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Name: can chewing tobacco cause gingivitis Is Killing Your Gums? Gingivitis (Gum Disease): Causes, Risk
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Higher augmentation index (AIx), a marker of wave reflections, has been found to be associated with smoking in several studies 14,24,25,26,27

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In an interview with Vanity Fair, Dacre Montgomery, who plays the perpetually puffing Billy, indicates that the choice to use real cigarettes was thought-out and intentional