To Zyn or Not To Zyn: Addressing the Nicotine Pouch Craze

Andrae Bergeron2024-09-06T00:43:29+00:00September 6th, 2024|Adam Brown DDS, Dental Trends, General, Preventative Dentistry, Tooth Sensitivity|

Dr. Brown takes an honest look at the effects of nicotine on the body, specifically one’s oral health.

To Zyn or Not To Zyn: Addressing the Nicotine Pouch Craze

Nicotine pouches, whether a Zyn, an On!, or a Rogue (to name a few common brands), have become incredibly popular lately. Individuals wanting to quit smoking, or even those simply looking for a mid-day jolt, find the small, seemingly innocuous pouches a pleasing substitute for coffee and/or cigarettes. But how safe are these oral pouches–is it a good idea to keep them wedged between the gums and lip for long periods of time? Though there is not a lot of research that has been done on this new phenomenon, we can take an honest look at the effects of nicotine on the body, specifically one’s oral health.

Nicotine pouches, those made by any of the three companies named above, as well as the plethora of other companies hopping on the bandwagon, are a tobacco-free product that is meant to be held between the user’s lip and gum area. Each pouch delivers nicotine to the body as it absorbs through the mucous membranes in the mouth, which then allows it to enter into the bloodstream. These pouches are a similar concept to the popular smokeless tobacco products, such as Snus.

Snus pouches have been popular for years as a substitute for smoking since they contain both nicotine and tobacco, however, straight nicotine pouches seem to be replacing products like Snus since Zyn, On!, etc. carry the same or similar effect but without the dangerous side effects caused by tobacco.

Nicotine pouches are made mostly of nicotine and water. Each pouch is approximately 80%-90% water and microcrystalline cellulose, which acts as the non-tobacco filler. Other ingredients include additives and flavorings, both at the acceptable food-grade standard. These include mint and coffee flavors, among others, and most nicotine pouch brands also contain artificial sweeteners rather than sugars, which helps prevent tooth decay. And, since there is no combustion or tobacco leaf included, nicotine pouches are viewed to be a likely substantially lower-risk product than tobacco smoking (as well as tobacco pouches and loose tobacco). This said, there is presently not enough evidence to evaluate the true oral effects of such a product, at least beyond the knowledge we already have of the addictive nature of nicotine.

Even though nicotine is highly addictive to most users, it has been used in oral forms for a long time. Nicotine lozenges, gums, and even mouth sprays have been used for over 40 years as a mechanism for smoking cessation. According to research published by the British Dental Journal, there has been no reported evidence that nicotine alone can increase oral disease (cancers, periodontal). What’s more, studies have shown that nicotine can have angiogenic effects on the body when ingested, meaning that it can grow new blood vessels, which is the direct opposite of what tobacco does. So, theoretically, ingesting nicotine could advance the body’s wound-healing capabilities. On the other hand, it could also encourage the growth of existing tumors within the body–though presently there is no hard evidence of this.

What we do know for sure is that despite its addictive nature, nicotine pouches are commonly viewed as a healthy substitute for smoking and chewing tobacco. The prolonged and regular use of pouches like Zyns may give an increased risk of oral health problems, but at this time further research is needed to provide hard evidence of such.

Receding Gums

Aside from the chemical effects of using nicotine pouches, what about the mere presence of a foreign substance in your mouth, resting between the teeth and gums, this can’t be good for your gums, right? Most nicotine pouch brands suggest keeping the pouch in your mouth for up to an hour, which can cause the gums to start receding, allowing for the possibility of all sorts of oral health issues. Gum disease can come in many forms, but most often it shows as gingivitis or (the more serious of the two) periodontal disease. Both can have serious side effects and can happen to anyone. Luckily, gum disease is preventable, and if you enjoy using nicotine pouches regularly, or even every now and again, knowing the differences between gingivitis and periodontal disease, paired with how to avoid them, will help you to maintain proper oral health.

To begin, it’s crucial to know what gum disease looks like. The typical signs of gingivitis are irritated, red gums that tend to bleed easily (even with the use of a soft-bristled toothbrush). Though gingivitis is a milder form of the disease, if it is not treated properly it can lead to a more mature form of gum disease—periodontitis—which is flagged by inflammation and deep infection that eats away at the gums and teeth (the ligaments, sockets and all), so definitely something to consider.

The positive news is that both types of gum disease are treatable, even preventable when proper hygienic procedures are regularly performed. If you are experiencing sensitive and/or inflamed gums, especially if you are using nicotine pouches, your best bet is to come in for an examination right away. At Adam Brown, DDS we can accurately evaluate the health level of your gums by taking measurements, even x-rays of the jaw if needed. Once we make an assessment, we then begin to develop a plan for treating and eliminating the problem areas. During an examination, your dental professional will evaluate the health of your gums and measure any pockets that may have formed around your teeth. He may also order x-rays to determine the health of your jaw. From there, he will develop a treatment plan and recommend prevention methods, and he may advise you to stop using the pouches for a while to see if they were a part of the problem.

