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Heavy cannabis use is associated with a larger increase in these risks

However, it is not neutral: Vaping products contain nicotine (in most cases), which causes vasoconstriction and the associated suppression of gum bleeding and immune response The aerosol from vaping irritates the oral mucosa, and there are early case reports of soft tissue changes associated with long-term vaping Dry mouth is associated with vaping The long-term evidence on vaping-related oral health effects is still accumulating, and the precautionary principle applies Whether a dentist can immediately identify a vaper from clinical signs alone is less straightforward than for cigarette smokers