The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study

Context: Electronic cigarette smoking (ECS) is a rising concern among young people. Aims: This study aimed to compare perception, clinical findings, and cytomorphological changes in buccal mucosa of electronic cigarette smokers and nonsmokers. Settings and Design: A cross-sectional study includes 10...

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Main Authors: Sura A. A. Fuoad Al Bayati, Shatha S. Al Sharbatti, Eman H. Ibrahim, Sunil K. Bylappa, Dania K. H. Saleh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1352_24
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author Sura A. A. Fuoad Al Bayati
Shatha S. Al Sharbatti
Eman H. Ibrahim
Sunil K. Bylappa
Dania K. H. Saleh
author_facet Sura A. A. Fuoad Al Bayati
Shatha S. Al Sharbatti
Eman H. Ibrahim
Sunil K. Bylappa
Dania K. H. Saleh
author_sort Sura A. A. Fuoad Al Bayati
collection DOAJ
description Context: Electronic cigarette smoking (ECS) is a rising concern among young people. Aims: This study aimed to compare perception, clinical findings, and cytomorphological changes in buccal mucosa of electronic cigarette smokers and nonsmokers. Settings and Design: A cross-sectional study includes 100 consented university students aged ≥18 years, of both genders. Methods and Material: Tobacco, and alcohol users, those with systemic diseases were excluded. A validated questionnaire was administered, clinical examination, cytomorphological analysis were performed. Statistical Analysis Used: The obtained data were analyzed using SPSS version 28 software. The chi-square test and Fisher’s exact test, student’s t test was used. Results: A significant change observed in the ECS tongue/buccal mucosa, specifically, white discoloration (20% vs. 6%, P = 0.037). Dry mouth and a feeling stickiness in the mouth were more common among ECS (62% vs. 30%, P = 0.001), and (48% vs. 20%, P = 0.003) respectively. Significant cytological changes found in ECS with P < 0.001 for nuclear size (increase in 48% vs. 0%), nuclear-cytoplasmic ratio (increased in 46% vs. 0%), binucleation (presence 66% vs. 8%), a moderate perinuclear halo (18% vs. 0%), cytoplasmic granules (moderate/severely present in 62% vs. 2%), and moderate/severe inflammation (present in 18% vs. 8%). The average nuclear size (μ) was significantly greater in ECS than in nonsmokers (10.434 vs. 8.480) and presence of micronuclei (20% vs. 4%, P = 0.014). Conclusion: There is a significant association between ECS and dry mouth signs and symptoms, white discoloration of buccal mucosa, and oral cytomorphological changes suggesting potential malignant transformation.
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spelling doaj-art-e60dfa1d1ebe48c5a8a9bbd5e9d40cd42025-07-05T11:19:54ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1131S113710.4103/jpbs.jpbs_1352_24The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional StudySura A. A. Fuoad Al BayatiShatha S. Al SharbattiEman H. IbrahimSunil K. BylappaDania K. H. SalehContext: Electronic cigarette smoking (ECS) is a rising concern among young people. Aims: This study aimed to compare perception, clinical findings, and cytomorphological changes in buccal mucosa of electronic cigarette smokers and nonsmokers. Settings and Design: A cross-sectional study includes 100 consented university students aged ≥18 years, of both genders. Methods and Material: Tobacco, and alcohol users, those with systemic diseases were excluded. A validated questionnaire was administered, clinical examination, cytomorphological analysis were performed. Statistical Analysis Used: The obtained data were analyzed using SPSS version 28 software. The chi-square test and Fisher’s exact test, student’s t test was used. Results: A significant change observed in the ECS tongue/buccal mucosa, specifically, white discoloration (20% vs. 6%, P = 0.037). Dry mouth and a feeling stickiness in the mouth were more common among ECS (62% vs. 30%, P = 0.001), and (48% vs. 20%, P = 0.003) respectively. Significant cytological changes found in ECS with P < 0.001 for nuclear size (increase in 48% vs. 0%), nuclear-cytoplasmic ratio (increased in 46% vs. 0%), binucleation (presence 66% vs. 8%), a moderate perinuclear halo (18% vs. 0%), cytoplasmic granules (moderate/severely present in 62% vs. 2%), and moderate/severe inflammation (present in 18% vs. 8%). The average nuclear size (μ) was significantly greater in ECS than in nonsmokers (10.434 vs. 8.480) and presence of micronuclei (20% vs. 4%, P = 0.014). Conclusion: There is a significant association between ECS and dry mouth signs and symptoms, white discoloration of buccal mucosa, and oral cytomorphological changes suggesting potential malignant transformation.https://journals.lww.com/10.4103/jpbs.jpbs_1352_24clinical findingscytomorphological changeselectronic cigarette smokersself-reported perception
spellingShingle Sura A. A. Fuoad Al Bayati
Shatha S. Al Sharbatti
Eman H. Ibrahim
Sunil K. Bylappa
Dania K. H. Saleh
The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
Journal of Pharmacy and Bioallied Sciences
clinical findings
cytomorphological changes
electronic cigarette smokers
self-reported perception
title The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
title_full The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
title_fullStr The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
title_full_unstemmed The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
title_short The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study
title_sort impact of electronic cigarettes on oral health analytic cross sectional study
topic clinical findings
cytomorphological changes
electronic cigarette smokers
self-reported perception
url https://journals.lww.com/10.4103/jpbs.jpbs_1352_24
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