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The residual confounding was not controlled for in the multivariate models

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Despite this, there is compelling evidence that supports concerns about waterpipe tobacco use, including its addictiveness, toxicity, potential to serve as a gateway to other nicotine products 32 , and the role of flavors in youth initiation 8-10

1 , CD000146 (2008)

it is often associated with gingivitis/periodontitis, impaired healing, dental caries, and oral mucosal lesions

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