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Can a dentist or hygienist tell if a patient uses tobacco, even if the patient denies it

"These declines also underscore the proven effectiveness of strategies that have been implemented to reduce tobacco use, including increased tobacco taxes and prices, comprehensive smoke-free laws, well-funded prevention and cessation programs, hard-hitting mass media campaigns, and, more recently, state and local laws ending the sale of flavored tobacco products," he said

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[1] On December 20, 2019, the minimum legal sales age was raised from 18 to 21 nationwide