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National Academies of Sciences, Engineering and Medicine

All three forms of smoking and vaping lead to increased production of oxygen-derived free radicals in blood vessel tissue, such as superoxide

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The tobacco chemicals create a sticky film that traps food debris and bacteria, which leads to enamel wear that exposes softer, easily stained layers underneath, gum disease that reveals more tooth surface for pigments to attack, persistent bad breath from bacterial buildup, and extra plaque and tartar that lock stain molecules in place

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