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If you use both e-cigarettes and smoke cigarettes at the same time, you run the risk of developing a condition known as nicotine poisoning. Taking in too much nicotine at once can cause a variety of symptoms, including nausea, vomiting, dizziness, confusion, a racing heart, and even death

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The assessment of intraoral findings, buccal surfaces and lingual mucosa are particularly important in smokers, as they will facilitate the detection of any pathological changes at an early stage (6)