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Social appeal: Smoking is often viewed as a communal activity, enhancing social interactions

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Components of the smoke, particularly nicotine and carbon monoxide, interfere with the metabolism and function of critical resident cells, most notably gingival fibroblasts and periodontal ligament cells, which are responsible for producing and maintaining the collagen fibers that anchor the tooth to the bone

[42] Neuroplasticity within the brain's reward system occurs as a result of long-term nicotine use, leading to nicotine dependence

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