The Impacts of Nicotine Pouches on Oral and Overall Health

Oral nicotine pouches (ONPs) are growing in popularity, particularly in younger demographics. While current evidence suggests ONPs likely pose lower toxicant exposure than combustible and smokeless forms of tobacco products, ONP use is not free from harm. Local mucosal irritation and tissue changes have been documented, and impacts on the periodontium and oral microbiome as well as carcinogenic potential have been suggested. Given the limited evidence on long-term effects and the variability in ONP product composition, clinical caution and patient monitoring among dental professionals is warranted. Dental professionals have a responsibility to screen for oral lesions associated with ONP use while providing counseling for current ONP users about the potential risks associated with these tobacco-free nicotine products. This article seeks to inform dental healthcare professionals about the prevalence of ONP use and the oral and overall health impacts of ONPs and highlight the role of the dental healthcare professional for patient education and nicotine cessation.