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19 Unfortunately, few studies specifically examine the direct relationship between e-cigarette use and periodontitis

Understanding how chemicals in smoke affect lip tissue, stimulating melanocytes, and reducing circulation is key to addressing the problem

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Firstly, our heartfelt gratitude goes to the (then) Directors of National Tuberculosis Centre (NTC), Dr Rajendra Prasad Pant and Dr Pushpa Malla and (then) Director of National Health Education Information Communication Centre (NHEICC), Mr Badri Bahadur Khadka, for their approval and facilitation which enabled smooth implementation