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8 A recently published review has outlined the effects of ENDS exposure on oral health, including dysbiosis and changes to the oral microbiome, with evidence of a compositional and functional shift in the oral microbiome and an increase in opportunistic pathogens

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Complaints that may arise are: dry tickle in the throat, dry mucous membranes, burning, a sensitive spot in the trachea, persistent cough, tendency to scrape and difficulty swallowing