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Other factors can also increase the risk of gum disease, such as: Smoking Diabetes Some medications Stress Hormonal changes, such as from pregnancy According to Statistics Canada, approximately 21% of adults with teeth aged 1879 have or have had periodontitis, the advanced form of gum disease

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But the review states that nicotines role in cardiovascular toxicity appears relatively limited compared with carbon monoxide, oxidizing gases, and other toxic chemicals in cigarette smoke