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It removes the crushed cigarette factor from the test

Evidence increasingly demonstrates that e-cigarette use during adolescence can lead to nicotine dependence, impaired neurodevelopment, and an elevated risk of future substance use

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The clinical examination revealed heavy brown stains of the lower lip vermilion border and the facial aspect of the mandibular anterior dentition and localized gingival recession and areas of fenestrations at the attached gingiva of the mandibular central incisors

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