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The demographic data of participants is shown in Table 1

Risks include tooth sensitivity to temperature changes, irreversible enamel removal creating lifelong restoration dependency, bonding failure requiring repairs, porcelain chipping or cracking from trauma, gum irritation during adjustment, potential decay under veneers if margins fail, difficulty adjusting to altered appearance, speech changes requiring adaptation, and eventual replacement needs

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However, the US federal governments view was that if health claims were being made in respect of substances not derived from a natural plant, such as tobacco, then they would be deemed unproven drugs, tangling the companies up in red tape