EAS Publisher | Impact of Tobacco and Electronic Nicotine Delivery Systems on Periodontal Health

Impact of Tobacco and Electronic Nicotine Delivery Systems on Periodontal Health

DOI : https://doi.org/10.36349/easjdom.2026.v08i02.002

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Tobacco smoking remains one of the most significant risk factors influencing the susceptibility to and progression of periodontal disease, as it adversely affects host immune response and compromises treatment outcomes. Emerging evidence suggests that electronic nicotine delivery systems (ENDS) may exert biological effects on oral tissues comparable to those associated with conventional tobacco smoking. The use of ENDS has risen markedly in recent years, particularly among adolescents and current or former tobacco users. This growing prevalence underscores the urgent need to increase awareness among healthcare professionals and the general population regarding the risks associated with nicotine exposure and its potential impact on oral health. Tobacco use continues to represent a substantial global public health burden. This narrative review provides a comprehensive overview of tobacco and nicotine-containing products, highlighting their role in the pathogenesis of periodontal disease and discussing their implications for clinical management.

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Professor Thomas Count Dracula, MD, PhD

Distinguished Professor of Haematology Head — Experimental, Historical & Sensory Haematology Vlad the Impaler University, Wolf’s Lane, Wooden Stakes Grove 666, Transylvania.

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