Electronic Nicotine Delivery Systems (ENDS), including e cigarettes and vapes, are often perceived as a safer alternative to traditional tobacco. But is the evidence really supporting this belief? A recent umbrella review published Vaping Devices (Electronic Cigarettes) DrugFacts National Institute on Drug Abuse (NIDA) Vaping vs Smoking How BOTH Harm Your Mouth, Gums & Teeth Notes from the Field: E Cigarette and Nicotine Pouch Use Among Middle and High School Students United States, 2024 MMWR Vape vs Cigarette: Which Is Better 2025 vape billiorsonn