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Smokers are more likely to develop bacterial plaque, and the decrease in oxygen in the bloodstream caused by smoking inhibits proper gum healing

This has been seen in a recent study that found the rate of smoking cessation increased from 23% before COVID-19 to 31% during COVID-19 pandemic 31

Urine testing can also spot exposure to secondhand smoke tobacco smoke breathed in from other peoples cigarettes that a patient may not think to mention

doi: 10.1016/j.jhep.2013.03.007 3

Dr Katie East, Associate Professor in Public Health, Department of Primary Care and Public Health, Brighton and Sussex Medical School 25 July 2025 Systematic review explores the range and effectiveness of interventions aiming to change vaping harm perceptions The review, published in Addiction, looked at what interventions have been effective in changing the perception of how harmful vaping is, and how that may affect vaping and smoking behaviours