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The nicotine and tar found in cigarettes are known to cause discoloration and staining on various surfaces, including dental appliances

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Plan and Recommendations Document what happens next: Follow-up CT in 3 months, 6 months, 12 months PET scan ordered to assess metabolic activity Referral to pulmonology for bronchoscopy Referral to thoracic surgery for biopsy This supports medical necessity for subsequent procedures and visits

Canadian regulations, including those enforced by the Canadian Air Transport Security Authority (CATSA), allow smokeless tobacco products through security checkpoints