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Indeed, countries of the Western Pacific where this practice is common have high rates of oral cancer

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Schiekl's opinion

2 Furthermore, recent data showed that 14% of pregnant patients enrolled in Medicaid smoke during pregnancy, which is more than 3 times higher than the rate in those enrolled in private insurance (3.6%), underscoring the need to decrease tobacco use before and during pregnancy

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Interestingly, the study highlighted a noteworthy trend: first and sixth-year dental students expressed a significantly stronger desire for education regarding the harmful effects of smoking and counseling patients to quit smoking compared to practicing dentists