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Trauma could occur during injections of local anesthetic in the mouth, or otherwise during dental treatments, frictional trauma from a sharp surface in the mouth, such as a broken tooth, or from tooth brushing

A person with oral lichen planus require regular monitoring due to an increased risk of developing mouth cancer in the affected areas, although symptoms are typically manageable

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Instead of reaching for a cigarette, consider switching to nicotine replacement therapy (NRT) products, or even nicotine vaping products (NVPs) available at pharmacies