SHERIDAN, WYOMING – April 6, 2025 - Tobacco Use Remains a Critical Public Health Threat
Tobacco use continues to be one of the most serious threats to global health, claiming more than 8 million lives annually. Beyond systemic impacts, nicotine poses significant risks to oral health, complicating both the prevention and treatment of gum disease. On No Tobacco Day, observed globally on May 31 and initiated by the World Health Organization (WHO), oral health professionals emphasize the importance of understanding the consequences of all forms of tobacco use—especially among youth.
Nicotine’s Hidden Impact on Gum Health
"Nicotine addiction is a key reason people continue using nicotine products. This also puts oral health on constant alert and increases the risks of gingivitis, mucosal changes, and decay," says Marja Juselius, an experienced oral hygienist from Finland.
One of the greatest concerns is that many users, particularly younger individuals, are unaware of the gradual damage happening inside their mouths.
“Changes in the mouth happen gradually and do not necessarily ‘feel’ like anything. That's why it's so important to have regular dental check-ups,” Juselius advises, especially for smokers.
Peer Pressure, Nicotine Habits, and Missed Symptoms
Tobacco and nicotine product use among young people often begins due to social influence.
“Many people start smoking and using snus because their friends do it also,” says Juselius. However, the same peer influence can spark motivation to quit.
The early signs of gum disease, such as bleeding gums, may not appear in smokers.
Nicotine reduces blood circulation in the gums, masking inflammation and allowing gingivitis to progress unnoticed into periodontitis. These changes are permanent and may result in tooth loss if not addressed early.
Tobacco Weakens the Body’s Defenses
All tobacco forms—cigarettes, cigars, pipes, e-cigarettes, and snus—impair the body’s ability to heal. Post-procedural healing, such as after tartar removal or gum surgery, is significantly slower in nicotine users.
Snus, in particular, causes mucosal creases that trap bacteria, increasing the risk of infections and oral cancer.
"Nicotine can also cause fungal infections and other changes in the oral mucosa, which can be precursors to oral cancer in the worst cases," Juselius adds.
When combined with alcohol consumption, the risks grow exponentially.
Studies show that smokers and heavy drinkers are 38 times more likely to develop oral cancer, with both substances responsible for nearly three-quarters of oral cancer cases.
Snus Is Not a Safer Alternative
Contrary to belief, switching from cigarettes to snus does not reduce risk.
"Using snus instead of smoking is not an alternative to quitting. Snus contains up to 20 times more nicotine, which is immediately absorbed through the mucous membranes into the bloodstream," explains Juselius.
Even athletes who opt for snus over smoking may see adverse effects.
"Studies have found, however, that snus users have about 20% lower sporting performance than those who do not use snus," she continues. This is largely due to reduced oxygen transport in the bloodstream caused by nicotine’s impact on circulation.
Challenges in Quitting—and Support That Matters
Juselius acknowledges the difficulties of quitting tobacco but emphasizes persistence.
"However, you should not be discouraged by failures. It is essential to always try again," she encourages.
Various nicotine replacement therapies are available, and health professionals can guide users through the quitting process. Early detection through regular dental check-ups remains essential to prevent irreversible gum damage.
Understanding the Long-Term Damage of Tobacco Use
Nicotine products stain teeth, fillings, and dentures. Even after professional cleaning, continued use leads to rapid re-staining. Taste perception is often dulled by tobacco but may improve after quitting. Meanwhile, lozenges or mints used to mask tobacco breath often contain sugars, which can accelerate tooth decay.
Cigars and pipes are smoked over extended periods, exposing users to concentrated nicotine and toxins. Passive smoking is also dangerous, increasing the risk of respiratory infections and asthma.
E-cigarettes are not a safe alternative either.
They contain harmful carcinogens and contribute to dry mouth, bacterial plaque buildup, gingivitis, tartar, and decay. Additionally, they maintain nicotine dependence rather than reduce it.
Innovative Support for Preventive Oral Health
Finnish health tech company Koite Health has introduced Lumoral, a dual-light antibacterial therapy designed to support oral hygiene. Developed with the backing of scientific research and commercialized through the Biodesign project and Business Finland, Lumoral enhances daily brushing and helps manage conditions like gingivitis and caries.
Lumoral, a CE-approved Class II medical device, is part of a new wave of preventive dental tools especially relevant for those affected by tobacco-related oral health issues.
To learn more about Lumoral and Koite Health’s innovative approach to oral care, visit www.lumoral.com.