Oral mucosal changes caused by nicotine pouches: case series

Abstract Oral nicotine pouches are the latest products in the tobacco industry. They are manufactured by large tobacco companies and entice tobacco or nicotine addicts, although the products are presented as a ‘harmless choice.’ Nevertheless, dentists and oral health specialists worry about oral muc...

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Main Authors: Sintija Miluna-Meldere, Sarlote Agate Vanka, Ingus Skadins, Juta Kroica, Maris Sperga, Dagnija Rostoka
Format: Article
Language:English
Published: BMC 2024-09-01
Series:Diagnostic Pathology
Subjects:
Online Access:https://doi.org/10.1186/s13000-024-01549-3
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author Sintija Miluna-Meldere
Sarlote Agate Vanka
Ingus Skadins
Juta Kroica
Maris Sperga
Dagnija Rostoka
author_facet Sintija Miluna-Meldere
Sarlote Agate Vanka
Ingus Skadins
Juta Kroica
Maris Sperga
Dagnija Rostoka
author_sort Sintija Miluna-Meldere
collection DOAJ
description Abstract Oral nicotine pouches are the latest products in the tobacco industry. They are manufactured by large tobacco companies and entice tobacco or nicotine addicts, although the products are presented as a ‘harmless choice.’ Nevertheless, dentists and oral health specialists worry about oral mucosal changes due to product interactions with the oral mucosa. Unfortunately, there are no case reports of oral mucosal changes from nicotine pouches that are also investigated histopathologically. The aim of the present study was to visually and histopathologically investigate oral mucosal changes in nicotine pouch users. An online retrospective survey regarding medical and dental health, dietary habits, and tobacco consumption habits was conducted (n = 50). Respondents were selected for further intraoral and histopathological investigation based on the inclusion criteria. All five respondents had oral lesions that were histopathologically analyzed. Visually, the lesions varied in form and intensity, but all appeared white at the location where the pouches were placed. Histopathological analyses revealed parakeratosis with acanthotic epithelium, intraepithelial and connective tissue oedema, and chronic inflammatory infiltration with lymphocytes and macrophages. Participants received information about nicotine cessation and oral health recommendations. In conclusion, nicotine pouches significantly impacted oral mucosa with white lesions that revealed important changes at the cellular level.
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institution Kabale University
issn 1746-1596
language English
publishDate 2024-09-01
publisher BMC
record_format Article
series Diagnostic Pathology
spelling doaj-art-2dadb67a3acc4177afc0062fd66128592025-02-02T12:06:19ZengBMCDiagnostic Pathology1746-15962024-09-0119111010.1186/s13000-024-01549-3Oral mucosal changes caused by nicotine pouches: case seriesSintija Miluna-Meldere0Sarlote Agate Vanka1Ingus Skadins2Juta Kroica3Maris Sperga4Dagnija Rostoka5Department of Prosthetic Dentistry, Riga Stradins UniversityDepartment of Biology and Microbiology, Riga Stradins UniversityDepartment of Biology and Microbiology, Riga Stradins UniversityDepartment of Biology and Microbiology, Riga Stradins UniversityDepartment of Pathology, Riga Stradins UniversityDepartment of Biology and Microbiology, Riga Stradins UniversityAbstract Oral nicotine pouches are the latest products in the tobacco industry. They are manufactured by large tobacco companies and entice tobacco or nicotine addicts, although the products are presented as a ‘harmless choice.’ Nevertheless, dentists and oral health specialists worry about oral mucosal changes due to product interactions with the oral mucosa. Unfortunately, there are no case reports of oral mucosal changes from nicotine pouches that are also investigated histopathologically. The aim of the present study was to visually and histopathologically investigate oral mucosal changes in nicotine pouch users. An online retrospective survey regarding medical and dental health, dietary habits, and tobacco consumption habits was conducted (n = 50). Respondents were selected for further intraoral and histopathological investigation based on the inclusion criteria. All five respondents had oral lesions that were histopathologically analyzed. Visually, the lesions varied in form and intensity, but all appeared white at the location where the pouches were placed. Histopathological analyses revealed parakeratosis with acanthotic epithelium, intraepithelial and connective tissue oedema, and chronic inflammatory infiltration with lymphocytes and macrophages. Participants received information about nicotine cessation and oral health recommendations. In conclusion, nicotine pouches significantly impacted oral mucosa with white lesions that revealed important changes at the cellular level.https://doi.org/10.1186/s13000-024-01549-3Nicotine pouchesOral lesionsOral mucosaParakeratosis
spellingShingle Sintija Miluna-Meldere
Sarlote Agate Vanka
Ingus Skadins
Juta Kroica
Maris Sperga
Dagnija Rostoka
Oral mucosal changes caused by nicotine pouches: case series
Diagnostic Pathology
Nicotine pouches
Oral lesions
Oral mucosa
Parakeratosis
title Oral mucosal changes caused by nicotine pouches: case series
title_full Oral mucosal changes caused by nicotine pouches: case series
title_fullStr Oral mucosal changes caused by nicotine pouches: case series
title_full_unstemmed Oral mucosal changes caused by nicotine pouches: case series
title_short Oral mucosal changes caused by nicotine pouches: case series
title_sort oral mucosal changes caused by nicotine pouches case series
topic Nicotine pouches
Oral lesions
Oral mucosa
Parakeratosis
url https://doi.org/10.1186/s13000-024-01549-3
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