Oral Status of Electronic Cigarettes, Hookah, and Traditional Smoking Users

Sufaj, Diana, Brittany Weber, Christine Hallak, Hayley Marchwinski, and Michelle Wheater

It is well-known that smoking tobacco cigarettes can lead to a number of systemic and oral health problems. Other forms of tobacco use, including electronic cigarettes (e-cigarettes) and hookah, have become popular. However the effects of these smoking devices on systemic and oral health have not been determined. The purpose of this retrospective records study was to determine how smoking hookah, e-cigarettes, and combustible tobacco cigarettes is associated with the periodontal health of School of Dentistry patients. Using the AxiUm electronic health records system (IRB #1415-22), the age, periodontal diagnosis, and type of tobacco use were recorded from 3,158 de-identified patient records. The data was analyzed using descriptive statistics. 752 (31%) of the records contained a periodontal diagnosis. Of patients who smoke traditional cigarettes with a periodontal diagnosis (727), the highest percentage (24%) was generalized moderate chronic periodontitis. Of patients who use hookah with a periodontal diagnosis (22), the highest percentage was generalized slight gingivitis (32%). Of five e-cigarette users one was diagnosed with generalized slight chronic periodontitis and one with generalized moderate chronic periodontitis. Though media reports suggest that there is an increase in the number of people using alternative tobacco smoking devices such as hookah and e-cigarettes, the data collected in this study did not support a high incidence of their use in dental patients. A much larger population will need to be analyzed to compare periodontal status in electronic cigarette, hookah, and traditional smoking users.