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In the central city of Zhengzhou, primary school students told CCTV that they often played with cigarette cards in school restrooms or at home, away from their teachers prying eyes

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Bottom Line Smoking and the use of nicotine in any form can cause tooth decay, gum disease, and other oral health problems, while Invisalign treatment can increase the risk of tooth decay due to the aligners trapping bacteria and plaque against the teeth and gums