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The oral cavity is often the first system affected, with studies suggesting alterations in the oral microbiome, increased inflammation in periodontal and peri-implant tissues, heightened susceptibility to dental caries, and potential cellular changes that could elevate the risk of oral premalignancy or malignancy [10,39,40]

Additionally, the days of secondhand smoke exposure for the two questions were summed and classified as: 1) none (0 days)

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According to the study, New Zealand has a high rate of cannabis use and one of the highest lung-cancer rates in the world, particularly among its indigenous Maori population