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Even a brief conversation that connects a patients habit to what they can see in their own mouth can be very effective. That might mean tracking gum recession over time, pointing out inflammation, or showing how things are improving or getting worse

In 2016, Philadelphia had the highest smoking rate of any major city in the country at 23%, and twice as many tobacco retailers per capita

Department of Health and Human Services) Youth Vaping, Smoking, and Nicotine Use (truth initiative) E-Cigarette, or Vaping, Products Visual Dictionary (Centers for Disease Control and Prevention) Vaping Nicotine = Brain Poison for Teens DropTheVape.com References Centers for Disease Control and Prevention

Too much might cause nausea, headaches, or a racing heart

Ask them whether theyve thought about quitting, or try something like, I heard on the news that taxes on cigarettes might go up soon