Treatment methods for gum disease depend upon how far the condition has progressed. While this first stage of gum disease usually gets better or reverses after a professional cleaning, proper oral hygiene must be continued at home, or the condition can easily and quickly return. So be prepared to pause–or completely eliminate–your usage of nicotine pouches.

When caught early, gum disease can usually be treated before tooth loss occurs. But, even better than catching it early, is to prevent it altogether. Good and consistent at-home oral care (brushing and flossing) and regular dental checkups and cleanings can go a long way to help keep your gums healthy and disease-free. And, if you are using the pouches, pay close attention to your oral health: are sores all of a sudden showing up in your mouth? Are your teeth and gums more sensitive than they usually are? These could be quick signs that maybe you should choose not to Zyn for the sake of your health.

For now, since we have so little evidence of the effects of nicotine pouches, we advise proceeding with caution, and if you begin to have any sign of negative changes within your mouth to stop completely.

Is Your Favorite Drink Causing Sensitive Teeth?

Alex Watson2021-06-15T13:20:06+00:00June 15th, 2021|Tooth Sensitivity|

Sensitive Teeth Causes

Do you think you might have sensitive teeth? If so, what drinks do you consume on a daily basis?

Beverages can have a significant impact on your oral health, beginning with your teeth. Drinks that are high in acidity soften tooth enamel. Over time, this can lead to sensitive, vulnerable teeth. If left unaddressed, cavities and tooth decay can ensue. And if you regularly drink beverages that are both acidic and sugary, then you’re at risk for double the damage.

Of course, how you approach what you drink will depend on your current habits and what you’re willing to change. Some people choose to steer clear of acidic and sugary beverages altogether, while others shoot for moderation. Below, we’ll discuss what types of drinks can do the most damage to your teeth, as well as other common causes of tooth sensitivity and how to counteract them.

How to Recognize Tooth Sensitivity
Essentially, you can tell if you have sensitive teeth if you experience unexpected discomfort or pain when drinking or eating something that’s hot or cold. It often reveals itself as a short and sharp pain in your teeth when biting into ice cream, sipping on an ice-cold beverage, drinking a steaming-hot soup, and the like. Sometimes, you can even feel it by simply breathing through your mouth. Exposure to cold air, sweet or acidic drinks and food, and brushing your teeth can also trigger a response.

Tooth sensitivity can cause a wide range of symptoms—from a mild twinge to unbearable discomfort. The pain can come suddenly, disappear, and come back without warning. Over time, the severity of the pain can also change. And you may not always feel the sensitivity in every tooth.

If you have sensitive teeth, you will feel it. Tooth sensitivity is common, and it can happen for a variety of reasons. However, if your teeth feel sensitive for more than a few weeks, you should visit your dentist. Adam Brown DDS and his team will evaluate you to determine the best treatment for your situation.

Common Beverages With High Acidity
Beverages are one of the most common causes of tooth sensitivity. When you frequently drink beverages with high acidic content, it can do a number on your oral health over time. Even though you may not think of liquids staying in your mouth for a long period of time (like tiny parcels of food sometimes do), the particles in certain drinks can attach to your teeth and damage the enamel. Let’s take a look at some common drinks you might consider moderating or cutting out of your diet:

Soda
We’ll start with one of America’s favorite beverages. If you pour a can of Coke on the hood of your car every day for a year, then it will erode the paint. Now, imagine what it does to your teeth over time.

While soda may be super tasty, it can be horrible for your teeth and oral health in general. It’s among the most acidic drinks you can buy, and it’s chock-full of sugar that will feed the harmful bacteria in your mouth. In short, regularly drinking soda leaves your teeth vulnerable to decay and cavities, and it can cause severe sensitivity.

It’s important to note that diet sodas are just as harmful to your oral health as regular sodas. Study after study has shown that sugar-free varieties dissolve tooth enamel at the same rate. Moreover, darker sodas are more likely to turn your teeth yellow.

Fruit Juice
Though it provides some great vitamins, most fruit juice is concentrated, which means it’s highly acidic. Cranberry and citrus-based juices are the most acidic. If you wish to continue drinking fruit juice, consider watering it down and/or using a straw to drink it. And if you’re worried about missing out on the nutrients if you cut out fruit juices, whole fruit is a better source of nutrition anyway, so you would be better served to simply eat the fruit itself.

Then there are the fruit punch varieties. These types of drinks essentially provide none of the benefits that come with real fruit juice. In fact, fruit punch rarely has real juice, which means none of those nutrients are there either. What they do have is high fructose corn syrup and sugar—lots of it. And the high acid content of fruit punch will eventually erode your enamel, cause sensitive teeth, and worse unless you reign in your intake.

Sports and Energy Drinks
Similar to fruit punch beverages, sports and energy drinks, like Gatorade and Monster, are loaded with sugar and highly acidic. As such, consuming them too often can lead to enamel erosion and vulnerable teeth. Nonetheless, sports drinks are an excellent source of hydration and electrolytes, so if you exercise regularly, you may not want to remove them from your diet altogether.

Alcohol
While not overconsuming alcohol is critical for your health and well-being anyway, drinking too much alcohol can negatively impact your teeth specifically. Wine is perhaps the most harmful for teeth. Because red wine tends to stain teeth, many people opt for white wine instead. However, white wine contains more acid, which means that it can cause your teeth to erode more quickly.

