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Additionally, the heat from smoking can distort the shape of the aligners, compromising their fit and effectiveness

According to the World Health Organization, the tobacco industry exacts a toll of more than 8 million human lives, 600 million trees, 200,000 hectares of land, 22 billion tons of water, and 84 million tons of CO 2 annually (3)

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"US tobacco control: public health, political economy, or morality policy?" Review of Policy Research 25.5 (2008): 393-410

Biological, demographic, and health factors associated with HPV infection in Ecuadorian women Carlos Roman, Diego Andrade, Yenima Hernndez, Zoila Salazar, Lizette Espinosa, Erika Campoverde, Lourdes Guallaizaca, Mara Merchn, Miriam Sarmiento, Jonathan Brenner Frontiers in Public Health 3