Abstract: Background: E-cigarettes, an alternative to regular cigarettes, can cause oral health issues due to their chemical composition. Objective: To assess the occurrence oral health complications among users of e-cigarette and association with the duration of use and nicotine concentration in e-cigarette; and to identify predictors of oral health complications. Materials and Methods: This cross-sectional study was done after the IRB approval (Ref: 20/RE, Dated 19th February 2024) from Faryal Dental College, from 26th February 2024 to 20th June 2025, on a sample of 385 e-cigarette users who were aged 18 years or above. The data was collected through an interview administered survey tool, and the oral checkup. The data was analyzed and using SPSSv20, the Chi-square test was used for associations and logistic regression analysis determined predictors of oral complications. Result: Out of 385, 189 (49.1%) were males and 195 (50.9%) were females. The mean age of the participants was 26.8±6.2years. Mucosal ulceration was present in 154 (40%), pigmentation of lips in 175 (45.5%), and caries in 213 (55.3%) participants. The oral conditions like ulcers, lip pigmentation and gingivitis (p<0.001) was significantly associated with longer duration of e-cigarettes usage. A higher nicotine use was related to ulceration of mucosa and caries (p<0.05). The age (p<0.001), extent of use (p<0.001), and nicotine concentration (p=0.004) were predictors of poor oral health. Conclusion: The use of e-cigarettes is significantly related to ulceration of mucosa, caries, and gingivitis. The duration of use and concentration of nicotine are key aggravating factors in females and younger participants. Public health interventions should be encouraged for e-cigarette users. Keywords: Dental caries, Electronic cigarettes, Nicotine, Oral health, Ulceration of mucosa, Gingivitis.
Taaha et al. (Mon,) studied this question.