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According to the US Department of Health and Human Services, cigarette smoking is the leading cause of preventable disease and death in the US, accounting for more than 480,000 deaths per year, including 140,000 from secondhand smoke

Removal of the subgingival calculus (i.e., tartar or hard plaque) and friable tissue has been shown to improve mouth odour considerably

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As outlined by the stress and coping theory, when faced with a stressor, a sequence of evaluations are undertaken by an individual: a primary appraisal to assess whether a situation poses a threat or benefit, followed by a secondary appraisal of resources and coping options