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The modifier goes on the problem-oriented service, not the preventive one

From the current evidence base, various systematic reviews and cross-sectional studies have suggested that e-cigarette use is less harmful to periodontal health than smoking conventional cigarettes, with e-cigarette users generally having lower plaque index scores, probing pocket depths (PPDs), attachment loss, marginal bone loss and lower levels of pro-inflammatory mediators than smokers

So when did she switch to medical school

That is the lowest reported level in the past 10 years

Most people who use PCP smoke it, which produces a recognizable scent