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Electronic cigarette vapor increases Streptococcus mutans growth, adhesion, biofilm formation, and expression of the biofilm-associated genes

The major strength of this study was the collection of detailed information on smoking habits at each of seven examination rounds during 40 years of followup

(Do note that While it can be hard to quit smoking, it can be worth it in the long run (do note that you shouldnt just substitute it with vaping since vaping can cause acne, too!) There are plenty of resources out there so you dont have to do it alone, including support groups and OTC and prescription medications