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Findings with abnormal results may lead to additional testing such as more CT scans, needle biopsies, or even surgery in some cases

Unlike smoking, which has been studied extensively for decades, we know little about the health consequences of e-cigarette use and are just starting to understand how the unique microbiome promoted by vaping impacts oral health and disease. More long-term research is needed for dentists to feel comfortable offering counsel to their patients regarding e-cigarette use

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