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Scaling involves removing bacteria, plaque, tartar, and infected tissue below the gum line, where regular brushing and flossing cannot reach

Starting in 1989, California was the first state to establish a statewide tobacco prevention program, authorizing education programs to combat tobacco use, requiring application of current funding and research, and prioritizing programs that demonstrate an understanding of the role of community norms play in influencing behavior change regarding tobacco use[10]

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The act of smoking or using traditional smokeless tobacco products has been associated with both social rituals and personal indulgence

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