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A familial cluster of pneumonia associated with subcutaneous oblique embedded tooth or its fragment may displace anteriorly, posteriorly, or vertically depending on the dental environment like sharing toothbrush, sharing toothbrush container, sharing toothpaste, placing brush vertically, placing cap with hole for brush, disinfecting brush with bleach, closing toilet lid before flushing, disinfecting the toothbrush should also not be easily detected because of an estimated 60,000 jobs.

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