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Updated: Feb 6, 2026

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
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The need to educate future dental professionals on E-cigarette effects.

C Martín Carreras-Presas1, M Naeim2, D Hsiou2

  • 1Adult's Dentistry Department, Faculty of Biomedical Sciences, Universidad Europea of Madrid, Madrid, Spain.

European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe
|August 21, 2018
PubMed
Summary

Dental students in the US and Spain show significant differences in e-cigarette knowledge and attitudes. Both groups need more education on e-cigarette risks to inform patients effectively.

Keywords:
dental studentseducationelectronic cigarettesregulation

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Area of Science:

  • Oral Health
  • Public Health
  • Tobacco Control

Background:

  • E-cigarette use is increasing globally.
  • Dental professionals require adequate knowledge regarding e-cigarettes to advise patients.
  • Cross-cultural comparisons of dental student perceptions are limited.

Purpose of the Study:

  • To compare knowledge and attitudes of dental students in the USA and Spain towards e-cigarettes and their long-term effects.
  • To identify educational gaps in dental curricula concerning e-cigarette use.

Main Methods:

  • Anonymous cross-sectional survey conducted among dental students at UCLA (USA) and Universidad Europea of Madrid (Spain).
  • Self-administered questionnaires assessed knowledge, attitudes, and usage patterns of e-cigarettes and conventional tobacco products.
  • Statistical analysis compared responses between the two student populations.

Main Results:

  • Significant differences observed in e-cigarette knowledge and perceptions between US and Spanish dental students.
  • Spanish students reported higher daily e-cigarette use (3%) and conventional cigarette use (56%) compared to US students (0% and 24%, respectively).
  • Over 15% of students in both countries were unsure of e-cigarette harms; US students perceived e-cigarettes as less harmful than tobacco.

Conclusions:

  • Dental students in both the USA and Spain demonstrate insufficient knowledge to address rising e-cigarette use and inform patients.
  • Educational programs on e-cigarette hazards and health effects are crucial for dental curricula.
  • Enhanced education is needed to equip future dentists to manage evolving tobacco use trends.