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The key difference lies in the presence of dependence and severity of symptoms

But nicotine still has health risks and has a potential for dependence

She discovered that people who reported smoking cannabis at least once a month for more than a year had a 17% higher chance of having untreated coronal caries (cavities), 55% higher odds of root surface caries, and 41% higher odds of severe tooth loss compared with patients who did not smoke marijuana after controlling for age, sex, race or ethnicity, education, income, or alcohol consumption

Tight airflow allows the vapor to hit your palate in much the same way that cigarette smoke would