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doi:10.1001/jama.278.21.1759

Smoking Smoking is linked with periodontal disease, which is the second most common cause of oral malodour

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The main one is that the chemicals (PM2.5, VOCs like phenanthrene, nitrogen species, heavy metals, carbon monoxide) can be breathed in and our immune system is activated since it sees these particles as foreign and that causes inflammation and could lead to asthma and activation of clotting cascades that could lead to heart attacks or strokes

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