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When you smoke or use tobacco, the nicotine enters your bloodstream, and a product called cotinine is created as enzymes in the liver work to break it down

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Contact your dentist immediately for severe uncontrolled pain despite medication, heavy bleeding requiring frequent gauze changes after 24 hours, fever above 100.4F persisting beyond 48 hours, increasing swelling after day three, difficulty breathing or swallowing, pus or discharge from extraction sites, or numbness persisting beyond expected anesthesia duration