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In the local communities of Sudan, toombak is also called saffa. This is rolled up into a medium sized ball and usually placed in the anterior vestibule for two to three hours after which it is discarded and replaced (see Figures 3, 4)

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Any remaining tobacco flakes and cigarette paper are composted

Smoking can hinder these aesthetic outcomes by causing unsightly stains that require additional dental treatments, such as professional whitening, which adds extra cost and time to your overall orthodontic journey