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Description

Oral submucous fibrosis Pathophysiology Habitual use of paan with areca nut (paan) triggers fibroblast proliferation and collagen synthesis, causing fibrosis of oral mucosa

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Identifying and Managing Adverse Reactions Adverse reactions can vary but often include severe anxiety, paranoia, nausea, vomiting, and extreme sedation

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Only one of the pairwise comparisons within smoking status/intensity category reached statistical significance: the aRR for adults currently smoking 1019 cigarettes per day (medium intensity) was significantly higher for those who started smoking before the age of 15 as compared to 15+ years ( p =0.027)

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