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Studies show that smokers don't clean their teeth well and have more calculus

In regard to the shoulder, the second part of the head, the exact beginning and end depend on what kind of cigar you are smoking, being long in some shapes and quite short in others, but generally refers to the area where the cap meets the body, usually extending just a touch to include the rounded or sloped portion near the bottom of the cap, hence "shoulder." This is more of a generalized location than an exact one, though the importance of this feature cannot be overlooked, as this position determines where a cigar should be cut so as not to unravel it by cutting it too far, and is where the cap joins the wrapper, acting to keep the cigar together even before cutting

Wasserman, J., Manning, W