Smoking affects the gums long before visible damage appears. Chemicals in tobacco, especially nicotine, cause blood vessels in the gum tissue to narrow. This reduced blood flow limits the delivery of oxygen and nutrients that gum cells need to stay healthy and repair daily damage. With less oxygen, gum cells function less efficiently. Immune cells also have difficulty reaching areas where bacteria are present. This weakens the normal defense response and allows bacterial toxins to remain in cont
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