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We have all heard about how teeth can become discolored, the mouth can dry out, gums can shrivel form smoke, bad breath, bleeding gingiva, and a heightened likelihood of developing dental caries, so it should not be surprising that smoking is highly discouraged while wearing any sort of orthodontry

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Descriptive norms, defined as shared beliefs about what actions people actually do take (Krupka and Weber, 2013), were assessed by asking participants to estimate the proportion of peers in the year group who would be accepting of a close friend smoking or vaping (none of my peers to all of my peers

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This pattern is particularly alarming in individuals with existing metabolic risk factors or liver disease, where dual use may exacerbate hepatic steatosis, inflammation, and fibrosis