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The teen boy still has missing teeth, as he has not been able to get replacements due to insurance reasons, Russell said

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In contrast, studies with lower scores (5) had limitations in selection representativeness, comparability, and follow-up adequacy, potentially introducing bias, particularly in those relying on self-reported COPD diagnosis rather than objective measures

The data highlight an alarming rise from 7.1% in 2022 to nearly 25% among 11 to 17-year-olds