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In 2018-2019, daily cigar smoking was highest among filtered cigar users (42.1%) followed by those who used cigarillos (22.7%) and non-premium traditional cigars (14.1%), according to the 2022 NASEM report In 2018, more adult males report using cigar products every day or some days (6.8%) compared to adult females (1.1%)

Interestingly, while our findings suggest that confounding factors such as recent international travel, dental visits within the past three months, BMI, and age have limited impact on oral microbial composition during pregnancy, further studies are needed to link variations in the oral microbiome to specific factors such as oral hygiene and systemic health

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