadehgharibDepartment of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Guglielmo CampusDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Peter LingströmDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Smoking and the use of electronic cigarettes (e-cigs) are common practices that have significant consequences for oral health. Although the negative impact of traditional tobacco products on oral tissues is widely known, the emergence of e-cigs poses a new obstacle. This review summarises existing data on the influence of e-cigs on oral health, with a specific emphasis on dental caries and pro-inflammatory agents. Methods: A comprehensive search was conducted via PubMed, Web of Science, Embase, and Scopus to identify relevant studies published until September 2024. The structured search strategy uncovered 42 articles that were read in full text. The included articles consisted of clinical trials, observational studies, and laboratory investigations that examined the impact of e-cig aerosol on oral bacteria and pro-inflammatory markers and its potential to contribute to dental caries. Results: The findings indicate that e-cig users may have a higher prevalence of dental caries compared with non-smokers. Most studies focusing on bacteria showed that vaping may inhibit normal flora, giving cariogenic bacteria a chance to grow more. This finding indicates a notable oral health risk associated with vaping. Meta-analyses suggest no effect of using e-cigs on the levels of TNF-α, IL-1β, IL-6, and IL-8 in saliva, even if it may affect their levels in GCF. However, in GCF, only one study reported TNF-α and IL-1β, and only two studies reported IL-6 and IL-8. Nevertheless, the effects of e-cigs on dental caries require further investigation since the data do not provide a clear picture. Discussion: This review emphasises the necessity for ongoing research to clarify the mechanisms that cause these consequences and to guide public health policies aimed at reducing the harm caused by e-cigarettes. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024537910, PROSPERO (CRD42024537910).

Indexed as

dental cariese-cigaretteselectronic smokingproinflammatory markersvaping

Identifiers

PMID40291822
PMCPMC12021849

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.