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Updated: Jul 22, 2026

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
Comparison Between the Conventional and Electronic Smoking Effects on Periodontal Health-A Cross-Sectional Study
Rayan Khaled Almazyad1, Saad Obaid Alazmi2, Nubesh Khan Syed2
1College of Dentistry, Qassim University, Qassim, Saudi Arabia.
Objectives:
To compare the adverse effect of e-cigarettes and conventional cigarette smoking on periodontal health.
Materials And Methods:
Sixty participants were split into two groups of 30 each (Group A-traditional cigarettes and Group B-e-cigarette smokers). Socio-demographic data, smoking, and oral health status were gathered using a self-administered questionnaire. Gingival index (GI), Russell's periodontal index, and clinical attachment loss (CAL) were recorded in patients of both the groups.
Results:
The mean GI (1.79), periodontal index (5.92), and CAL (3.44) were higher in patients using traditional cigarettes than e-cigarettes. The questionnaire revealed that patients using traditional cigarettes had bleeding gums (32.22%), pus in the gums (39.22%), extracted teeth due to mobility (59.65%), discolored tooth (89.66%), and tongue (71.76%), which was more than e-cigarette smokers.
Conclusion:
E-cigarette smokers have similar adverse effects on the periodontal tissues but are less as compared to normal cigarette smokers.
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