The most important causes of leukoplakia are as follows: Excessive or long-term smoking Deficiency of vitamins B and C and even iron deficiency Conditions that compromise the immune system, including HIV, chemotherapy, and heavy surgical procedures Friction between a broken tooth and the inner wall of the oral cavity Severe oral burns resulting from the intake of hot liquids and foods Excessive or long-term use of dental abrasives or whitening products Loose dentures, orthodontic retainers, and orthodontic brackets with sharp edges Prolonged or excessive use of inhalation sprays (e.g., asthma sprays) without rinsing the mouth afterward Poor oral hygiene Frequent biting or chewing of the inner lining of the mouth or tongue Overuse of alcoholic beverages Human papillomavirus (HPV), which causes genital herpes Diagnosis of leukoplakia As stated earlier, most cases of leukoplakia improve on their own within one to two weeks with no need for medical interventions

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This means that, while not as good as quitting altogether, and not risk-free, smoke-free alternatives can be a much better choice for adults than continued smoking
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