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Anton Walbrook in "The Queen of Spades" 23

Speaking of the findings, the authors of the study said: Our data suggest that e-cig use promotes a unique periodontal microbiome, existing as a stable heterogeneous state between those of conventional smokers and non-smokers and presenting unique oral health challenges Vaping appears to be driving unique patterns in bacteria and influencing the growth of some bacteria in a manner akin to cigarette smoking, but with its own profile and risks to oral health In short, the evidence suggests that vaping, along with any other form of nicotine consumption can increase the risk of developing gum disease, albeit not as much as smoking cigarettes

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