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Nicotine Pouches and Oral Health

Course Number: 693

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References / Additional Resources

  1. Ye D, Rahman I. Emerging Oral Nicotine Products and Periodontal Diseases. Int J Dent. 2023 Feb 10;2023:9437475. doi: 10.1155/2023/9437475.

  2. Adams, A & Lamphere, A. Electronic Cigarette use among youth and adolescent. Dimensions of Dental Hygiene. June/July 2024; 22(4):42-45.

  3. Powder, S. What we know and don’t know about nicotine pouches. Hopkins bloomberg public health. April 24, 2024. Accessed April 1st, 2025.

  4. Patel M, Kierstead EC, Kreslake J, Schillo BA. Patterns of oral nicotine pouch use among U.S. adolescents and young adults. Prev Med Rep. 2023 May 12;34:102239. doi:10.1016/j.pmedr.2023.102239.

  5. M Jackson J, Weke A, Holliday R. Nicotine pouches: a review for the dental team. Br Dent J. 2023 Oct;235(8):643-646. doi: 10.1038/s41415-023-6383-7. Epub 2023 Oct 27.

  6. Rossel, S. Nicotine pouches under attack in Europe. Tobacco asia. March 18th, 2025. Accessed April 1st 2025.

  7. Mallock-Ohnesorg N, Rabenstein A, Stoll Y, Gertzen M, Rieder B, Malke S, Burgmann N, Laux P, Pieper E, Schulz T, Franzen K, Luch A, Rüther T. Small pouches, but high nicotine doses-nicotine delivery and acute effects after use of tobacco-free nicotine pouches. Front Pharmacol. 2024 May 22;15:1392027. doi: 10.3389/fphar.2024.1392027.

  8. Muse. (2025). How man nicotine pouches are equivalent to a pack of cigarettes? October 29th, 2024. Accessed April 1st, 2025.

  9. Northerner. (2024) All nicotine brand pouches. Accessed April 1st, 2025.

  10. U.S Food & Drug Administration. (2024). Family smoking prevention and tobacco control act-An Overview. U.S Food & Drug Administration. Accessed April 1st, 2025.

  11. Li D, Ossip DJ, Bansal-Travers M, Xie Z. Impact of the FDA flavour enforcement policy on flavoured electronic cigarette use behaviour changes. Tob Control. 2022 Nov;31(Suppl 3):s176-s183. doi: 10.1136/tc-2022-057492.

  12. CDC (2024) Smoking and tobacco use. January 31st, 2025. Accessed April 1st, 2025.

  13. Goriounova NA, Mansvelder HD. Short- and long-term consequences of nicotine exposure during adolescence for prefrontal cortex neuronal network function. Cold Spring Harb Perspect Med. 2012 Dec 1;2(12):a012120. doi: 10.1101/cshperspect.a012120.

  14. Yuan M, Cross SJ, Loughlin SE, Leslie FM. Nicotine and the adolescent brain. J Physiol. 2015 Aug 15;593(16):3397-412. doi: 10.1113/JP270492. Epub 2015 Jun 23.

  15. Truth Initiative: Freedom from nicotine addiction. (2021, September,19). Colliding crises: Youth mental health and nicotine use. Truth Initiative: Freedom from nicotine addiction. Accessed April 1st, 2025.

  16. Tosakoon S, Romm KF, Berg CJ. Nicotine pouch awareness, use and perceptions among young adults from six metropolitan statistical areas in the United States. Tob Prev Cessat. 2023 Jun 7;9:19. doi: 10.18332/tpc/163243.

  17. Phan L, Zarei K, Chen-Sankey J, Hacker K, Ajith A, Jewett B, Choi K. Exposure to nicotine pouch marketing and nicotine pouch experimentation among U.S. adults who use commercial tobacco. Prev Med Rep. 2024 Aug 23;46:102868. doi: 10.1016/j.pmedr.2024.102868.

  18. John Hopkins Bloomberg school of public health. (2025). “Discreet” and “Convenient”. How oral nicotine pouch ads appeal to the youth market. April 3rd, 2025. Accessed April 3rd, 2025.