Liquor, such as vodka and whiskey, is also acidic and can cause teeth sensitivity and other problems over time. And while there is evidence to suggest that beer can be beneficial to your oral health, the acid in beer can do damage to your teeth unless you drink in moderation. Plus, dark barley is known to stain teeth.

Another factor to consider is that saliva plays a critical role in keeping your teeth moist and removing bacteria and plaque from the surface of your teeth. Alcohol can dry out your mouth. So, if you drink alcohol, be sure to drink water along with it to stay hydrated.

Coffee
Different coffee roasts are often distinguished by their level of acidity, which leads many people to assume that coffee is a highly acidic beverage. But next to some of the other drinks on this list, the acid content in coffee is quite moderate. And evidence suggests that drinking coffee in moderation can actually benefit your teeth and help prevent cavities.

Of course, we’re talking about black coffee. If you add sweetener to your Java, you get the same risks that come with drinking other types of sugary beverages.

Tea
Green and white tees are known for promoting oral health. But when it comes to iced teas, which are often black teas with sugar or other types of sweetener, it’s a different story. Most iced teas are very acidic and packed with sugar. And some of the most popular iced tea brands can do more damage to your teeth than sodas.

Sparkling Water
Sparkling water is viewed as being relatively harmless. And in many ways, that’s true. However, sparkling water can be quite acidic, especially those that are flavored or naturally essenced with fruit. In some cases, flavored sparkling water can be more erosive than orange juice or other concentrated fruit juices. While most products won’t have a big impact on your overall health, it’s best to moderate how many you drink in a day and make regular filtered water your go-to.

Beneficial Beverages
Since we’ve covered quite a few beverages that are not so good for your teeth, it’s only fair that we talk about some that are! For example, milk is one of the best liquids you can drink for your oral health. It’s full of proteins, vitamins, and minerals that can strengthen and repair tooth enamel. Its most prominent vitamin, vitamin D, helps to combat gum disease because and reduce inflammation in the gums. And the protein casein helps to prevent tooth decay by forming a protective film over the surface of your teeth.

As previously mentioned, green and white teas can be beneficial to your teeth. They are full of antioxidants that reduce inflammation in the gums and help stave off harmful bacteria. Unlike black tea, green and white teas will not stain your teeth. Furthermore, white tea is an excellent natural source of fluoride, which can help your enamel stay strong. Just like coffee, however, the innocence of these teas is thrown out the window when you start adding sugar or other sweeteners.

Other Common Causes of Tooth Sensitivity
Acidic and sugary beverages are not the only thing that can cause sensitivity. Let’s take a look at some other culprits to be aware of:

Brushing Too Hard
If you’re an over-enthusiastic brusher, meaning you brush your teeth too often or too hard, then you run the risk of getting sensitive teeth. It can also happen from using a hard-bristle toothbrush. You should never brush more than three times a day, and you should never use overly abrasive toothpaste.

If you prefer to brush after each meal, consider switching to a soft-bristled toothbrush, as well as a toothpaste specially formulated for sensitive teeth. And brush gently, even if it means using your non-dominant hand to hold the brush until you get used to brushing lightly.

You might also consider investing in an electric toothbrush. Most of the leading models come with soft bristles, and since the toothbrush does the work for you, all you have to do is guide it lightly across your teeth and gums.

Grinding Your Teeth
Another common cause of tooth sensitivity is bruxism, which is when you grind your teeth or clench your jaw. Most people do this when they sleep, and it can severely and quickly wear down your teeth’ enamel. You may subconsciously grind your teeth during a poor night’s sleep, or even during the day in high-stress situations.

Becoming aware of bruxism is the first step of resolving it. If you recognize that you grind your teeth or clench your jaw, start incorporating stress-relieving activities into your routine, such as deep breathing, yoga, and meditation. Also, talk to your dentist about whether or not you should use a mouthguard while you sleep.

Receding Gums
No one is immune to gum recession. Over time, the tissue around your teeth will wear away. But the recession should not be severe.

A lack of proper oral hygiene can cause your gums to recede at a faster rate and lead to periodontal disease. In extreme cases, this can cause the dentin around the roots of your teeth to become exposed, or even the roots themselves. Unsurprisingly, this can make for some very sensitive teeth! Brushing your teeth correctly, using the right bristles and toothpaste, and taking other oral hygiene measures will help you prevent severe gum recession.

Other Dental Problems
Cavities and tooth decay are common culprits for tooth sensitivity. And these are more prevalent around fillings and worn-down crowns. Also, if you have a cracked or broken tooth, the nerve of the tooth may be exposed, which can also cause sensitivity. If you think you have any of these issues, contact your dentist as soon as possible.

In Sum
Tooth sensitivity is often a sign that change is in order. Take an honest assessment of your diet, and see if there are any acidic and sugary beverages you need to cut back on or eliminate. And lookout for the other common culprits of sensitive teeth. Finally, if you’re overdue for a checkup or are experiencing any dental issues, don’t hesitate to schedule an appointment with Adam Brown DDS!