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The main barriers to the opportunistic screening system are out-of-pocket healthcare spending by private dental practitioners, lack of training (for examination and biopsy), and absence of a proper referral system with a follow-up mechanism along with significant variations in risk factors, socioeconomic attributes, health-seeking practices, health literacy levels, and healthcare accessibility among states

Many cases of oral cancers are linked to risk factors

For example, people with a history of smoking have about a A currently smoke or previously smoked a large number of cigarettes started smoking at a younger age smoked for many years smoke a higher number of pack-years, with risk increasing with every 20 pack-years smoked before the birth of their first child A more recent The overall association of smoking with breast cancer was modest

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