Learn how e-cigarettes affect your teeth and oral health, from staining to gum disease. Learn key risks and read expert answers to FAQs for a healthier smile.

April 1, 2025

Vaping has surged in popularity around the world and across the UK, especially among teenagers and young adults. Recent government action banning disposable vapes (from 1 June 2025) to curb rising use has been met by support from dental professionals – with good reason. While vaping is often seen as a safer alternative to cigarette smoking, concerns remain about its impact on oral health.

Many people ask: Is vaping bad for your teeth? A common concern is whether vaping stains teeth in the same way as traditional smoking. The good news is that vaping may not cause the same level of staining, but it still presents serious risks to your teeth and gums both in terms of aesthetics and health. This is really important for those undergoing orthodontic treatment, where oral health is key to a successful outcome.

What Exactly is Vaping?

Vaping involves using e-cigarettes to inhale an aerosol that typically contains nicotine, flavourings, and other chemicals. Unlike traditional cigarettes, which burn tobacco, e-cigarettes heat a liquid (commonly called vape liquid or e-liquid) to produce vapour.

While some see vaping as a safer alternative to smoking, the long-term effects on oral health are still being studied. What is clear is that the ingredients in e-liquids can have unintended consequences for your teeth and gums.

Does Vaping Stain Your Teeth? What the Research Says

Vaping vs. Smoking: Staining Differences

A common question we hear at our practice is: Does vaping stain your teeth? The answer isn’t straightforward – vaping does cause staining, but not quite as much as smoking.

  • Tar vs. aerosol: Cigarette smoke contains tar, which leads to significant yellow and brown stains on teeth. Vaping doesn’t contain tar, so staining is often less severe.
  • Nicotine staining: Nicotine, typically present in vapes, is colourless but turns yellow when exposed to oxygen, contributing to gradual staining over time.
  • Flavourings and chemicals: Many e-liquids contain artificial flavourings and chemicals that can discolour teeth or become trapped in enamel, leading to further staining.
  • Sticky aerosol: The vapour from e-cigarettes contains ingredients like vegetable glycerin and propylene glycol, which create a sticky residue. This can trap stains and plaque on your teeth, making them more prone to discolouration.

A Note on How Staining Affects Orthodontic Patients

If you wear braces or Invisalign, staining can become even more noticeable. Stains can develop around brackets, leading to uneven discolouration once braces are removed. Invisalign aligners can also become yellow if exposed to vaping aerosols.

Beyond Staining: 6 Oral Health Risks of Vaping

While staining is a cosmetic issue, vaping also poses serious risks to gum health, tooth enamel, and overall oral hygiene. Here’s what e-cigs can lead to:

1. Dry Mouth (Xerostomia)

Vaping can cause dry mouth due to ingredients like propylene glycol, which absorbs moisture. A dry mouth reduces saliva production, which is essential for neutralising acids, washing away bacteria, and preventing gum disease and tooth decay.

This can be particularly problematic for orthodontic patients, as braces and aligners can already create areas where bacteria build up more easily.

2. Increased Risk of Gum Disease

Nicotine in e-cigarettes restricts blood flow to the gums, reducing their ability to heal and fight infection. This can lead to gum inflammation, recession, and an increased risk of periodontal disease. Healthy gums are essential for successful orthodontic treatment. If gum health deteriorates, it can lead to complications during and after treatment.

3. Tooth Decay and Enamel Erosion

Vaping can damage your teeth. Many vape liquids contain sweet flavourings, which can promote bacterial growth, leading to cavities. The appealing taste of flavoured e-liquids increases their use among young people, further raising the risk of decay. Weakened enamel can also make teeth more susceptible to damage and sensitivity.

4. Changes to the Oral Microbiome

The chemicals in vape liquids can alter the oral microbiome – the balance of bacteria in your mouth. Studies suggest that vegetable glycerin and propylene glycol may increase the growth of cavity-causing bacteria, leading to plaque buildup and gum issues.

5. Cell Damage and Inflammation

Research has shown that vaping aerosols can lead to inflammation and DNA damage in gum cells. While some studies have been conducted in lab settings, the results suggest that prolonged exposure to vaping chemicals could accelerate gum disease and other oral health problems.

6. Teeth Grinding

Both vaping and smoking may trigger teeth grinding (bruxism) due to nicotine's stimulating effects. This can be particularly damaging if you wear braces, retainers, or aligners, as grinding places excess pressure on teeth and orthodontic appliances.

Can Dentists and Orthodontists Tell if You Vape?

The short answer to this common question is, Yes – dentists and orthodontists can often spot the impact of vaping through:

  • Staining or yellowing of the teeth
  • Gum inflammation and recession
  • Dry mouth symptoms
  • Increased plaque buildup and cavities

Being honest with your dentist or orthodontist about vaping is important so they can provide tailored advice and help you avoid complications and maintain oral health during your treatment.

Reducing the Impact of Vaping on Your Oral Health

If you vape, taking steps to protect your oral health is essential:

  • Quitting is the best option – seek support if needed.
  • Stay hydrated to combat dry mouth.
  • Maintain excellent oral hygiene – brush at least twice daily, floss daily, and use an alcohol-free antibacterial mouthwash.
  • Attend regular dental check-ups for professional cleanings and early detection of issues.
  • Limit use of flavoured vape liquids that contain sweeteners.
  • Consider nicotine-free options if you're not ready to quit completely. This might reduce some risks, even though other harmful chemicals and the sticky aerosol remain.
  • If you wear Invisalign, clean your aligners regularly to prevent staining and bacterial buildup.

Frequently Asked Questions (FAQs)

Q: Does vaping stain braces or Invisalign aligners? 

A: Yes. Vaping can cause staining on teeth and discolour braces and aligners. The sticky aerosol can also increase plaque buildup around brackets, making stains more noticeable after braces are removed.

Q: Can I vape while wearing braces or Invisalign? 

A: While physically possible, vaping is strongly discouraged. It increases the risk of gum problems, inflammation, and dry mouth, all of which can complicate orthodontic treatment.

Q: Is vaping better than smoking for my teeth during orthodontic treatment? 

A: While vaping may cause less staining than smoking, it still poses significant risks, including gum disease, dry mouth, and enamel damage. Neither option is recommended for optimal oral health.

Q: How can I keep my teeth white if I vape, especially with braces or Invisalign? 

A: The best way is to quit vaping. If you continue, practise excellent oral hygiene, brush frequently, and stay hydrated. Regular professional cleanings can help remove stains before they become permanent.

Q: Can vaping affect healing after cosmetic dental work? 

A: Yes. Nicotine restricts blood flow, which can delay gum healing after procedures like veneers, dental implants, or teeth whitening.

Conclusion

While vaping may not stain teeth as severely as smoking, it still poses serious risks to oral health. Dry mouth, gum disease, enamel erosion, and increased bacteria growth are all concerns, especially for those undergoing orthodontic treatment.

The best way to protect your smile is to avoid vaping entirely. If you’re concerned about its effects on your teeth, schedule a FREE consultation with Hampstead Orthodontic Practice for expert advice and professional care.