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According to this 2018 study, the aerosol from e-cigarettes caused a four-fold increase in microbial (bacterial) adhesion to tooth enamel, especially in the pits and crevices of the teeth

The numbers can vary, but Christensen often tells patients to think of one cigarette as having 5 to 10 milligrams of nicotine each, with the actual amount inhaled probably less than that

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As the viruses start to replicate and build up, it starts to move to other areas and gets itself ready to do its work and be transmitted