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Smoking tends to cause more widespread damage, like gum disease and delayed healing, while chewing tobacco and nicotine pouches create more localized issues where they sit, such as gum recession, irritation, and root exposure

These laws have shown little evidence in deterring youth smoking, especially among those at higher risk for smoking, and may actually have adverse consequences for youth already addicted

A study done on healthy male Spanish military recruits to find out the degree of periodontal disease and its relationship to smoking revealed higher plaque and bleeding indices in non-smokers although probing depths and attachment loss were greater in smokers 4

for its cigarette tax of $2.00 per pack (enacted July 2004), compared to the national average of $1.73

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Cigarettes are also the most consumed tobacco product in other EMR countries [4, 25]