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32 While tobacco is known to be harmful to periodontal health, 33 nicotine itself may be implicated in adverse effects on the periodontium through various mechanisms such as peripheral vasoconstriction

Click here for more details about the amendment from the U.S

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For specific drugs that can be used for these 2 categories, an agreement needs to be reached by the providers about the drug preference, and the outcome must be spelled out in the coding policy manual

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