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To date, systematic reviews from high-income and middle-income countries suggest that larger GHWs are associated with increased salience and knowledge on smoking harms and health risks and that larger GHWs are more effective in encouraging behavioral change, particularly in influencing intentions to smoke (foregoing cigarettes) and intentions to quit smoking (e.g., quitline calls, quit attempts, and short term cessation) and decreasing smoking prevalence (711)

Chipping of the tooth isn't common, but it is possible when the jewelry is accidentally bit, especially when the piercing is fresh and you have yet to adjust to it (via Painful Pleasures)

it's just doing a lot of work in the background

The fertile soil, ample sunlight, and local conditions make for a thriving tobacco industry