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Accounting for controls, compared to those who smoked tobacco and did not use spliffs, the following were less likely to have their first joint within an hour after waking: those who smoked tobacco and used spliffs, those who never smoked tobacco and did not use spliffs, those who never smoked tobacco and used spliffs

Thats why leukoplakia is sometimes called smokers keratosis. But leukoplakia can also be caused by ill-fitting prostheses, nightguards or dentures, or using very hard-bristled toothbrushes

The researchers turn to Vital Statistics mortality data for adults, between 1990 and 2018, for an answer