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While gum disease can affect anyone, smokers have a greater probability of developing gum disease, and their gum disease is more likely to be severe and harder to treat

Recent studies have shown that 5% of patients with three conditions worsened by smoking--chronic obstructive pulmonary disease, hypertension, and usage of oral contraceptives by women over age 35 (who have a much higher risk of stroke if they smoke)--purchased cigarettes at the same time they refilled their medications

The effect of smoking on spinal stenosis can also be seen as the progression of spinal stenosis to spondylolysis, which is a fracture of the pars interarticularis and further progression into spondylolisthesis, which is the anterior displacement of the vertebrae that were affected (Gagnet et al., 2018)

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