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These microbial shifts, along with changes in 71 KEGG pathways, highlighted the potential for EC use to contribute to periodontal disease through its impact on the oral microbiome [66]

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Barriers and facilitators for oral health screening among tobacco users: a mixed-methods study

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Nevertheless, tobacco is not the only culprit

Tobacco control funding has declined significantly in most provinces over the past years, however, tobacco use remains the leading cause of Chronic Obstructive Pulmonary Disease (COPD) , lung and throat cancer, and premature death in Canada