  19. Sparrock LS, Phan L, Chen-Sankey J, Hacker K, Ajith A, Jewett B, Choi K. Nicotine Pouch: Awareness, Beliefs, Use, and Susceptibility among Current Tobacco Users in the United States, 2021. Int J Environ Res Public Health. 2023 Jan 22;20(3):2050. doi: 10.3390/ijerph20032050.

  20. Chaffee BW, Couch ET, Vora MV, Holliday RS. Oral and periodontal implications of tobacco and nicotine products. Periodontol 2000. 2021 Oct;87(1):241-253. doi: 10.1111/prd.12395.

  21. Saylor-Boles, C.D. & Sutton, J.D. Stun out the tobacco habit. Dimensions of Dental Hygiene. November 2014;12(11):60–62,65. Accessed April 1st, 2025.

  22. Gupta M. Sugar Substitutes: Mechanism, Availability, Current Use and Safety Concerns-An Update. Open Access Maced J Med Sci. 2018 Oct 19;6(10):1888-1894. doi:10.3889/oamjms.2018.336.

  23. Gaur S, Agnihotri R. The Role of Electronic Cigarettes in Dental Caries: A Scoping Review. Scientifica (Cairo). 2023 Aug 30;2023:9980011. doi: 10.1155/2023/9980011.

  24. Biorn, C. Caries Risk of E-cigarette use. Dimensions of Dental Hygiene. December 2020;18(11):36-39. Accessed April 1st, 2025.

  25. Keogh, A. Nicotine pouches. Br Dent J 230, 61–62 (2021). https://doi.org/10.1038/s41415-021-2622-y.

  26. Rungraungrayabkul D, Gaewkhiew P, Vichayanrat T, Shrestha B, Buajeeb W. What is the impact of nicotine pouches on oral health: a systematic review. BMC Oral Health. 2024 Aug 3;24(1):889. doi: 10.1186/s12903-024-04598-8.

  27. Alizadehgharib S, Lehrkinder A, Alshabeeb A, Östberg AK, Lingström P. The effect of a non-tobacco-based nicotine pouch on mucosal lesions caused by Swedish smokeless tobacco (snus). Eur J Oral Sci. 2022 Aug;130(4):e12885. doi: 10.1111/eos.12885. Epub 2022 Jul 19.

  28. Karanjkar RR, Preshaw PM, Ellis JS, Holliday R. Effect of tobacco and nicotine in causing staining of dental hard tissues and dental materials: A systematic review and meta-analysis. Clin Exp Dent Res. 2023 Feb;9(1):150-164. doi: 10.1002/cre2.683. Epub 2022 Nov 13.

  29. Case KR, Clendennen SL, Tsevat J, Harrell MB. Risk of respiratory, gastrointestinal, and constitutional health symptoms: A cross-sectional study of Texas adolescent and young adult nicotine and marijuana vapers. Prev Med. 2022 Jun;159:107057. doi:10.1016/j.ypmed.2022.107057. Epub 2022 Apr 20.

  30. Travis N, Warner KE, Goniewicz ML, et al. The Potential Impact of Oral Nicotine Pouches on Public Health: A Scoping Review. Nicotine Tob Res. 2025;27(4):598-610. doi:10.1093/ntr/ntae131.

  31. American Dental Association. (2024). Medical/Dental health history. Accessed April 1st, 2025.

  32. Omar Ashour, Leen Al-Huneidy, Hilali Noordeen,The implications of vaping on surgical wound healing: A systematic review, Surgery 2023 173 (6): 1452-1462. doi:10.1016/j.surg.2023.02.017

  33. American Cancer Society. (2024). Keeping your kids tobacco-free. Accessed April 1st, 2025.

  34. Rusiecka AW, Szymacha K, Lewkowicz N. The safety of using oral nicotine pouche –consideration of their effects on general health, oral mucosa and periodontal diseases, comparing them to snus and other nicotine containing products. J Pre Clin Res. 2024. doi:10.26444/jpccr/189645.

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