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The most common intervention dental teams will be involved in is delivering ask, advise, act in line with VBA to smokers (figure 11.2)

This means that gum disease is easily missed Reduced level of immune cells arriving at the gums to help fight the early stages of the bacterial infection and gum disease Tobacco Exacerbates Periodontal Tissue Inflammatory Response The cells of the immune system arrive at the gums to fight the bacterial infection

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If the mutations inhibit programmed cell death, the cells can survive to become cancer cells