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Studies have drawn associations between periodontal disease and e-cigarette use, presenting with increased concentrations of localized inflammatory markers, an expansion in bone loss, increased levels of plaque, sulcular fluid volume increases, and deeper probing depths [132]

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Early intervention preserves bone, stabilizes teeth, and reduces the need for invasive procedures

I encountered widespread ambivalence among tobacco and clove farmers over whether their crops were sufficiently profitable to justify ongoing investment, and all were engaged in additional enterprises and crop production to make ends meet