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Patients are advised to cease tobacco use to achieve optimal results in aesthetic dentistry. Cessation Strategies and Support Resources Quitting smokeless tobacco is a crucial step toward improving oral health

Nicotine can also relax the sphincter of Oddi in experimental models and might reduce sphincter spasm and obstruction which can cause PEP (12)

Nicotine pouches usually contain nicotine extracted from tobacco, although some use synthetic nicotine.* This nicotine is combined with fillerssuch as natural polymers, cellulose, pH adjusters, stabilizers, and flavors

However, it is important to remember that dental implants require a healthy jawbone