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The latest guidelines recommend that all patients should be questioned about their smoking status at every encounter, as if it were a vital sign, and suggest the use of 5As to screen for smoking in clinical settings [4,122]
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As a last resort, if the problem doesnt improve, the papillae can be surgically clipped off with a laser or electrosurgery.
Recognizing and addressing exposure to secondhand smoke is a significant part of both of these public awareness efforts
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