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Is It Safe to Keep Vaping

While smoking itself may not directly accelerate the rate of initial plaque accumulation, the combination of altered salivary composition, reduced dexterity in oral hygiene for some individuals, and the fundamentally compromised immune response creates a synergistic environment for disease escalation

Nicotine can be measured in your blood and saliva, but because cotinine has a longer half-life, testing for cotinine is typically preferred

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[27] Smoking can also cause melanosis in the mouth