Evidence map›Paper›PMID 32435175›Full record

ReviewTobacco induced diseases2020

Harmful chemicals emitted from electronic cigarettes and potential deleterious effects in the oral cavity.

Jeffrey Ebersole, Vera Samburova, Yeongkwon Son, David Cappelli, Christina Demopoulos, Antonina Capurro, Andres Pinto, Brian Chrzan, Karl Kingsley, Katherine Howard and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Tobacco induced diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Preclinical models of COPD: a state of the art review.The European respiratory journal · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. The respiratory epithelium in the era of vaping: insights fromEuropean respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  17. Article
  18. Review
  19. Assessing Nicotine Exposure in Users and Non-Users of Electronic Cigarettes Through Silicone Wristbands.International journal of environmental research and public health · 2025
    Article
  20. Review

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Jeffrey EbersoleDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Vera SamburovaOrganic Analytical Laboratory, Division of Atmospheric Sciences, Desert Research Institute, Reno, United States.
Yeongkwon SonOrganic Analytical Laboratory, Division of Atmospheric Sciences, Desert Research Institute, Reno, United States.
David CappelliDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Christina DemopoulosDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Antonina CapurroDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Andres PintoOral and Maxillofacial Medicine and Diagnostic Sciences, School of Dental Medicine, Case Western University, Cleveland, United States.
Brian ChrzanDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Karl KingsleyDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Katherine HowardDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Nathaniel ClarkDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
Andrey KhlystovDepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, United States.
University of Nevada, Las Vegas · USDesert Research Institute · USCase Western Reserve University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of electronic nicotine delivery systems (ENDS), such as electronic cigarettes (e-cigs), is increasing across the US population and is particularly troubling due to their adoption by adolescents, teens, and young adults. The industry's marketing approach for these instruments of addiction has been to promote them as a safer alternative to tobacco, a behavioral choice supporting smoking cessation, and as the 'cool' appearance of vaping with flavored products (e.g. tutti frutti, bubble gum, and buttered popcorn etc.). Thus, there is a clear need to better document the health outcomes of e-cig use in the oral cavity of the addicted chronic user. There appears to be an array of environmental toxins in the vapors, including reactive aldehydes and carbonyls resulting from the heating elements action on fluid components, as well as from the composition of chemical flavoring agents. The chemistry of these systems shows that the released vapors from the e-cigs frequently contain levels of environmental toxins that considerably exceed federal occupational exposure limits. Additionally, the toxicants in the vapors appear to be retained in the host fluids/tissues at levels often approximating 90% of the levels in the e-cig vapors. These water-soluble reactive toxins can challenge the oral cavity constituents, potentially contributing to alterations in the autochthonous microbiome and host cells critical for maintaining oral homeostasis. This review updates the existing chemistry/environmental aspects of e-cigs, as well as providing an overview of the somewhat limited data on potential oral health effects that could occur across the lifetime of daily e-cig users.

Indexed as

e-cigaretteelectronic nicotine delivery systemsoral healthpublic healthvaping

Identifiers

PMID32435175
PMCPMC7233525
OpenAlexW3022496804

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.