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E-Cigarette Usage May Complicate Oral Surgery

E-Cigarette Usage May Complicate Oral Surgery
by Richard Gawel

Electronic cigarettes often are marketed as a “safer” alternative to traditional tobacco products. Yet they are still packed with nicotine, which inhibits wound healing, increases the risks of anesthesia, and may lead to other complications during and after surgery, according to the American Association of Nurse Anesthetists (ANNA).

With these potential dangers in mind, ANNA encourages patients to be completely honest about their health history with their surgeons, anesthetists, and other healthcare providers. Cathy Harrison, DNAP, MSN, CRNA, who has been a dental anesthesia provider for more than 17 years, recently shared her insights about e-cigarettes and oral health with Dentistry Today.

Q: What effect does e-cigarette use have on anesthesia during dental procedures and subsequent healing?

A: Anesthesia providers need to be aware that smokers, whether cigarettes or e-cigarettes, have very reactive airways. When patients are sedated, they may start coughing during the procedure. This also presents a hazard for the dentist, particularly in invasive procedures, such as when using a drill.

Smokers may have other underlying comorbidities, which can lead to complications. A thorough health history is important for the anesthesia provider to understand the patient’s health and adjust the anesthetic or sedation plan accordingly.

Nicotine impacts the body’s ability to deliver oxygen to organs and tissues, which is very important to keeping organs viable. This also may lead to increased risk of infection. If your body is not using oxygen and promoting adequate circulation, this decreases the body’s capability to heal appropriately and increases the risk of infection.

Smoking also is a risk factor for periodontal disease, which can lead to bone loss and loose teeth. This is an important consideration for anesthesia providers who provide general anesthesia because there is a large population of smokers who need surgery.

Read full article on Dentistry Today.