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For most of the other oral health outcomes, however, more recent evidence cannot confirm the previous limited evidence of deterioration in periodontal health of e-cigarette users compared to that of non-smokers or the hypothesis that switching from cigarettes to e-cigarettes ( Implications for research and practice Despite the recent surge in e-cigarette use-related studies, gaps in the evidence remain, and this review calls for more research studies with stronger study designs and methods that focus on comparing exclusive e-cigarette users to non-smokers

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